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Research ArticleBiomechanics

A Multiscale Finite Element Analysis of Balloon Kyphoplasty to Investigate the Risk of Bone-Cement Separation In Vivo

Philip Purcell, Magdalena Tyndyk, Fiona McEvoy, Stephen Tiernan, Derek Sweeney and Seamus Morris
International Journal of Spine Surgery April 2021, 15 (2) 302-314; DOI: https://doi.org/10.14444/8040
Philip Purcell
1Bioengineering Technology Centre, Technological University Dublin, Tallaght Campus, Dublin, Ireland
2CADFEM Ireland, The Steelworks, Dublin, Ireland
3Department of Electronic and Mechanical Engineering, Dundalk Institute of Technology, Dundalk, Ireland
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Magdalena Tyndyk
4University College Cork, UCC Academy, Cork, Ireland
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Fiona McEvoy
1Bioengineering Technology Centre, Technological University Dublin, Tallaght Campus, Dublin, Ireland
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Stephen Tiernan
1Bioengineering Technology Centre, Technological University Dublin, Tallaght Campus, Dublin, Ireland
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Derek Sweeney
2CADFEM Ireland, The Steelworks, Dublin, Ireland
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Seamus Morris
5Mater Misericordiae University Hospital, National Spinal Injuries Unit, Ireland
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  • Figure 1
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    Figure 1

    Micro FE model of bilateral kyphoplasty with beam and solid elements. FE, finite element.

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    Figure 2

    BEAM188 element coordinate system and equivalent strain computation.

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    Figure 3

    Generation of beam element models after skeletonization of computed tomography data and applied boundary conditions for Mode I tensile and Mode II shear separation. Failure curves output from the micro FE analysis were applied in the macroscale model by explicitly defining the normal and tangential contact stiffness between the bone and cement domains. FE, finite element.

  • Figure 4
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    Figure 4

    (a) Finite element model of thoracolumbar junction T12-L1-L2 in healthy intact state. (b) Model with simulated wedge fracture at L1. (c) Wedged model with bilateral kyphoplasty at L1 with cortical and trabecular components hidden for clarity.

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    Figure 5

    Mean bone-cement interface separation response for the cement masses with full interlock and reduced interlock applied.

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    Figure 6

    Mode I tensile separation stress normalized to failure strength with full interlock.

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    Figure 7

    Mode II shear separation stress normalized to failure strength with full interlock.

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    Figure 8

    Mode I tensile separation stress normalized to failure strength with reduced interlock.

  • Figure 9
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    Figure 9

    Mode II shear separation stress normalized to failure strength with reduced interlock.

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International Journal of Spine Surgery
Vol. 15, Issue 2
1 Apr 2021
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A Multiscale Finite Element Analysis of Balloon Kyphoplasty to Investigate the Risk of Bone-Cement Separation In Vivo
Philip Purcell, Magdalena Tyndyk, Fiona McEvoy, Stephen Tiernan, Derek Sweeney, Seamus Morris
International Journal of Spine Surgery Apr 2021, 15 (2) 302-314; DOI: 10.14444/8040

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A Multiscale Finite Element Analysis of Balloon Kyphoplasty to Investigate the Risk of Bone-Cement Separation In Vivo
Philip Purcell, Magdalena Tyndyk, Fiona McEvoy, Stephen Tiernan, Derek Sweeney, Seamus Morris
International Journal of Spine Surgery Apr 2021, 15 (2) 302-314; DOI: 10.14444/8040
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Keywords

  • kyphoplasty
  • vertebral compression fractures
  • multiscale finite element analysis
  • micro-CT
  • bone-cement interface

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