Finite element analysis of the lumbar spine with a new cage using a topology optimization method.

In recent years, degenerative spinal instability has been effectively treated with a cage. However, little attention is focused on the design concept of the cage. The purpose of this study was to develop a new cage and evaluate its biomechanical function using a finite element method (FEM). This study employed topology optimization to design a new cage and analyze stress distribution of the lumbar spine from L1 to L3 with a new cage by using the commercial software ANSYS 6.0. A total of three finite element models, namely the intact lumbar spine, the spine with double RF cages, and with double new cages, were established. The loading conditions were that 10Nm flexion, extension, lateral bending, and torsion, respectively, were imposed on the superior surface of the L1 vertebral body. The bottom of the L3 vertebral body was constrained completely. The FEM estimated that the new cage not only could be reduced to 36% of the volume of the present RF cage but was also similar in biomechanical performance such as range of motion, stress of adjacent disc, and lower subsidence to the RF cage. The advantage of the new cage was that the increased space allowed more bone graft to be placed and the cage saved material. The disadvantage was that stress of the new cage was greater than that of the RF cage.