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Table 6 The von Mises stress of the structures in different lengths of titanium plates

From: Biomechanical effect of different plate-to-disc distance on surgical and adjacent segment in anterior cervical discectomy and fusion - a finite element analysis

von Mises stress (MPa)

PDD = 0 mm

PDD = 5 mm

PDD = 10 mm

F

P

η2

Flexion

C4/C5 disc

1.417 ± 0.297

1.411 ± 0.257

1.422 ± 0.271

0.406

0.671

0.029

C6/C7 disc

1.483 ± 0.036

1.476 ± 0.045

1.455 ± 0.030

1.495

0.242

0.100

Bone graft

0.255 ± 0.040 * #

0.307 ± 0.025 #

0.400 ± 0.031

49.897

<  0.001

0.787

Titanium plate

57.886 ± 3.374 * #

48.363 ± 4.237 #

36.822 ± 1.049

109.670

<  0.001

0.890

Screw

32.983 ± 1.238 * #

42.075 ± 3.569 #

58.018 ± 3.083

202.663

<  0.001

0.938

Extension

C4/C5 disc

1.337 ± 0.027

1.333 ± 0.019

1.346 ± 0.032

0.619

0.546

0.044

C6/C7 disc

1.425 ± 0.027

1.419 ± 0.016

1.413 ± 0.018

0.751

0.482

0.053

Bone graft

1.527 ± 0.051 * #

1.668 ± 0.042 #

1.812 ± 0.053

84.109

<  0.001

0.862

Titanium plate

58.069 ± 6.173 * #

41.552 ± 3.822 #

24.791 ± 1.740

148.985

<  0.001

0.917

Screw

34.820 ± 1.386 * #

58.166 ± 3.206 #

95.603 ± 2.204

1653.432

<  0.001

0.992

Bending

C4/C5 disc

1.382 ± 0.038

1.426 ± 0.119

1.388 ± 0.041

0.957

0.397

0.066

C6/C7 disc

1.402 ± 0.030

1.415 ± 0.032

1.398 ± 0.020

0.960

0.395

0.066

Bone graft

1.522 ± 0.084 * #

1.868 ± 0.057 #

2.308 ± 0.055

349.902

<  0.001

0.963

Titanium plate

94.691 ± 1.859 * #

83.956 ± 2.769 #

73.790 ± 1.708

233.352

<  0.001

0.945

Screw

55.388 ± 1.090 * #

60.705 ± 1.258 #

66.406 ± 0.647

285.569

<  0.001

0.955

Rotation

C4/C5 disc

1.384 ± 0.047

1.378 ± 0.036

1.387 ± 0.038

0.112

0.895

0.008

C6/C7 disc

1.351 ± 0.170

1.292 ± 0.170

1.224 ± 0.080

1.912

0.167

0.124

Bone graft

1.620 ± 0.026 * #

1.714 ± 0.053 #

1.945 ± 0.041

161.710

<  0.001

0.923

Titanium plate

68.463 ± 2.529 * #

62.311 ± 2.526 #

57.824 ± 0.929

62.751

<  0.001

0.823

Screw

56.617 ± 1.467 * #

64.038 ± 1.663 #

75.025 ± 2.727

208.241

<  0.001

0.939

  1. PDD Plate-to-disc distance
  2. * P<0.05:Compared with titanium plates of 5 mm PDD
  3. # P<0.05:Compared with titanium plates of 10 mm PDD