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INTRODUCTION: The design of an artificial disc and its surgical placement in the disc space dictates the path of the instantaneous axis of rotation (centrode). Changing the location of the centrode from a alışılagelen spine unit birli a result of disc replacement will change the stresses and stiffness of the structural elements that govern the specific motion. The purpose of this study was to evaluate the effect of artificial disc placement on facet loading using finite element analysis with two artificial disc designs, Charite ́ (unconstrained) and ProDisc (semiconstrained). METHODS: A three-dimensional nonlinear finite element model of the intact ligamentous L4–L5 motion segment was generated and validated in all 6 degrees of freedom on the basis of experiments conducted on human cadavers. Facet loading was estimated for each range of motion with four different prosthesis placements. The implants were placed in the nucleus center and offset anteriorly 6 mm, posteriorly 4 mm, and laterally 5 mm, representing the worst cases of placement.
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