<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272020000400479</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación del comportamiento de cinco espaciadores intersomáticos cervicales mediante el método de los elementos finitos]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of the behavior of five intersomatic cervical spacers using the finite element method]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lage Barroso]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fleites Marrero]]></surname>
<given-names><![CDATA[Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Rodríguez]]></surname>
<given-names><![CDATA[Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García García]]></surname>
<given-names><![CDATA[Eddy Ameth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial General &#8220;Camilo Cienfuegos&#8221;  ]]></institution>
<addr-line><![CDATA[Sancti Spíritus ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Central Cira García  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>14</volume>
<numero>4</numero>
<fpage>479</fpage>
<lpage>488</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272020000400479&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272020000400479&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272020000400479&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el dolor cervical es un síntoma encontrado frecuentemente en la práctica clínica. Uno de los tratamientos más frecuente para este padecimiento, específicamente para las hernias discales, es la discectomía con artrodesis cervical anterior. El uso del injerto de cresta iliaca resulta la práctica habitual en Cuba, aunque se recoge el antecedente del uso de otros materiales.  Objetivo:  comparar el comportamiento de injertos de cortical bovina, hidroxiapatita, polimetilmetacrilato, cromo-cobalto-molibdeno y el auto injerto tricortical de cresta iliaca en el espacio intervertebral C6-C7 ante las cargas habituales de la columna cervical.  Métodos:  se realizó un estudio experimental mediante la simulación numérica según el método de los elementos finitos, los diferentes injertos se sometieron a las cargas axiales recomendadas por las normas ASTM F2423-11e ISO 18192-1.2011mediante el software Free CAD 0.18 en el espacio C6-C7 de un modelo experimental de la columna cervical.  Resultados:  los mayores esfuerzos soportados por diferentes injertos fueron: tricortical: 19190 kPa, xenoinjerto: 13210 kPa, hidroxiapatita sin porosidad y con una porosidad del 50%: 41500 kPa y 45100 kPa, respectivamente, polimetilmetacrilato: 4440 kPa y cromo-cobalto-molibdeno: 148470 kPa.  Conclusiones:  todos los injertos resistieron la carga aplicada excepto el de hidroxiapatita con un 50% de porosidad. El injerto tricortical describió un comportamiento adecuado. Todos provocaron tensiones en las vértebras colindantes, en mayor medida los de polimetilmetacrilato y cromo-cobalto-molibdeno.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  cervical pain is a symptom frequently found in clinical practice. One of the most frequent treatments for this condition, specifically for disc herniations, is discectomy with anterior cervical arthrodesis. The use of iliac crest graft is the habitual practice in Cuba, although it is gathered the antecedent of the use of other materials.  Objective:  to compare the behavior of grafts of bovine cortical, hydroxyapatite, polymethylmethacrylate, chromium-cobalt-molybdenum and tricortical autograft of iliac crest in the intervertebral space C6-C7 before the usual loads of cervical column.  Methods:  an experimental study was carried out by means of numerical simulation according to the finite element method, the different grafts were subjected to the axial loads recommended by the ASTM F2423-11e ISO 18192-1.2011 standards by means of the Free CAD 0.18 software in the C6-C7 space of an experimental model of the cervical spine.  Results:  the highest stresses supported by different grafts were: tricortical: 19190 kPa, xenograft: 13210 kPa, hydroxyapatite without porosity and with 50% porosity: 41500 kPa and 45100 kPa, respectively, polymethylmethacrylate: 4440 kPa and chrome-cobalt-molybdenum: 148470 kPa.  Conclusions:  all the grafts resisted the applied load except for the hydroxyapatite with 50% porosity. The tricortical graft described an adequate behavior. All caused stress in the adjacent vertebrae, mostly polymethylmethacrylate and chromium-cobalt-molybdenum.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[artrodesis cervical]]></kwd>
<kwd lng="es"><![CDATA[injertos intersomáticos]]></kwd>
<kwd lng="es"><![CDATA[elementos finitos]]></kwd>
<kwd lng="en"><![CDATA[cervical arthrodesis]]></kwd>
<kwd lng="en"><![CDATA[intersomatic grafting]]></kwd>
<kwd lng="en"><![CDATA[finite elements]]></kwd>
</kwd-group>
</article-meta>
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</name>
<name>
<surname><![CDATA[Blunn]]></surname>
<given-names><![CDATA[GW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Osteoinduction of bone grafting materials for bone repair and regeneration]]></article-title>
<source><![CDATA[Bone]]></source>
<year>2015</year>
<volume>81</volume>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
