Abstract

Background and Objectives: Although there have been research on bone cutting, there have been few research on bone grinding. This study reports the measurement results of the experimental system that simulated partial laminectomy in microscopic spine surgery. The purpose of this study was to examine the fluid lubrication and cooling in bone grinding, histological characteristics of workpieces, and differences in grinding between manual and milling machines. Materials and Methods: Thiel-fixed human iliac bones were used as workpieces. A neurosurgical microdrill was used as a drill system. The workpieces were fixed to a 4-component piezo-electric dynamometer and fixtures, which was used to measure the triaxial power during bone grinding. Grinding tasks were performed by manual activity and a small milling machine with or without water. Results: In bone grinding with 4-mm diameter diamond burs and water, reduction in the number of sudden increases in grinding resistance and cooling effect of over 100 °C were confirmed. Conclusion: Manual grinding may enable the control of the grinding speed and cutting depth while giving top priority to uniform torque on the work piece applied by tools. Observing the drill tip using a triaxial dynamometer in the quantification of surgery may provide useful data for the development of safety mechanisms to prevent a sudden deviation of the drill tip.

Highlights

  • Laminectomy in spinal surgery can be compared to some tasks in the industrial field.For example, cutting with diamond burs is similar to grinding, whereas cutting with steel burs is similar to cutting

  • This study examined the effect of fluid applied by an assistant during spinal surgery on bone grinding

  • The measurement was performed in an environment simulating microscopic spine surgery

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Summary

Introduction

Laminectomy in spinal surgery can be compared to some tasks in the industrial field.For example, cutting with diamond burs is similar to grinding, whereas cutting with steel burs is similar to cutting. The main effects of fluid on grinding and cutting include lubrication, cooling, and weld protection. There have far been few observational studies of bone grinding with diamond burs [10]. Our goal is the quantification and visualization of spine surgery [11,12,13,14,15,16,17,18,19,20]. This study examined the effect of fluid applied by an assistant during spinal surgery on bone grinding. The purpose of this study was to examine the lubrication and cooling effects using a dynamometer and thermometer in an environment simulating laminectomy in microscopic spine surgery (dry and wet environments)

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