Publication Name	World Journal of Orthopedics
Manuscript ID	124459
DOI	10.5312/wjo.124459
Country	Indonesia

Category	Engineering, Biomedical
Manuscript Type	Observational Study
Article Title	Finite element analysis of a novel modular support system for lumbar reconstruction following vertebral column resection
Manuscript Source	Unsolicited Manuscript
All Author List	Andhika Yudistira, Respati Suryanto Dradjat, Edi Mustamsir, Mochamad Agus Choiron, Yuyun Yueniwati, Hidayat Sujuti and I Ketut Suyasa
Funding Agency and Grant Number
Corresponding Author	Andhika Yudistira, MD, PhD, Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Brawijaya-Dr. Saiful Anwar General Hospital, Jl. Jaksa Agung Suprapto No. 2, Klojen, Malang 65112, Jawa Timur, Indonesia. andhika.yudhistira@ub.ac.id
Key Words	Posterior vertebral column resection; Finite element analysis; Lumbar reconstruction; Titanium mesh cage; Vertebral column resection modular support system; Morphometric-guided implant design; Mechanics
Core Tip	The vertebral column resection modular support system (VCR-MSS) is a morphometry-guided modular implant specifically designed to match Indonesian lumbar anatomy. Using a 2-stage finite element analysis framework comprising an ASTM F1717-21-based model and a vertebra-based model, we demonstrated that the VCR-MSS exhibited lower total deformation than a conventional mesh cage under all loading conditions. In addition, the VCR-MSS reduced the mechanical demand on the posterior rods, indicating more favorable load sharing within the construct. Collectively, these findings suggest that the VCR-MSS functions as an integrated reconstruction system rather than simply as an anterior spacer.
Citation	Yudistira A, Dradjat RS, Mustamsir E, Choiron MA, Yueniwati Y, Sujuti H, Suyasa IK. Finite element analysis of a novel modular support system for lumbar reconstruction following vertebral column resection. World J Orthop 2026; In press DOI: https://doi.org/10.5312/wjo.124459
PDF	124459-in-press.pdf

Received	2026-06-16 03:23
Peer-Review Started	2026-06-16 03:24
First Decision by Editorial Office Director
Return for Revision	2026-07-21 03:12
Revised	2026-08-02 06:57
Publication Fee Transferred	2026-09-10 05:39
Second Decision by Editor	2026-11-02 02:19
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-11-02 02:53
Articles in Press	2026-11-02 02:53
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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