Wear assessment of a Ti–6Al–4V motion-preserving porous artificial-cervical-joint fabricated by SLM after surface carburization

Adjacent segment degenerative diseases are a major clinical concern for anterior cervical corpectomy with fusion surgery. In this study, a hybrid motion-preserving cervical prosthesis consists of two articulating joints and one porous fusion body is designed to provide motion ability and reduce the occurrence of degenerative diseases. The hybrid design is fabricated from Ti–6Al–4V (TC4) alloy using selective laser melting (SLM) technology. After carburization pretreatment, two types of bearing couple SLM-TC4 self-mating and SLM-TC4/UHMWPE were studied in terms of lubrication regime, contact mechanics and wear performance. According to the ISO 18192-1 standard, five million cycles (Mc) of in vitro spine simulator wear tests were conducted in bovine serum lubricated condition.