Evidence for IHA migration during axial rotation of a lumbar spine segment by using a novel high-resolution 6D kinematic tracking system.

The biomechanical properties of the lumbar spine have long been studied. However, despite its enormous importance, basic functional and morphological properties have been not well understood and require further experimental analysis since data concerning the spatial instantaneous segmental motions are hardly available. This study describes the theoretical background and the technical properties of an innovative method for tracking the instantaneous 3D motion of human spinal segments in vitro at high spatial resolution. This new acquisition system allows to scrutinise closely the location and alignment of the segmental instantaneous helical axis (IHA) and the respective screw pitch as functions of the absolute rotational angle. The required precision of the measuring device was attained (a) by six highly resolving linear inductive displacement sensors in a special spatially configuration (3-2-1), (b) by a method to apply torque and force independently of each other without counteraction, and (c) by suppression of vibrations. The validity and reliability of the experimental set-up and the numerical method of data analysis were tested by subjects of known mechanical properties. In vitro experiments with a human lumbar segment (L3/L4, autopsy material) demonstrated that (a) the IHA migrated during axial rotation from one segmental articulatio zygapophysialis to the other joint, (b) the IHA tilted medial-laterally, and (c) the pitch of the screw altered linearly as a function of the rotational angle. This phenomenon is traced back to the guidance of the articluationes zygapophysiales. The validation of the method allows to map segments of the entire vertebral column. The results can be used as benchmarks for future models of the human spine.