Sparrey Carolyn J, Manley Geoffrey T, Keaveny Tony M
Department of Mechanical Engineering, University of California-Berkeley, Berkeley, California 94720-1740, USA.
J Neurotrauma. 2009 Apr;26(4):585-95. doi: 10.1089/neu.2008.0654.
Recent demographics demonstrate an increase in the number of elderly spinal cord injury patients, motivating the desire for a better understanding of age effects on injury susceptibility. Knowing that age and disease affect neurological tissue, there is a need to better understand the sensitivity of spinal cord injury mechanics to variations in tissue behavior. To address this issue, a plane-strain, geometrically nonlinear, finite element model of a section of a generic human thoracic spinal cord was constructed to model the response to dorsal compression. The material models and stiffness responses for the grey and white matter and pia mater were varied across a range of reported values to observe the sensitivity of model outcomes to the assigned properties. Outcome measures were evaluated for percent change in magnitude and alterations in spatial distribution. In general, principal stresses (114-244% change) and pressure (75-119% change) were the outcomes most sensitive to material variation. Strain outcome measures were less sensitive (7-27% change) than stresses (74-244% change) to variations in material tangent modulus. The pia mater characteristics had limited (<4% change) effects on outcomes. Using linear elastic models to represent non-linear behavior had variable effects on outcome measures, and resulted in highly concentrated areas of elevated stresses and strains. Pressure measurements in both the grey and white matter were particularly sensitive to white matter properties, suggesting that degenerative changes in white matter may influence perfusion in a compressed spinal cord. Our results suggest that the mechanics of spinal cord compression are likely to be affected by changes in tissue resulting from aging and disease, indicating a need to study the biomechanical aspects of spinal cord injury in these specific populations.
近期的人口统计数据显示,老年脊髓损伤患者的数量有所增加,这促使人们渴望更好地了解年龄对损伤易感性的影响。鉴于年龄和疾病会影响神经组织,因此有必要更好地理解脊髓损伤力学对组织行为变化的敏感性。为了解决这个问题,构建了一个通用人体胸段脊髓某一截面的平面应变、几何非线性有限元模型,以模拟对背侧压缩的反应。灰质、白质和软脑膜的材料模型及刚度响应在一系列报告值范围内变化,以观察模型结果对指定属性的敏感性。对结果指标进行了大小变化百分比和空间分布改变的评估。一般来说,主应力(变化114 - 244%)和压力(变化75 - 119%)是对材料变化最敏感的结果。应变结果指标对材料切线模量变化的敏感性低于应力(变化74 - 244%)(变化7 - 27%)。软脑膜特征对结果的影响有限(变化<4%)。使用线性弹性模型来表示非线性行为对结果指标有不同影响,并导致应力和应变高度集中的区域。灰质和白质中的压力测量对白质属性特别敏感,这表明白质的退行性变化可能会影响受压脊髓的灌注。我们的结果表明,脊髓压缩的力学机制可能会受到衰老和疾病导致的组织变化的影响,这表明有必要研究这些特定人群中脊髓损伤的生物力学方面。