Julius Wolff Institute, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, Berlin, Germany.
J Biomech. 2010 Sep 17;43(13):2625-8. doi: 10.1016/j.jbiomech.2010.05.033. Epub 2010 Jun 11.
Osseoligamentous spinal specimens buckle under even a small vertical compressive force. To allow higher axial forces, a compressive follower load (FL) was suggested previously that approximates the curvature of the spine without inducing intervertebral rotation in both the frontal and the sagittal planes. In in vitro experiments and finite element analyses, the location of the FL path is subjected to estimation by the investigator. Such non-optimized FLs may induce bending and so far it is still unknown how this affects the results of the study and their comparability. A symmetrical finite element model of the lumbar spine was employed to simulate upright standing while applying a follower load. In analogy to in vitro experiments, the path of this FL was estimated seven times by different members of our institute's spine group. Additionally, an optimized FL path was determined and additional moments of +/-7.5Nm were applied to simulate flexion and extension. Application of the optimized 500N compressive FL causes only a marginal alteration of the curvature (cardan angle L1-S1 in sagittal plane <0.25 degrees). An individual estimation of the FL path, however, results in flexions of up to 10.0 degrees or extensions of up to 12.3 degrees. The resulting angles for the different non-optimized FL paths depend on the magnitude of the bending moment applied and whether a differential or an absolute measurement is taken. A preceding optimization of the location of the FL path would increase the comparability of different studies.
骨-韧带脊柱标本在受到很小的垂直压缩力作用下就会弯曲。为了允许更高的轴向力,先前提出了一种压缩跟随力(FL),它在两个矢状面和额状面都不引起椎间旋转的情况下近似脊柱的曲率。在体外实验和有限元分析中,FL 路径的位置由研究者进行估计。这种非优化的 FL 可能会引起弯曲,到目前为止,还不知道这会如何影响研究结果及其可比性。采用腰椎的对称有限元模型来模拟直立站立时施加跟随力。类似于体外实验,我们研究所脊柱小组的不同成员七次估计了该 FL 的路径。此外,还确定了一个优化的 FL 路径,并施加了额外的 +/-7.5Nm 的力矩来模拟屈伸。应用优化的 500N 压缩 FL 仅导致曲率的微小变化(矢状面 L1-S1 的卡丹角 <0.25 度)。然而,FL 路径的个体估计会导致高达 10.0 度的弯曲或高达 12.3 度的伸展。不同非优化 FL 路径的结果角度取决于所施加的弯矩大小以及是否进行差分或绝对测量。FL 路径位置的预先优化将提高不同研究之间的可比性。
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