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L4椎体小梁骨的表观和组织水平屈服行为及其与微结构的关联

Apparent- and Tissue-Level Yield Behaviors of L4 Vertebral Trabecular Bone and Their Associations with Microarchitectures.

作者信息

Gong He, Wang Lizhen, Fan Yubo, Zhang Ming, Qin Ling

机构信息

School of Biological Science and Medical Engineering, Beihang University, Beijing, China.

Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong, China.

出版信息

Ann Biomed Eng. 2016 Apr;44(4):1204-23. doi: 10.1007/s10439-015-1368-6. Epub 2015 Jun 24.

Abstract

The precise quantification of vertebral trabecular bone strength and the associations between the microarchitecture and nonlinear mechanics of trabecular bone under various loading conditions may provide insights into trabecular bone quality and trabecular strength prediction based on microarchitectures. In this research, 44 cubic L4 vertebral trabecular bone specimens (5 × 5 × 5 mm(3)) were selected from six male Chinese donors aged 62-70 years. For each vertebral trabecular cube, micro-computed tomography image-based nonlinear micro-finite element analyzes were conducted under compressive and tensile loadings along two orthogonal directions. A bilinear tissue constitutive model was used to describe the nonlinearity of bone tissue material. In each analysis, apparent Young's modulus and initial apparent yield point were determined; the average tissue von Mises stress at the apparent yield point was also calculated, and the amount of tissue elements yielded was obtained. Principal components (PCs) analysis revealed three independent components of the microarchitectural parameters of the vertebral trabecular bones; these three PCs can account for 80.744% of the total variability of trabecular microarchitectures; the first PC (PC1) included bone volume fraction, connectivity density and trabecular number; the second PC (PC2) comprised structure model index and degree of anisotropy; and the third PC (PC3) represented trabecular thickness and age. Multivariate linear regression analysis showed that the PCs were strongly predictive of the apparent- and tissue-level mechanical parameters of the vertebral trabecular bone. To gain further insights into the mechanical properties of trabecular bone, we divided the six vertebral bodies into two groups based on the microarchitectural parameters: high-quality group and low-quality group. We then compared the differences in the mechanical parameters between tension and compression, as well as along longitudinal and transverse loading directions. Results showed that the apparent Young's moduli of the high-quality group were significantly greater than those of the low-quality group in longitudinal and transverse directions. Only the apparent yield strains of the two groups under the longitudinal compressive loading condition were significantly different. The apparent yield stresses and the average tissue von Mises stresses of the trabeculae in the trabecular cubes of the high-quality group were significantly greater than those of the low-quality group under the four loading conditions. This study provided quantitative information regarding the nonlinear mechanical properties of vertebral trabecular bone. This study also described the associations of these mechanical properties with microarchitectures. Our findings may help estimate vertebral strength and the related fracture risk.

摘要

精确量化椎骨小梁骨强度以及在各种加载条件下小梁骨微结构与非线性力学之间的关联,可能为基于微结构的小梁骨质量和小梁强度预测提供见解。在本研究中,从6名年龄在62 - 70岁的中国男性捐赠者中选取了44个立方L4椎骨小梁骨标本(5×5×5 mm³)。对于每个椎骨小梁立方体,在沿两个正交方向的压缩和拉伸载荷下进行了基于微计算机断层扫描图像的非线性微有限元分析。使用双线性组织本构模型来描述骨组织材料的非线性。在每次分析中,确定了表观杨氏模量和初始表观屈服点;还计算了表观屈服点处的平均组织冯·米塞斯应力,并获得了屈服的组织单元数量。主成分(PC)分析揭示了椎骨小梁骨微结构参数的三个独立成分;这三个主成分可解释小梁微结构总变异性的80.744%;第一主成分(PC1)包括骨体积分数、连通性密度和小梁数量;第二主成分(PC2)包括结构模型指数和各向异性程度;第三主成分(PC3)代表小梁厚度和年龄。多元线性回归分析表明,主成分对椎骨小梁骨的表观和组织水平力学参数具有很强的预测能力。为了进一步深入了解小梁骨的力学性能,我们根据微结构参数将六个椎体分为两组:高质量组和低质量组。然后我们比较了拉伸和压缩以及纵向和横向加载方向之间力学参数的差异。结果表明,高质量组在纵向和横向方向上的表观杨氏模量显著大于低质量组。仅在纵向压缩加载条件下两组的表观屈服应变有显著差异。在四种加载条件下,高质量组小梁立方体中小梁的表观屈服应力和平均组织冯·米塞斯应力显著大于低质量组。本研究提供了关于椎骨小梁骨非线性力学性能的定量信息。本研究还描述了这些力学性能与微结构之间的关联。我们的研究结果可能有助于估计椎体强度和相关骨折风险。

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