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关于腰骶部韧带性脊柱在屈曲和伸展姿势下的负荷分担:有限元研究。

On the load-sharing along the ligamentous lumbosacral spine in flexed and extended postures: Finite element study.

作者信息

Naserkhaki Sadegh, Jaremko Jacob L, Adeeb Samer, El-Rich Marwan

机构信息

Department of Civil and Environmental Engineering, University of Alberta, Canada.

Department of Radiology and Diagnostic Imaging, University of Alberta, Canada.

出版信息

J Biomech. 2016 Apr 11;49(6):974-982. doi: 10.1016/j.jbiomech.2015.09.050. Epub 2015 Oct 20.

Abstract

A harmonic synergy between the load-bearing and stabilizing components of the spine is necessary to maintain its normal function. This study aimed to investigate the load-sharing along the ligamentous lumbosacral spine under sagittal loading. A 3D nonlinear detailed Finite Element (FE) model of lumbosacral spine with realistic geometry was developed and validated using wide range of numerical and experimental (in-vivo and in-vitro) data. The model was subjected to 500 N compressive Follower Load (FL) combined with 7.5 Nm flexion (FLX) or extension (EXT) moments. Load-sharing was expressed as percentage of total internal force/moment developed along the spine that each spinal component carried. These internal forces and moments were determined at the discs centres and included the applied load and the resisting forces in the ligaments and facet joints. The contribution of the facet joints and ligaments in supporting bending moments produced additional forces and moments in the discs. The intervertebral discs carried up to 81% and 68% of the total internal force in case of FL combined with FLX and EXT, respectively. The ligaments withstood up to 67% and 81% of the total internal moment in cases of FL combined with EXT and FLX, respectively. Contribution of the facet joints in resisting internal force and moment was noticeable at levels L4-S1 only particularly in case of FL combined with EXT and reached up 29% and 52% of the internal moment and force, respectively. This study demonstrated that spinal load-sharing depended on applied load and varied along the spine.

摘要

脊柱的承重和稳定组件之间需要和谐协同作用,以维持其正常功能。本研究旨在调查在矢状面负荷下腰骶部韧带脊柱的负荷分担情况。利用广泛的数值和实验(体内和体外)数据,开发并验证了具有真实几何形状的腰骶部脊柱三维非线性详细有限元(FE)模型。该模型承受500 N的压缩随动载荷(FL),并结合7.5 Nm的屈曲(FLX)或伸展(EXT)力矩。负荷分担表示为脊柱各组成部分所承受的沿脊柱产生的总内力/力矩的百分比。这些内力和力矩在椎间盘中心处确定,包括施加的载荷以及韧带和小关节中的阻力。小关节和韧带在支撑弯矩方面的作用在椎间盘中产生了额外的力和力矩。在FL与FLX和EXT组合的情况下,椎间盘分别承受高达总内力的81%和68%。在FL与EXT和FLX组合的情况下,韧带分别承受高达总内力矩的67%和81%。仅在L4-S1水平,小关节在抵抗内力和力矩方面的作用较为明显,特别是在FL与EXT组合的情况下,分别达到内力矩和内力的29%和52%。本研究表明,脊柱的负荷分担取决于施加的载荷,并且沿脊柱各部位有所不同。

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