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A new method to approximate load-displacement relationships of spinal motion segments for patient-specific multi-body models of scoliotic spine.

作者信息

Jalalian Athena, Tay Francis E H, Arastehfar Soheil, Liu Gabriel

机构信息

Department of Mechanical Engineering, Block EA, #02-17, National University of Singapore, 1 Engineering Drive 2, Singapore, 117576, Singapore.

Department of Orthopedic Surgery, National University of Singapore, Singapore, Singapore.

出版信息

Med Biol Eng Comput. 2017 Jun;55(6):1039-1050. doi: 10.1007/s11517-016-1576-8. Epub 2016 Sep 26.


DOI:10.1007/s11517-016-1576-8
PMID:27669701
Abstract

Load-displacement relationships of spinal motion segments are crucial factors in characterizing the stiffness of scoliotic spine models to mimic the spine responses to loads. Although nonlinear approach to approximation of the relationships can be superior to linear ones, little mention has been made to deriving personalized nonlinear load-displacement relationships in previous studies. A method is developed for nonlinear approximation of load-displacement relationships of spinal motion segments to assist characterizing in vivo the stiffness of spine models. We propose approximation by tangent functions and focus on rotational displacements in lateral direction. The tangent functions are characterized using lateral bending test. A multi-body model was characterized to 18 patients and utilized to simulate four spine positions; right bending, left bending, neutral, and traction. The same was done using linear functions to assess the performance of the proposed tangent function in comparison with the linear function. Root-mean-square error (RMSE) of the displacements estimated by the tangent functions was 44 % smaller than the linear functions. This shows the ability of our tangent function in approximation of the relationships for a range of infinitesimal to large displacements involved in the spine movement to the four positions. In addition, the models based on the tangent functions yielded 67, 55, and 39 % smaller RMSEs of Ferguson angles, locations of vertebrae, and orientations of vertebrae, respectively, implying better estimates of spine responses to loads. Overall, it can be concluded that our method for approximating load-displacement relationships of spinal motion segments can offer good estimates of scoliotic spine stiffness.

摘要

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引用本文的文献

[1]
Computational modelling of the scoliotic spine: A literature review.

Int J Numer Method Biomed Eng. 2021-10

本文引用的文献

[1]
Computational Biomechanical Modeling of Scoliotic Spine: Challenges and Opportunities.

Spine Deform. 2013-11

[2]
Effect of Lowest Instrumented Vertebra on Trunk Mobility in Patients With Adolescent Idiopathic Scoliosis Undergoing a Posterior Spinal Fusion.

Spine Deform. 2014-7

[3]
Finding line of action of the force exerted on erect spine based on lateral bending test in personalization of scoliotic spine models.

Med Biol Eng Comput. 2017-4

[4]
An optimization-based method for prediction of lumbar spine segmental kinematics from the measurements of thorax and pelvic kinematics.

Int J Numer Method Biomed Eng. 2015-12

[5]
Predicting success or failure of brace treatment for adolescents with idiopathic scoliosis.

Med Biol Eng Comput. 2015-10

[6]
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Biomech Model Mechanobiol. 2015-10

[7]
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Clin Biomech (Bristol). 2014-8

[8]
Development and validation of a discretised multi-body spine model in LifeMOD for biodynamic behaviour simulation.

Comput Methods Biomech Biomed Engin. 2015

[9]
Relationship of forces acting on implant rods and degree of scoliosis correction.

Clin Biomech (Bristol). 2013-2

[10]
Finite element analysis of the influence of loading rate on a model of the full lumbar spine under dynamic loading conditions.

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