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椎间盘纤维环中的残余应变表明,椎间盘会对体内负荷产生复杂的组织重塑反应。

Residual strains in the intervertebral disc annulus fibrosus suggest complex tissue remodeling in response to in-vivo loading.

作者信息

Duclos Sarah E, Michalek Arthur J

机构信息

Department of Mechanical & Aeronautical Engineering, Clarkson University, Potsdam, NY, United States.

Department of Mechanical & Aeronautical Engineering, Clarkson University, Potsdam, NY, United States.

出版信息

J Mech Behav Biomed Mater. 2017 Apr;68:232-238. doi: 10.1016/j.jmbbm.2017.02.010. Epub 2017 Feb 9.

Abstract

The annulus fibrosus (AF) of the intervertebral disc (IVD) serves the dual roles of containing hydrostatic pressure from the inner nucleus pulposus (NP) and allowing flexible connection between adjacent vertebral bodies. Previous work has indicated that in the unloaded state, the AF is under a state of residual circumferential strain that, on average, is comparable to that which is believed to reduce peak stresses in other pressure containing organs. The complex in-vivo loading of the IVD, however, led us to hypothesize that variations with anatomical region should also exist. Residual strains were measured by imaging bovine caudal IVDs at both macro and micro scales in both the intact state (under residual strain) and opened into anterior, posterior, and lateral quadrants (residual strains relieved). Calculation of macro scale residual strains using changes in lamellar arc length and thickness confirmed circumferential tension (anterior: 0.63±2.1%, lateral: 8.3±1.5%, posterior: 4.4±2.1%) and radial compression (anterior: 12.4±5.8%, lateral: 11.120±2.8%, posterior: 4.8±4.2%) around the outer zone of the AF. The inner zone, however, had residual circumferential strains ranging from 28.7±3.4% compression in the anterior region to 3.4±3% tension in the posterior region, with radial strains of 9.7±5.5% tension and 0.2±4.4% compression respectively. This pattern of residual circumferential strain was corroborated at the microscale by comparing the crimp period of collagen fiber bundles in the intact and open states. The results of this study point toward a complex pattern of residual strains in the AF, which develop in response to stresses from both NP pressurization and bending movements.

摘要

椎间盘(IVD)的纤维环(AF)具有双重作用,既包含来自内部髓核(NP)的静水压力,又允许相邻椎体之间进行灵活连接。先前的研究表明,在未加载状态下,AF处于残余周向应变状态,平均而言,这种应变与据信可降低其他承压器官峰值应力的应变相当。然而,IVD复杂的体内负荷使我们推测,不同解剖区域也应存在差异。通过对完整状态(处于残余应变下)以及打开为前、后和外侧象限(残余应变消除)的牛尾IVD进行宏观和微观尺度成像来测量残余应变。利用板层弧长和厚度的变化计算宏观尺度的残余应变,证实了AF外周区域存在周向张力(前部:0.63±2.1%,外侧:8.3±1.5%,后部:4.4±2.1%)和径向压缩(前部:12.4±5.8%,外侧:11.120±2.8%,后部:4.8±4.2%)。然而,内部区域的残余周向应变范围从前部区域的28.7±3.4%压缩到后部区域的3.4±3%张力,径向应变分别为9.7±5.5%张力和0.2±4.4%压缩。通过比较完整状态和打开状态下胶原纤维束的卷曲周期,在微观尺度上证实了这种残余周向应变模式。本研究结果表明AF中存在复杂的残余应变模式,这是由NP加压和弯曲运动产生的应力所导致的。

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