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单节段椎间盘退变对整个腰椎脊柱垂直振动动态响应的影响。

The Effect of Single-Level Disc Degeneration on Dynamic Response of the Whole Lumbar Spine to Vertical Vibration.

作者信息

Guo Li-Xin, Fan Wei

机构信息

School of Mechanical Engineering and Automation, Northeastern University, Shenyang, China.

School of Mechanical Engineering and Automation, Northeastern University, Shenyang, China.

出版信息

World Neurosurg. 2017 Sep;105:510-518. doi: 10.1016/j.wneu.2017.06.008. Epub 2017 Jun 9.

Abstract

OBJECTIVE

The objective of this study was to investigate the effect of single-level disc degeneration on dynamic response of the whole lumbar spine to vertical whole body vibration that is typically present when driving vehicles.

METHODS

Ligamentous finite element models of the lumbar L1-S1 motion segment in different grades of degeneration (healthy, mild, and moderate) at the L4-L5 level were developed with consideration of changing disc height and material properties of the nucleus pulpous. All models were loaded with a compressive follower preload of 400 N and a sinusoidal vertical vibration load of ±40 N. After transient dynamic analyses, computational results for the 3 models in terms of disc bulge, von-Mises stress in annulus ground substance, and nucleus pressure were plotted as a function of time and compared.

RESULTS

All the predicted results showed a cyclic response with time. At the degenerated L4-L5 disc level, as degeneration progressed, maximum value of the predicted response showed a decrease in disc bulge and von-Mises stress in annulus ground substance but a slight increase in nucleus pressure, and their vibration amplitudes were all decreased. At the adjacent levels of the degenerated disc, there was a slight decrease in maximum value and vibration amplitude of these predicted responses with the degeneration.

CONCLUSIONS

The results indicated that single-level disc degeneration can alter vibration characteristics of the whole lumbar spine especially for the degenerated disc level, and increasing the degeneration did not deteriorate the effect of vertical vibration on the spine.

摘要

目的

本研究的目的是调查单节段椎间盘退变对整个腰椎在垂直全身振动(这是驾驶车辆时通常会出现的情况)下动态响应的影响。

方法

考虑到椎间盘高度和髓核材料特性的变化,建立了L4-L5节段不同退变程度(健康、轻度和中度)的腰椎L1-S1运动节段的韧带有限元模型。所有模型均承受400 N的压缩跟随预载荷和±40 N的正弦垂直振动载荷。经过瞬态动力学分析后,将3个模型在椎间盘膨出、纤维环基质中的冯·米塞斯应力和髓核压力方面的计算结果绘制成时间的函数并进行比较。

结果

所有预测结果均显示出随时间的周期性响应。在退变的L4-L5椎间盘水平,随着退变进展,预测响应的最大值显示椎间盘膨出和纤维环基质中的冯·米塞斯应力降低,但髓核压力略有增加,且它们的振动幅度均降低。在退变椎间盘的相邻节段,这些预测响应的最大值和振动幅度随着退变略有降低。

结论

结果表明,单节段椎间盘退变可改变整个腰椎的振动特性,尤其是退变的椎间盘水平,并且退变程度增加并不会恶化垂直振动对脊柱的影响。

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