School of Mechanical Engineering and Automation, Northeastern University, Shenyang 110819, China.
J Mech Behav Biomed Mater. 2018 Feb;78:342-351. doi: 10.1016/j.jmbbm.2017.11.040. Epub 2017 Nov 26.
Previous studies have reported the effect of removing the nucleus on biomechanical responses of the human spine to static loadings. However, few studies have dealt with the whole-body vibration condition. The purpose of this study was to investigate the effect of a single-level (L4-L5) nucleus removal on vibration characteristics of the whole lumbar spine in the presence of a physiologic compressive preload, and also to evaluate the preload effect on the vibration characteristics. A 3-D non-linear finite element model of the lumbar spine (L1 to sacrum) subjected to the physiologic conditions of a compressive follower preload was developed and validated. Comparative studies on forced vibration responses between the intact and denucleated models were conducted. The results from the forced-vibration (transient dynamic) analyses considering axial cyclic loading indicated that the nucleus removal increased the dynamic responses at all disc levels. For example, at the denucleated L4-L5 level, after nucleus removal the maximum response values of disc bulge and von-Mises stress in annulus increased by 63.9% and 110.5% respectively, and their vibration amplitudes increased by 97.9% and 139.7% respectively. At other levels, the predicted maximum response values and vibration amplitudes of the stresses and strains also produced 3.1-7.5% and 10.8-30.6% increases respectively due to the nucleus removal, and a relatively larger increase was observed at level L5-S1. It was also found that increasing the preload increased the stresses and strains at all levels but decreased their vibration amplitudes. Nucleus removal at a single level deteriorates the effects of vibration on whole lumbar spine. Also, increasing the preload alters vibration characteristics of the spine. These findings may be useful to provide a guideline for the patients suffering from lumbar disc degeneration to minimize the risk of further injury and discomfort.
先前的研究已经报告了去除核对于人体脊柱对静态载荷的生物力学响应的影响。然而,很少有研究涉及全身振动情况。本研究的目的是研究在存在生理压缩预载的情况下,单个水平(L4-L5)核去除对整个腰椎振动特性的影响,并评估预载对振动特性的影响。建立并验证了一个受生理条件(压缩跟随预载)作用的腰椎(L1 到骶骨)的三维非线性有限元模型。对完整模型和去核模型的强迫振动响应进行了对比研究。考虑轴向循环加载的强迫振动(瞬态动力学)分析的结果表明,核去除增加了所有椎间盘水平的动态响应。例如,在去核的 L4-L5 水平,去除核后椎间盘膨出和环的 von-Mises 应力的最大响应值分别增加了 63.9%和 110.5%,其振动幅度分别增加了 97.9%和 139.7%。在其他水平,由于核去除,预测的最大响应值和应变的振动幅度也分别增加了 3.1-7.5%和 10.8-30.6%,在 L5-S1 水平观察到的增加幅度较大。还发现,增加预载会增加所有水平的应力和应变,但会降低它们的振动幅度。单个水平的核去除会恶化振动对整个腰椎的影响。此外,增加预载会改变脊柱的振动特性。这些发现可能有助于为患有腰椎间盘退变的患者提供指导,以最大程度地降低进一步受伤和不适的风险。
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