Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China.
Institute of Traumatology, Shanghai Academy of TCM, Shanghai 201203, China.
Math Biosci Eng. 2019 Aug 14;16(6):7447-7457. doi: 10.3934/mbe.2019373.
It has been demonstrated that articular facet degeneration can cause local strain alterations and induce neck pain. This study aims to quantify the biomechanical effects of normal and degenerated C5-C6 articular facets, and evaluate the correlation of mechanical strain between healthy and degenerated spine. A 3-dimensional finite element (FE) model of the C5-C6 cervical spine was developed [Model 0 (M0)]. The asymmetric models of C5-C6 bilateral articular facet joint were established separately to mimic articular facet joint degeneration. The capsule ligament stiffness of C5-C6 unilateral facet joint was altered with minimum and maximum threshold to simulate capsule ligaments' lesion and calcification [Model 1 (M1) and Model 2 (M2), respectively]. Besides, the cervical C5-C6 unilateral articular facet joint direction was changed by 5° and 10° forward to imitate the moderate joint hyperplasia and severe osteophyte (Model 3 and Model 4 respectively). M1 increased the rotation range of ipsilateral side (left), while M2 reduced, and both had limited effect on the contralateral side (right). The angle increased in Model 3 (M3) (61°) and Model 4 (M4) (55°) comparing to M0 during the axial rotation, and the angle of M4 was larger. M3 and M4 increased the nucleus pulposus pressure with and without controlled angular displacement during axial rotation. The pressure of nucleus pulpous increased during M1 rotating to the abnormal side but decreased when rotating to the other side, but the results of M2 were opposite. The capsule ligament stiffness made an impact on segmental mobility and vertebral spatial position, and the sagittal angle of articular facet joint exerted an influence on disc pressure distribution.
已经证明关节突关节退变可导致局部应变改变,并引起颈部疼痛。本研究旨在定量研究正常和退变的 C5-C6 关节突的生物力学效应,并评估健康和退变脊柱之间的机械应变相关性。建立了 C5-C6 颈椎的三维有限元(FE)模型[模型 0(M0)]。分别建立了 C5-C6 双侧关节突关节的不对称模型,以模拟关节突关节退变。通过改变 C5-C6 单侧关节突关节囊韧带的刚度,使其达到最小和最大阈值,模拟囊韧带损伤和钙化[分别为模型 1(M1)和模型 2(M2)]。此外,通过将颈椎 C5-C6 单侧关节突关节方向向前改变 5°和 10°,模拟中度关节增生和严重骨赘(分别为模型 3 和模型 4)。M1 增加了同侧(左侧)的旋转范围,而 M2 则减少了旋转范围,且对对侧(右侧)的影响有限。在轴向旋转过程中,模型 3(M3)(61°)和模型 4(M4)(55°)的角度均比 M0 增加,且 M4 的角度更大。在轴向旋转过程中,M3 和 M4 增加了有和无控制角位移时的髓核压力。当旋转到异常侧时,M1 会增加髓核压力,但当旋转到另一侧时,压力会降低,但 M2 的结果则相反。关节突关节的囊韧带刚度会影响节段活动度和椎体空间位置,关节突关节的矢状角会影响椎间盘压力分布。
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