人体腰椎间盘生物力学响应的预测——随机有限元模型分析

Prediction of biomechanical responses of human lumbar discs - a stochastic finite element model analysis.

作者信息

Wang Wei, Zhou Chaochao, Guo Runsheng, Cha Thomas, Li Guoan

机构信息

Orthopaedic Bioengineering Research Center, Department of Orthopaedic Surgery, Newton-Wellesley Hospital, Newton, MA, USA.

Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

出版信息

Comput Methods Biomech Biomed Engin. 2021 Nov;24(15):1730-1741. doi: 10.1080/10255842.2021.1914023. Epub 2021 Jun 14.

Abstract

BACKGROUND

Accurate biomechanical investigation of human intervertebral discs (IVDs) is difficult because of their complicated structural and material features.

AIM

To investigate probabilistic distributions of the biomechanical responses of the IVD by considering varying nonlinear structural and material properties using a stochastic finite element (FE) model.

METHODS

A FE model of a L3-4 disc was reconstructed, including the nucleus pulposus (NP), annular matrix and fibers. A Monte Carlo method was used to randomly generate 500 sets of the nonlinear material properties and fiber orientations of the disc that were implemented into the FE model. The FE model was analyzed under seven loading conditions: a 500 N compressive force, a 7.5Nm moment simulating flexion, extension, left-right lateral bending, and left-right axial rotation, respectively. The distributions of the ranges of motion (ROMs), intradiscal pressures (IDP), fiber stresses and matrix strains of the disc were analyzed.

RESULTS

Under the compressive load, the displacement varied between 0.29 mm and 0.76 mm. Under the 7.5Nm moment, the ROMs varied between 3.0° and 6.0° in primary rotations. The IDPs varied within 0.3 MPa under all the loading conditions. The maximal fiber stress (3.22 ± 0.64 MPa) and matrix strain (0.27 ± 0.12%) were observed under the flexion and extension moments, respectively.

CONCLUSION

The IVD biomechanics could be dramatically affected by the structural and material parameters used to construct the FE model. The stochastic FE model that includes the probabilistic distributions of the structural and material parameters provides a useful approach to analyze the statistical ranges of the biomechanical responses of the IVDs.

摘要

背景

由于人类椎间盘(IVD)复杂的结构和材料特性,对其进行精确的生物力学研究具有挑战性。

目的

通过使用随机有限元(FE)模型考虑不同的非线性结构和材料特性,研究IVD生物力学响应的概率分布。

方法

重建L3-4椎间盘的FE模型,包括髓核(NP)、纤维环基质和纤维。采用蒙特卡罗方法随机生成500组椎间盘的非线性材料特性和纤维取向,并将其应用于FE模型。在七种加载条件下对FE模型进行分析:500N压缩力,以及分别模拟前屈、后伸、左右侧弯和左右轴向旋转的7.5Nm力矩。分析椎间盘的运动范围(ROM)、椎间盘内压力(IDP)、纤维应力和基质应变的分布。

结果

在压缩载荷下,位移在0.29mm至0.76mm之间变化。在7.5Nm力矩下,一次旋转时ROM在3.0°至6.0°之间变化。在所有加载条件下,IDP在0.3MPa范围内变化。在前屈和后伸力矩下分别观察到最大纤维应力(3.22±0.64MPa)和基质应变(0.27±0.12%)。

结论

用于构建FE模型的结构和材料参数可显著影响IVD生物力学。包含结构和材料参数概率分布的随机FE模型为分析IVD生物力学响应的统计范围提供了一种有用的方法。

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