计算机断层扫描研究分析有和无脊柱病变的马的胸腰椎功能生物力学。
Computed tomographic study analysing functional biomechanics in the thoracolumbar spine of horses with and without spinal pathology.
机构信息
Equine Clinic, Veterinary Hospital Freie Universität Berlin, School of Veterinary Medicine, Berlin, Germany.
Chair Machinery System Design, Technische Universität Berlin, Berlin, Germany.
出版信息
Anat Histol Embryol. 2024 Jan;53(1):e13016. doi: 10.1111/ahe.13016.
To better understand physiological and pathological movement patterns in the equine thoracolumbar spine, investigation of the biomechanics on a segmental level requires a constant moment. A constant moment along the spinal column means that the same torque acts on each vertebral segment, allowing the range of motion of different segments to be compared. The aims of this study were to investigate the range of motion of the equine thoracolumbar spine in horses with and without spinal pathology and to examine whether the pressure between the spinous processes depends on the direction of the applied moment. Thoracolumbar spine specimens (T8-L4) of 23 horses were mounted in a custom-made mechanical test rig to investigate spinal biomechanics during lateral bending, axial rotation, flexion and extension using computed tomographic imaging. Results were compared between horses with spondylosis, overriding spinous processes and specimens free of gross pathology. The interspinous space pressure was additionally determined using a foil sensor. The median lateral bending between T9 and L3 was 3.7°-4.1° (IQR 5.4°-8.0°). Maximum rotational movement with inconsistent coupled motion was observed at T9-T16 (p < 0.05). The dorsoventral range of motion was greatest in segments T9-T11 (p < 0.05). Spondylosis and overriding spinous processes restricted spinal mobility, depending on the severity of the condition. There was no significant difference in interspinous pressure during motion (p = 0.54). The biomechanical study confirmed that the range of motion of intervertebral joints depends on the anatomical position of the joint and the direction of the moment applied. Restricted mobility was evident in the presence of different grades of overriding spinous processes or spondylosis. A better understanding of equine spinal biomechanics in horses with spinal pathology facilitates individual rehabilitation.
为了更好地理解马的胸腰椎的生理和病理运动模式,需要对节段水平的生物力学进行研究,这就需要一个恒定的力矩。脊柱上的恒定力矩意味着相同的扭矩作用于每个椎骨节段,从而可以比较不同节段的运动范围。本研究的目的是调查有和没有脊柱病变的马的胸腰椎运动范围,并检查棘突之间的压力是否取决于所施加力矩的方向。使用计算机断层扫描成像,将 23 匹马的胸腰椎标本(T8-L4)安装在定制的机械测试装置中,以研究侧向弯曲、轴向旋转、屈伸时的脊柱生物力学。将有骨关节炎、棘突重叠和无大体病理的标本的结果进行比较。还使用箔式传感器确定棘突间的压力。T9 和 L3 之间的中位侧向弯曲为 3.7°-4.1°(IQR 5.4°-8.0°)。在 T9-T16 处观察到最大的旋转运动,伴有不一致的耦合运动(p < 0.05)。T9-T11 节段的背腹向运动范围最大(p < 0.05)。骨关节炎和棘突重叠会根据病情的严重程度限制脊柱的活动度。在运动过程中,棘突间的压力没有显著差异(p = 0.54)。生物力学研究证实,椎间关节的运动范围取决于关节的解剖位置和所施加力矩的方向。在存在不同程度的棘突重叠或骨关节炎时,运动受限明显。更好地了解有脊柱病变的马的脊柱生物力学可以促进个体化康复。