Matziolis Georg, Bergner Leah, Hawi Harun, Bauer Leandra, Woiczinski Matthias, Strube Patrick, Vogt Sophia
Orthopaedic Department, University Hospital Jena, Friedrich-Schiller-University Jena, Campus Eisenberg, Klosterlausnitzer Straße 81, 07607, Eisenberg, Germany.
Experimental Orthopaedics, University Hospital Jena, Friedrich-Schiller-University Jena, Campus Eisenberg, Eisenberg, Germany.
Sci Rep. 2025 Mar 18;15(1):9377. doi: 10.1038/s41598-025-93599-w.
Numerous research questions require in vitro testing on lumbar spine and pelvis specimens. The majority of test setups apply forces and torques via the uppermost vertebral body with the lowermost vertebral body fixed and have been validated for kinematics and intradiscal pressure. Models without simulation of muscle traction may produce valid data only for testing conditions for which they have been validated. In vitro test setups with simulation of muscle traction would appear to be useful for conditions beyond such conditions. The aim of the present study was to describe and validate a test rig for the lumbar spine that applies the forces directly to the vertebral bodies via artificial muscle attachments and thus includes the stabilising effects of the muscles known from the literature. The artificial muscle attachments were chosen to get a stable fixation of the pulleys on the cadaver. The location of force application was as close as possible to the physiological footprint of the muscle on the bone. Three paired muscles were combined by individual linear actuators and simulated under force control (posterior, anterior and oblique trunk muscles). An optical 3D motion capture system (GOM, Zeiss, Germany) was used to measure the reposition of the entire lumbar spine and the sacrum against the ilium. At the same time, the force applied to all simulated muscles was recorded. All muscle attachments could be loaded up to a maximum force of 1 kN without failure. The following reposition of the lumbar spine could be generated by the simulated muscle traction keeping the force below each muscle's individual strength: extension 18°, flexion 27°, lateral bending 33°, axial rotation 11°. The effects on lumbar spine reposition of the individual trunk muscles differed depending on the direction of movement. The anterior trunk muscles were the most acting for flexion/extension, at 0.16 ± 0.06°/N, while the oblique trunk muscles were the most acting for lateral bending (0.17 ± 0.16°/N) and axial rotation (0.10 ± 0.14°/N). The maximum nutation of the sacroiliac joint (SIJ) was on average 1,2° ± 0,2°. The artificial muscle attachments to the vertebral bodies proved to be withstand physiologically occurring forces. The range of motion generated in the test rig was physiological. The SIJ nutation determined and the direction of action of the muscle groups correspond to literature data. The order of the individual muscle effects on lumbar spine reposition corresponds to the distance between the muscle insertions and the physiological centre of rotation. In conclusion, taking into account the limitations, the lumbar spine test rig presented here allows the analysis of movements of the lumbar spine and pelvis resulting directly from simulated muscle tractions and thus enables a test environment close to in vivo conditions.
众多研究问题需要对腰椎和骨盆标本进行体外测试。大多数测试装置通过固定最下方椎体的情况下,对最上方椎体施加力和扭矩,并且已针对运动学和椎间盘内压力进行了验证。未模拟肌肉牵引的模型可能仅在其已验证的测试条件下才能产生有效数据。模拟肌肉牵引的体外测试装置似乎对超出此类条件的情况很有用。本研究的目的是描述并验证一种用于腰椎的测试装置,该装置通过人工肌肉附着直接将力施加到椎体上,从而纳入文献中已知的肌肉稳定作用。选择人工肌肉附着方式是为了使滑轮在尸体上获得稳定固定。力的施加位置尽可能靠近肌肉在骨头上的生理足迹。通过单独的线性致动器组合三对肌肉,并在力控制下进行模拟(躯干后、前和斜肌)。使用光学三维运动捕捉系统(德国蔡司公司的GOM)测量整个腰椎和骶骨相对于髂骨的重新定位。同时,记录施加到所有模拟肌肉上的力。所有肌肉附着点均可承受高达1 kN的最大力而不失效。在保持力低于每块肌肉各自强度的情况下,模拟肌肉牵引可产生以下腰椎重新定位:伸展18°、屈曲27°、侧屈33°、轴向旋转11°。个体躯干肌肉对腰椎重新定位的影响因运动方向而异。躯干前肌在屈伸运动中作用最大,为0.16±0.06°/N,而躯干斜肌在侧屈(0.17±0.16°/N)和轴向旋转(0.10±0.14°/N)中作用最大。骶髂关节(SIJ)的最大前倾平均为1.2°±0.2°。椎体上的人工肌肉附着点被证明能够承受生理上出现的力。测试装置中产生的运动范围是生理性的。确定的SIJ前倾和肌肉群的作用方向与文献数据相符。个体肌肉对腰椎重新定位的影响顺序与肌肉附着点与生理旋转中心之间的距离相对应。总之,考虑到局限性,此处介绍的腰椎测试装置能够分析直接由模拟肌肉牵引导致的腰椎和骨盆运动,从而实现接近体内条件的测试环境。
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