Schulitz K P, Niethard F U
Arch Orthop Trauma Surg (1978). 1980;96(3):197-202. doi: 10.1007/BF00457783.
In discussion the aetiology of spondylolysis, attention has been increasingly directed to the biomechanics of the lumbar vertebral column and the lumbo-sacral transition. The theory of a traumatic induction of spondylolysis was tested with stress distribution measurements on the vertebral column of cadavers. Using stretch measuring strips it was possible to investigate, the strain exerted upon the interarticular portion of the intact lumbar vertebral column preparation. A particular strain upon the pars interarticularis occurs through hyperextension, axial stress and torsion of the lumbar vertebral column. It is worth to be mentioned that force transmission within the vertebral arch structures is influenced by the positioning of the vertebral arch joints. Sagittaly positioned vertebral arch joints lead to a greater strain exerted upon the interarticular portion. Our results have to be compared with those of others, who are of the opinion that spondylolysis is a condition resulting from a fatique fracture.
在讨论椎弓根峡部裂的病因时,人们越来越关注腰椎和腰骶部移行处的生物力学。通过对尸体脊柱进行应力分布测量,对创伤性诱发椎弓根峡部裂的理论进行了验证。使用拉伸测量条,可以研究完整腰椎标本关节间部分所承受的应变。腰椎的过伸、轴向应力和扭转会使关节突间部受到特定的应变。值得一提的是,椎弓结构内的力传递受椎弓关节位置的影响。矢状位的椎弓关节会使关节间部分承受更大的应变。我们的结果必须与其他人的结果进行比较,他们认为椎弓根峡部裂是由疲劳骨折导致的一种病症。