Yoganandan N, Pintar F A, Maiman D J, Cusick J F, Sances A, Walsh P R
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee 53226, USA.
Med Eng Phys. 1996 Jun;18(4):289-94. doi: 10.1016/1350-4533(95)00054-2.
A significant majority of cervical spine biomechanics studies has applied the external loading in the form of compressive force vectors. In contrast, there is a paucity of data on the tensile loading of the neck structure. These data are important as the human neck not only resists compression but also has to withstand distraction due to factors such as the anatomical characteristics and loading asymmetry. Furthermore, evidence exists implicating tensile stresses to be a mechanism of cervical spinal cord injury. Recent advancements in vehicular restraint systems such as air bags may induce tension to the neck in adverse circumstances. Consequently, this study was designed to develop experimental methodologies to determine the biomechanics of the human cervical spinal structures under distractive forces. A part-to-whole approach was used in the study. Four experimental models from 15 unembalmed human cadavers were used to demonstrate the feasibility of the methodology. Structures included isolated cervical spinal cords, intervertebral disc units, skull to T3 preparations, and intact unembalmed human cadavers. Axial tensile forces were applied, and the failure load and distraction were recorded. Stiffness and energy absorbing characteristics were computed. Maximum forces for the spinal cord specimens were the lowest (278 N +/- 90). The forces increased for the intervertebral disc (569 N +/- 54). skull to T3 (1555 N +/- 459), and intact human cadaver (3373 N +/- 464) preparations, indicating the load-carrying capacities when additional components are included to the experimental model. The experimental methodologies outlined in the present study provide a basis for further investigation into the mechanism of injury and the clinical applicability of biomechanical parameters.
绝大多数颈椎生物力学研究采用压缩力向量形式的外部载荷。相比之下,关于颈部结构拉伸载荷的数据却很少。这些数据很重要,因为人类颈部不仅要抵抗压缩,还必须承受由于解剖特征和载荷不对称等因素引起的牵张。此外,有证据表明拉应力是颈脊髓损伤的一种机制。诸如安全气囊等车辆约束系统的最新进展在不利情况下可能会给颈部带来张力。因此,本研究旨在开发实验方法,以确定在牵张力量作用下人类颈椎结构的生物力学。本研究采用了从局部到整体的方法。使用来自15具未防腐处理的人类尸体的四个实验模型来证明该方法的可行性。结构包括孤立的颈脊髓、椎间盘单元、颅骨至T3标本以及完整的未防腐处理的人类尸体。施加轴向拉力,并记录失效载荷和牵张情况。计算刚度和能量吸收特性。脊髓标本的最大力最低(278 N±90)。椎间盘(569 N±54)、颅骨至T3(1555 N±459)和完整人类尸体(3373 N±464)标本的力增加,这表明当在实验模型中加入其他组件时的承载能力。本研究中概述的实验方法为进一步研究损伤机制和生物力学参数的临床适用性提供了基础。
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