Biomechanical Response of Four Roussouly?s Sagittal Alignment Lumbar to Degeneration of Different Parts of Intervertebral Disc: Finite Element Model Analysis
机构:[1]Capital Med Univ, Xuanwu Hosp, Dept Orthoped, 45 Changchun St, Beijing 10053, Peoples R China首都医科大学宣武医院[2]Natl Clin Res Ctr Geriatr Dis, Beijing 10053, Peoples R China
Background: Spinal degeneration with age is commonly accompanied by excessive kyphosis and low-back pain, however, little is known about the connection between lumbar sagittal morphology and its degenerative biomechanics. This study investigates the biomechanical response of four Roussouly's sagittal alignment lumbar to degeneration of various parts of the intervertebral disc (IVD) based on threedimensional finite element (FE) models.Methods: Using Roussouly's type parametric FE models, material properties of the degenerate nucleus populous (NP), annulus fibrosis matrix (AFM), and collagen fibers were assumed to be half of the intact IVD. A follower preload and vertical force were applied to simulate physical standing posture.Results: the reduced strength of the NP and AFM led to the increase of lumbar anteflexion, while the fiber mechanical properties have little effect on it. When facing IVD degeneration, Type 1 lumbar showed increased intradiscal pressures (IDPs) and fiber stress at the L1-2 and L4-S1 segments. Type 2 lumbar exhibited the highest lumbar anteflexion and pelvic rearward rotation, as well as increased IDPs among the models. Type 3 lumbar had the best biomechanical stability. Type 4 lumbar showed the higher AFM stress but the lower IDPs among the four types.Conclusions: IVD degeneration generated sagittal imbalance by increasing lumbar anteflexion movement (i.e., loss lordosis) and pelvic rearback rotation. The biomechanical response of the four Roussouly's lumbar types differed in intervertebral rotation and stress distribution.(c) 2023 AGBM. Published by Elsevier Masson SAS. This is an open access article under the CC BY-NC-ND license (http://creativecommons .org /licenses /by-nc -nd /4 .0/).
基金:
National Natural Science Foun-dation of China [81672201, 81871794, 82102612, H0608]; Beijing Hospital Authority Ascent Plan [DFL20190802]
第一作者机构:[1]Capital Med Univ, Xuanwu Hosp, Dept Orthoped, 45 Changchun St, Beijing 10053, Peoples R China[2]Natl Clin Res Ctr Geriatr Dis, Beijing 10053, Peoples R China
通讯作者:
通讯机构:[1]Capital Med Univ, Xuanwu Hosp, Dept Orthoped, 45 Changchun St, Beijing 10053, Peoples R China[2]Natl Clin Res Ctr Geriatr Dis, Beijing 10053, Peoples R China[*1]Department of Orthopedics, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing 10053, China
推荐引用方式(GB/T 7714):
Wang W.,Pan F.,Wang P.,et al.Biomechanical Response of Four Roussouly?s Sagittal Alignment Lumbar to Degeneration of Different Parts of Intervertebral Disc: Finite Element Model Analysis[J].IRBM.2023,44(4):doi:10.1016/j.irbm.2023.100772.
APA:
Wang, W.,Pan, F.,Wang, P.,Wang, Y.,Kong, C.&Lu, S..(2023).Biomechanical Response of Four Roussouly?s Sagittal Alignment Lumbar to Degeneration of Different Parts of Intervertebral Disc: Finite Element Model Analysis.IRBM,44,(4)
MLA:
Wang, W.,et al."Biomechanical Response of Four Roussouly?s Sagittal Alignment Lumbar to Degeneration of Different Parts of Intervertebral Disc: Finite Element Model Analysis".IRBM 44..4(2023)