Biomechanical effect of different interspinous devices on lumbar spinal range of motion under preload conditions

2010 ◽  
Vol 131 (7) ◽  
pp. 917-926 ◽  
Author(s):  
Frank Hartmann ◽  
Sven-Oliver Dietz ◽  
Hans Hely ◽  
Pol Maria Rommens ◽  
Erol Gercek
Keyword(s):  
Range Of Motion ◽  
Biomechanical Effect ◽  
Interspinous Devices ◽  
Lumbar Spinal

scholarly journals The biomechanical effect on the adjacent L4/L5 segment of S1 superior facet arthroplasty: a finite element analysis for the male spine

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zewen Shi ◽  
Lin Shi ◽  
Xianjun Chen ◽  
Jiangtao Liu ◽  
Haihao Wu ◽  
...  
Keyword(s):  
Finite Element ◽  
Range Of Motion ◽  
Facet Joint ◽  
Adjacent Segment ◽  
Finite Element Models ◽  
Level Of Evidence ◽  
Element Analysis ◽  
Flexion Extension ◽  
Biomechanical Effect ◽  
Lumbar Range Of Motion

Abstract Background The superior facet arthroplasty is important for intervertebral foramen microscopy. To our knowledge, there is no study about the postoperative biomechanics of adjacent L4/L5 segments after different methods of S1 superior facet arthroplasty. To evaluate the effect of S1 superior facet arthroplasty on lumbar range of motion and disc stress of adjacent segment (L4/L5) under the intervertebral foraminoplasty. Methods Eight finite element models (FEMs) of lumbosacral vertebrae (L4/S) had been established and validated. The S1 superior facet arthroplasty was simulated with different methods. Then, the models were imported into Nastran software after optimization; 500 N preload was imposed on the L4 superior endplate, and 10 N⋅m was given to simulate flexion, extension, lateral flexion and rotation. The range of motion (ROM) and intervertebral disc stress of the L4-L5 spine were recorded. Results The ROM and disc stress of L4/L5 increased with the increasing of the proportions of S1 superior facet arthroplasty. Compared with the normal model, the ROM of L4/L5 significantly increased in most directions of motion when S1 superior facet formed greater than 3/5 from the ventral to the dorsal or 2/5 from the apex to the base. The disc stress of L4/L5 significantly increased in most directions of motion when S1 superior facet formed greater than 3/5 from the ventral to the dorsal or 1/5 from the apex to the base. Conclusion In this study, the ROM and disc stress of L4/L5 were affected by the unilateral S1 superior facet arthroplasty. It is suggested that the forming range from the ventral to the dorsal should be less than 3/5 of the S1 upper facet joint. It is not recommended to form from apex to base. Level of evidence Level IV

Biomechanics of a Novel Minimally Invasive Lumbar Interspinous Spacer: Effects on Kinematics, Facet Loads, and Foramen Height

2010 ◽  
Vol 66 (suppl_1) ◽  
pp. ons-126-ons-133 ◽  
Author(s):  
Bruno C.R. Lazaro ◽  
Leonardo B.C. Brasiliense ◽  
Anna G.U. Sawa ◽  
Phillip M. Reyes ◽  
Nicholas Theodore ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Axial Rotation ◽  
Surface Strain ◽  
Interspinous Spacer ◽  
Instantaneous Axis Of Rotation ◽  
Flexion Extension ◽  
Before And After ◽  
Biomechanical Effect ◽  
Foraminal Height

Abstract Objective: To study the alteration to normal biomechanics after insertion of a lumbar interspinous spacer (ISS) in vitro by nondestructive cadaveric flexibility testing. Methods: Seven human cadaveric specimens were studied before and after ISS placement at L1–L2. Angular range of motion, lax zone, stiff zone, sagittal instantaneous axis of rotation (IAR), foraminal height, and facet loads were compared between conditions. Flexion, extension, lateral bending, and axial rotation were induced using pure moments (7.5 Nm maximum) while recording motion optoelectronically. The IAR was measured during loading with a 400 N compressive follower. Foraminal height changes were calculated using rigid body methods. Facet loads were assessed from surface strain and neural network analysis. Results: After ISS insertion, range of motion and stiff zone during extension were significantly reduced (P < .01). Foraminal height was significantly reduced from flexion to extension in both normal and ISS-implanted conditions; there was significantly less reduction in foraminal height during extension with the ISS in place. The ISS reduced the mean facet load by 30% during flexion (P < .02) and 69% during extension (P < .015). The IAR after ISS implantation was less than 1 mm from the normal position (P > .18). Conclusion: The primary biomechanical effect of the ISS was reduced extension with associated reduced facet loads and smaller decrease in foraminal height. The ISS had little effect on sagittal IAR or on motion or facet loads in other directions.

scholarly journals Load sharing in lumbar spinal segment as a function of location of center of rotation

2014 ◽  
Vol 20 (5) ◽  
pp. 542-549 ◽  
Author(s):  
Yunus Alapan ◽  
Semih Sezer ◽  
Cihan Demir ◽  
Tuncay Kaner ◽  
Serkan İnceoğlu
Keyword(s):  
Finite Element ◽  
Range Of Motion ◽  
Strong Association ◽  
Bending Moment ◽  
Load Sharing ◽  
Element Model ◽  
Limited Information ◽  
Spinal Segment ◽  
Lumbar Spinal

Object The center (axis) of rotation (COR) in the lumbar spine has been studied well. However, there is limited information on the kinetic and kinematic consequences of imposed shift in the location of the COR, although this type of shift can be seen after surgeries using motion preservation or dynamic stabilization devices. The objective of this study was to assess the kinetic and kinematic changes in the lumbar spinal segment due to various imposed CORs. Methods A 3D finite element model of the L4–5 segment was constructed and validated. The segment was loaded under a 7.5-Nm bending moment while constrained to rotate about various imposed CORs in the sagittal and axial motion planes. Range of motion, ligament forces, facet loads, and disc stresses were measured. Results The present model showed an agreement with previous in vitro and finite element studies under the same load and boundary conditions. Range of motion, facet forces, disc stresses, and ligament loads showed a strong association with the location of the COR. Conclusions Acute alterations in the location of the COR can significantly change the load sharing characteristics within the spine segment. The normal location of the COR is a result of the tendency of the vertebra to move in the path of least cumulative resistance.

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