scholarly journals Determination of the biomechanical effect of an interspinous process device on implanted and adjacent lumbar spinal segments using a hybrid testing protocol: a finite-element study

2015 ◽  
Vol 23 (2) ◽  
pp. 200-208 ◽  
Author(s):  
Deniz U. Erbulut ◽  
Iman Zafarparandeh ◽  
Chaudhry R. Hassan ◽  
Ismail Lazoglu ◽  
Ali F. Ozer
Keyword(s):  
Finite Element ◽  
Range Of Motion ◽  
Hybrid Approach ◽  
Load Sharing ◽  
Intradiscal Pressure ◽  
Fe Model ◽  
Bone Implant ◽  
Control Approach ◽  
Adjacent Segments

OBJECT The authors evaluated the biomechanical effects of an interspinous process (ISP) device on kinematics and load sharing at the implanted and adjacent segments. METHODS A 3D finite-element (FE) model of the lumbar spine (L1–5) was developed and validated through comparison with published in vitro study data. Specifically, validation was achieved by a flexible (load-control) approach in 3 main planes under a pure moment of 10 Nm and a compressive follower load of 400 N. The ISP device was inserted between the L-3 and L-4 processes. Intact and implanted cases were simulated using the hybrid protocol in all motion directions. The resultant motion, facet load, and intradiscal pressure after implantation were investigated at the index and adjacent levels. In addition, stress at the bone-implant interface was predicted. RESULTS The hybrid approach, shown to be appropriate for adjacent-level investigations, predicted that the ISP device would decrease the range of motion, facet load, and intradiscal pressure at the index level relative to the corresponding values for the intact spine in extension. Specifically, the intradiscal pressure induced after implantation at adjacent segments increased by 39.7% and by 6.6% at L2–3 and L4–5, respectively. Similarly, facet loads at adjacent segments after implantation increased up to 60% relative to the loads in the intact case. Further, the stress at the bone-implant interface increased significantly. The influence of the ISP device on load sharing parameters in motion directions other than extension was negligible. CONCLUSIONS Although ISP devices apply a distraction force on the processes and prevent further extension of the index segment, their implantation may cause changes in biomechanical parameters such as facet load, intradiscal pressure, and range of motion at adjacent levels in extension.

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.

Biomechanical in Vitro and Finite Element Study On Different Sagittal Alignment Postures of the Lumbar Spine During Multiaxial Daily Motion

2021 ◽  
Author(s):  
Nadja Wilmanns ◽  
Agnes Beckmann ◽  
Luis Fernando Nicolini ◽  
Christian Herren ◽  
Rolf Sobottke ◽  
...  
Keyword(s):  
Finite Element ◽  
Lumbar Spine ◽  
Planning Process ◽  
Axial Rotation ◽  
Intervertebral Discs ◽  
Fe Model ◽  
Bending Moments ◽  
Sagittal Spinal Alignment ◽  
Biomechanical Response

Abstract Lumbar Lordotic correction (LLC), the gold standard treatment for Sagittal Spinal malalignment (SMA), and its effect on sagittal balance have been critically discussed in recent studies. This paper assesses the biomechanical response of the spinal components to LLC as an additional factor for the evaluation of LLC. Human lumbar spines (L2L5) were loaded with combined bending moments in Flexion (Flex)/Extension (Ex) or Lateral Bending (LatBend) and Axial Rotation (AxRot) in a physiological environment. We examined the dependency of AxRot range of motion (RoM) on the applied bending moment. The results were used to validate a Finite Element (FE) model of the lumbar spine. With this model, the biomechanical response of the intervertebral discs (IVD) and facet joints under daily motion was studied for different sagittal spinal alignment (SA) postures, simulated by a motion in Flex/Ex direction. Applied bending moments decreased AxRot RoM significantly (all P<0.001). A stronger decline of AxRot RoM for Ex than for Flex direction was observed (all P<0.0001). Our simulated results largely agreed with the experimental data (all R2>0.79). During daily motion, the IVD was loaded higher with increasing lumbar lordosis (LL) for all evaluated values at L2L3 and L3L4 and posterior Annulus Stress (AS) at L4L5 (all P<0.0476). The results of this study indicate that LLC with large extensions of LL may not always be advantageous regarding the biomechanical loading of the IVD. This finding may be used to improve the planning process of LLC treatments.

scholarly journals Biomechanical Evaluation of Different Surgical Approaches for the Treatment of Adjacent Segment Diseases After Primary Anterior Cervical Discectomy and Fusion: A Finite Element Analysis

2021 ◽  
Vol 9 ◽  
Author(s):  
Wencan Ke ◽  
Chao Chen ◽  
Bingjin Wang ◽  
Wenbin Hua ◽  
Saideng Lu ◽  
...  
Keyword(s):  
Finite Element ◽  
Revision Surgery ◽  
Anterior Cervical Discectomy ◽  
Surgical Approaches ◽  
Adjacent Segment ◽  
Fe Model ◽  
Element Analysis ◽  
Cervical Discectomy ◽  
Computed Tomography Images ◽  
Adjacent Segments

Symptomatic adjacent segment disease (ASD) is a common challenge after anterior cervical discectomy and fusion (ACDF). The objective of this study was to compare the biomechanical effects of a second ACDF and laminoplasty for the treatment of ASD after primary ACDF. We developed a finite element (FE) model of the C2-T1 based on computed tomography images. The FE models of revision surgeries of ACDF and laminoplasty were simulated to treat one-level and two-level ASD after primary ACDF. The range of motion (ROM) and intradiscal pressure (IDP) of the adjacent segments, and stress in the cord were analyzed to investigate the biomechanical effects of the second ACDF and laminoplasty. The results indicated that revision surgery of one-level ACDF increased the ROM and IDP at the C2–C3 segment, whereas two-level ACDF significantly increased the ROM and IDP at the C2–C3 and C7-T1 segments. Furthermore, no significant changes in the ROM and IDP of the laminoplasty models were observed. The stress in the cord of the re-laminoplasty model decreased to some extent, which was higher than that of the re-ACDF model. In conclusion, both ACDF and laminoplasty can relieve the high level of stress in the spinal cord caused by ASD after primary ACDF, whereas ACDF can achieve better decompression effect. Revision surgery of the superior ACDF or the superior and inferior ACDF after the primary ACDF increased the ROM and IDP at the adjacent segments, which may be the reason for the high incidence of recurrent ASD after second ACDF.

Biomechanics of a posture-controlling cervical artificial disc: mechanical, in vitro, and finite-element analysis

2010 ◽  
Vol 28 (6) ◽  
pp. E11 ◽  
Author(s):  
Neil R. Crawford ◽  
Jeffery D. Arnett ◽  
Joshua A. Butters ◽  
Lisa A. Ferrara ◽  
Nikhil Kulkarni ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Cervical Spine ◽  
Postural Control ◽  
Range Of Motion ◽  
Computer Modeling ◽  
Mechanical Testing ◽  
Artificial Disc ◽  
Element Analysis

Different methods have been described by numerous investigators for experimentally assessing the kinematics of cervical artificial discs. However, in addition to understanding how artificial discs affect range of motion, it is also clinically relevant to understand how artificial discs affect segmental posture. The purpose of this paper is to describe novel considerations and methods for experimentally assessing cervical spine postural control in the laboratory. These methods, which include mechanical testing, cadaveric testing, and computer modeling studies, are applied in comparing postural biomechanics of a novel postural control arthroplasty (PCA) device versus standard ball-and-socket (BS) and ball-in-trough (BT) arthroplasty devices. The overall body of evidence from this group of tests supports the conclusion that the PCA device does control posture to a particular lordotic position, whereas BS and BT devices move freely through their ranges of motion.

Effect of a Degenerated C5-C6 Disc on the Biomechanics of Adjacent Levels: A Poroelastic Finite Element Investigation

2007 ◽  
Author(s):  
Mozammil Hussain ◽  
Raghu N. Natarajan ◽  
Gunnar B. J. Andersson ◽  
Howard S. An
Keyword(s):  
Finite Element ◽  
Cervical Spine ◽  
Morphological Changes ◽  
Axial Strain ◽  
Fe Model ◽  
Fe Method ◽  
Regional Effect ◽  
In Vitro Techniques

Degenerative changes in the cervical spine due to aging are very common causes of neck pain in general population. Although many investigators have quantified the gross morphological changes in the disc with progressive degeneration, the biomechanical changes due to degenerative pathologies of the disc and its effect on the adjacent levels are not well understood. Despite many in vivo and in vitro techniques used to study such complex phenomena, the finite element (FE) method is still a powerful tool to investigate the internal mechanics and complex clinical situations under various physiological loadings particularly when large numbers of parameters are involved. The objective of the present study was to develop and validate a poroelastic FE model of a healthy C3-T1 segment of the cervical spine under physiologic moment loads. The model included the regional effect of change in the fixed charged density of proteoglycan concentration and change in the permeability and porosity due to change in the axial strain of disc tissues. The model was further modified to include various degrees of disc degeneration at the C5-C6 level. Outcomes of this study provided a better understanding on the progression of degeneration along the cervical spine by investigating the biomechanical response of the adjacent segments with an intermediate degenerated C5-C6 level.

Numerical investigation on the stability of human upper cervical spine (C1–C3)

2021 ◽  
pp. 1-13
Author(s):  
Waseem Ur Rahman ◽  
Wei Jiang ◽  
Guohua Wang ◽  
Zhijun Li
Keyword(s):  
Finite Element ◽  
Cervical Spine ◽  
Axial Rotation ◽  
Upper Cervical Spine ◽  
Fe Model ◽  
Facet Joints ◽  
Flexion Extension ◽  
Upper Cervical ◽  
The Stability

BACKGROUND: The finite element method (FEM) is an efficient and powerful tool for studying human spine biomechanics. OBJECTIVE: In this study, a detailed asymmetric three-dimensional (3D) finite element (FE) model of the upper cervical spine was developed from the computed tomography (CT) scan data to analyze the effect of ligaments and facet joints on the stability of the upper cervical spine. METHODS: A 3D FE model was validated against data obtained from previously published works, which were performed in vitro and FE analysis of vertebrae under three types of loads, i.e. flexion/extension, axial rotation, and lateral bending. RESULTS: The results show that the range of motion of segment C1–C2 is more flexible than that of segment C2–C3. Moreover, the results from the FE model were used to compute stresses on the ligaments and facet joints of the upper cervical spine during physiological moments. CONCLUSION: The anterior longitudinal ligaments (ALL) and interspinous ligaments (ISL) are found to be the most active ligaments, and the maximum stress distribution is appear on the vertebra C3 superior facet surface under both extension and flexion moments.

3D Nonlinear Finite Element Analysis of Knee Joint Implants

1999 ◽  
Author(s):  
A. Hashemi ◽  
A. Shirazi-Adl
Keyword(s):  
Finite Element ◽  
3D Models ◽  
Friction Model ◽  
Design Parameters ◽  
Fe Model ◽  
Fe Method ◽  
Element Analysis ◽  
Bone Implant ◽  
Coulomb’S Friction ◽  
Model Studies

Abstract The finite element (FE) method has been used in orthopaedic biomechanics to investigate the fixation role of different design parameters in total knee replacement (TKA). Previous FE model studies used 2D, axisymmetric and 3D models to represent the geometry while neglecting many essential features. They simulated the bone-implant interface as frictionless, perfectly bonded or with idealized Coulomb’s friction model. The model of screws and posts have also been neglected altogether or inadequately considered in these studies. To overcome these limitations, the objective of the present study was set to develop a detailed 3D FE model of the knee bone-implant structure including all the interacting components in an immediate postoperative period without bony ingrowth to predict the micromotion at the bone-implant interface and stress distribution within the bone and the polyethylene insert.

ACCURACY OF FINITE ELEMENT PREDICTIONS ON BONE/IMPLANT INTERFACE CONTACT PRESSURES FOR MODELS RECONSTRUCTED FROM CT SCANS

2008 ◽  
Vol 08 (02) ◽  
pp. 161-182 ◽  
Author(s):  
A. BOCCACCIO ◽  
L. LAMBERTI ◽  
C. PAPPALETTERE ◽  
L. QUAGLIARELLA
Keyword(s):  
Finite Element ◽  
Contact Pressure ◽  
Image Artifacts ◽  
Fe Model ◽  
Geometric Errors ◽  
Contact Pressure Distribution ◽  
Reconstruction Process ◽  
Bone Implant ◽  
Contact Pressures ◽  
Made In

Finite element (FE) simulations can be utilized to predict contact pressures at the bone/implant interface as well as to identify the position and shape of the contact region. However, the accuracy and reliability of FE models of the bone/implant interface reconstructed from tomographic images may be affected by a number of factors such as the presence of image artifacts, the magnitude of geometric errors made in the reconstruction process, the type of boundary and loading conditions hypothesized in the model, the nonlinear solver utilized for computing the contact pressure distribution, and the element type. This paper attempts to estimate the global effect of the aforementioned factors. For this purpose, a cylindrical contact problem — pin/muff — portraying a simplified model of the bone/implant interface is considered. The accuracy of numerical predictions is estimated by comparing contact pressures predicted by an FE model reconstructed from computed tomography (CT) scan images and by an "ideal", experimentally validated FE model. Two different couplings, i.e. chromium-cobalt alloy and titanium implants, are considered. In the former case, image artifacts complicate the reconstruction process of model geometry and lead to less accurate predictions on contact pressure distribution; conversely, the limited streaking effects occurring in the titanium pin case allow us to precisely reconstruct coupling geometry. Finally, a rather clear correlation between errors on contact pressure and geometric errors made in the reconstruction process is found only for the titanium pin.

A Computational Biomechanical Investigation of Posterior Dynamic Instrumentation: Combination of Dynamic Rod and Hinged (Dynamic) Screw

2014 ◽  
Vol 136 (5) ◽  
Author(s):  
Deniz U. Erbulut ◽  
Ali Kiapour ◽  
Tunc Oktenoglu ◽  
Ali F. Ozer ◽  
Vijay K. Goel
Keyword(s):  
Peak Stress ◽  
Adjacent Segment Degeneration ◽  
Dynamic Stabilization ◽  
Adjacent Segment ◽  
Fe Model ◽  
Rigid Fixation ◽  
Segmental Motion ◽  
Rigid Rod ◽  
Adjacent Segments

Currently, rigid fixation systems are the gold standard for degenerative disk disease treatment. Dynamic fixation systems have been proposed as alternatives for the treatment of a variety of spinal disorders. These systems address the main drawbacks of traditional rigid fixation systems, such as adjacent segment degeneration and instrumentation failure. Pedicle-screw-based dynamic stabilization (PDS) is one type of these alternative systems. The aim of this study was to simulate the biomechanical effect of a novel posterior dynamic stabilization system, which is comprised of dynamic (hinged) screws interconnected with a coiled, spring-based dynamic rod (DSDR), and compare it to semirigid (DSRR and RSRR) and rigid stabilization (RSRR) systems. A validated finite element (FE) model of L1-S1 was used to quantify the biomechanical parameters of the spine, such as range of motion, intradiskal pressure, stresses and facet loads after single-level instrumentation with different posterior stabilization systems. The results obtained from in vitro experimental intact and instrumented spines were used to validate the FE model, and the validated model was then used to compare the biomechanical effects of different fixation and stabilization constructs with intact under a hybrid loading protocol. The segmental motion at L4–L5 increased by 9.5% and 16.3% in flexion and left rotation, respectively, in DSDR with respect to the intact spine, whereas it was reduced by 6.4% and 10.9% in extension and left-bending loads, respectively. After instrumentation-induced intradiskal pressure at adjacent segments, L3-L4 and L5-S1 became less than the intact in dynamic rod constructs (DSDR and RSDR) except in the RSDR model in extension where the motion was higher than intact by 9.7% at L3-L4 and 11.3% at L5-S1. The facet loads were insignificant, not exceeding 12N in any of the instrumented cases in flexion. In extension, the facet load in DSDR case was similar to that in intact spine. The dynamic rod constructions (DSDR and RSDR) led to a lesser peak stress at screws compared with rigid rod constructions (DSRR and RSRR) in all loading cases. A dynamic construct consisting of a dynamic rod and a dynamic screw did protect the adjacent level from excessive motion.

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