THE ROLE OF AXIAL ROTATION IN THE ETIOLOGY OF UNILATERAL DISK PROLAPSE - AN EXPERIMENTAL AND FINITE-ELEMENT ANALYSIS

被引：32

作者：

DUNCAN, NA ^{[1
]}

AHMED, AM ^{[1
]}

机构：

[1] MCGILL UNIV,DEPT MECH ENGN,817 SHERBROOKE ST W,MONTREAL H3A 2K6,QUEBEC,CANADA

来源：

SPINE | 1991年 / 16卷 / 09期

关键词：

ARTICULAR TROPISM; AXIAL ROTATION; COUPLED MOTIONS; DISK PROLAPSE; FINITE-ELEMENT MODEL;

D O I：

10.1097/00007632-199109000-00014

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

This study was done to establish the relevance of axial rotation as a cause of disc degeneration in the lumbar spine and the role of facet asymmetry in the injury mechanism. It previously was shown that facet asymmetry does not affect the axial torque-rotation response of lumbar motion segments. This study, in both an experimental and a finite-element analysis, examined three important points previously not considered for lumbar motion segments subjected to axial torque: 1) the effect of facet asymmetry on the coupled motions; 2) the effect of combined geometric parameters on the segment response; and 3) the effect of facet asymmetry on the annular strains. Three different lumbar-coupling patterns were observed; however, they did not appear to be influenced by facet joint asymmetry. An oblique and flat compression facet may allow an increased motion-segment response, but in general, combined geometric parameters were found to have no effect on segment response. It was concluded that, without facet damage, the right or left side of the disc is not biased by a particular facet geometry to experience unusual levels of stress and strain, either as a result of increased axial rotation or any of the associated coupled motions.

引用

页码：1089 / 1098

页数：10

共 16 条

[11]

Rolander S.D., Motion of the lumbar spine with special reference to the stabilizing effect of posterior fusion [thesis], Acta Orthop Scand, 90, pp. 1-144, (1966)

[12]

Schultz A.B., Warwick D.N., Berkson M.H., Nachemson A.L., Mechanical properties of human lumbar spine motion segments: Part I. Responses in flexion, extension, lateral bending and torsion, J Biomech Eng, 101, pp. 46-52, (1979)

[13]

Shirazi-Adl A., Ahmed A.M., Shirvastava S.C., Mechanical response of a lumbar motion segment in axial torque alone and combined with compression, Spine, 11, pp. 914-927, (1986)

[14]

Tencer A.F., Ahmed A.M., Burke D.L., Some static mechanical properties of the lumbar intervertebral joint, intact and injured, J Biomech Eng, 104, pp. 193-201, (1982)

[15]

Van Schaik J., Verbiest H., Van Schaik F., The Orientation and Shape of the Lower Lumbar Facet Joints: A Computed Tomographic Study of Their Variation in 100 Patients with Low Back Pain and A Discussion of Their Possible Clinical Implications. Computed Tomography of the Spine, pp. 495-505, (1984)

[16]

White A.A., Panjabi M.M., Clinical Biomechanics of the Spine, pp. 74-85, (1978)

← 1 2 →