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A nonlinear analysis of the human vertebral column and medical recommendations that follow

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EN
Abstrakty
EN
The analysis of mechanical behaviour of spinal column is until now still a challenge, in spite of the great amount of research which has been conducted over the last years. It is a particularly complex structure considering number of components, their shapes and mechanical characteristics. The objectives of the presented investigations are to understand the mechanisms of the mechanical behaviour of the spine structure and the role of its components, as well as the factors of its dysfunctions as scoliosis discopathy, spondylolisthesis. Also some mechanical effects of surgical interventions by total disc replacement is considered. To account for the 3D character of the spine system including vertebrae, discs, ligaments, muscles etc. the finite element method (FEM) formulation was used throughout the paper. Some specific features of the structure are included in the models as non-conservative loads and muscular tension control performed by the nervous system. The finite element method together with CAD programs and experimental validation was used in investigations of a new type of artificial disc for lumbar spine. The stress analyses were performed for the prostheses being in clinical use and for some original new designs. The conclusions concern most important determinants of the mechanical behaviour of the system and the quality of the intervertebral disc prosthesis.
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Strony
179--194
Opis fizyczny
Bibliogr. 22 poz., 24 rys.
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autor
autor
autor
autor
autor
  • Institute of Aeronautics and Applied Mechanics, Faculty of Power and Aeronautical Engineering, Warsaw University of Technology, 24 Nowowiejska Str., 00-665 Warsaw, Poland., mdietrich@ meil.pw.edu.pl
Bibliografia
  • [1] A. Bergmark, Mechanical Stability of the Human Lumbar Spine, Lund Instytute of Technology, Department of Solid Mechanics, 1987.
  • [2] M. Dietrich, K. K˛edzior, K. Miller, and T. Zagrajek, “Statics and stability of human spine under working conditions”. W.S. Marras et al. (eds.), The Ergonomics of Manual Work, pp. 147–150, Taylor and Francis, London – Washington D.C., 1993.
  • [3] M. Dietrich, K. K˛edzior, A. Wittek, and T. Zagrajek, “Nonlinear finite element analysis of formation and treatment of intervertebral disc hermiae”, Proc. Institution of Mech. Engrs. part H, 206, 225–234 (1992).
  • [4] P.J. Weiler, G.M. McNeice, and B.J. Medley, “An experimental study of the buckling behaviour of 1-rod implants used in the surgical treatment of scoliosis”, Spine 11 (2), 992–998 (1986).
  • [5] M. Dietrich (ed.), “Medical biomechanics of spine-theory, modelling and clinical applications”, Lecture Notes of the Intern. Centre of Biocybernetics Seminars 20, (1993).
  • [6] M. Dietrich, K. K˛edzior, and T. Zagrajek, “A biomechanical model of the human spinal system”, Proc. Instn. Mech. Engrs. Part H, 205, 19–26 (1991).
  • [7] K. K˛edzior, G. Krzesi´nski, and T. Zagrajek, “Numerical simulation of the scoliosis as caused by mechanical response of the spinal segment to external load”, Lecture Notes of the Intern. Centre of Biocybernetics Seminars 33, 158–164 (1996).
  • [8] W. Skalli, “Spine biomechanics. From basic research to clinical applications”, Acta of Bioengineering and Biomechanics 1, Suppl. 1, 379–384 (1999).
  • [9] O.C. Zienkiewicz and R.L. Taylor, The Finite Element Method, McGraw-Hill, London, 1991.
  • [10] T. Zagrajek, Biomechanic Modelling of Spinal System by Finite Element Method, Office House PW, Warsaw, 1990.
  • [11] C.M. Whyne, S. Hu, and C. Lotz, “Parametric finite element analysis of vertebral bodies affected by tumors”, Journal of Biomechanics 34, 1317–1324 (2001).
  • [12] M. Dietrich, K. K˛edzior, and T. Zagrajek, “Modelling of muscle action and stability of the human spine”, J. Winters, S.L.- Y. Woo (eds): Multiple Muscle Systems – Biomechanics and Movement Organization, New York, Springer-Verlag, 451–460 (1990).
  • [13] K. K˛edzior and T. Zagrajek, “A biomechanical model of the human musculoskeletal system”, A. Morecki and K. Waldron (eds.): Human andWalking Machine Locomotion, pp. 125–152, Springer-Verlag, Wien, 1997.
  • [14] A.A. White and M.M. Panjabi, Clinical Biomechanics of the Spine, J.B. Lippincott Company, 1990.
  • [15] J.P. Lemaire, W. Skalli, F. Lavaste, A. Templier, F. Mendes, A. Diop, V. Sauty, and E. Lalouz, “Intervertebral disc prosthesis, results and prospectus for the year 2000”, Clin. Orthop. 337, 64–76 (1997).
  • [16] M. Szpalski, R. Gunzburg, and M. Mayer, “Spine arthoplasty: a historical review”, European Spine Journal 1 (Suppl. 2), 65–84 (2002).
  • [17] C. Pezowicz, “Analysis of phenomena occuring in the intervertebral disc under different load conditions”, Acta of Bioengineering and Biomechanics 5, (Suppl. 1), 379–384 (2003).
  • [18] G. Krzesi´nski, “Numerical methods in analysis and design of implants”, Lecture Notes of the Intern. Centre of Biocybern.: Biomechanics. Customized Endoprostheses, 48–58 (2003).
  • [19] M. Dietrich, K. K˛edzior, G. Krzesi´nski, and T. Zagrajek, “Selected problems of orthopaedic implants design – numerical approach”, Proceedings of Tenth World Congress on the Theory of Machines and Mechanisms, 1799–1804, Oulu (1999).
  • [20] R. Bertagnoli, and S. Kumar, “Indications for full prosthetic disc arthoplasty: a correlation of clinical outcome against a variety of indications”, European Spine Journal 11 (Suppl. 2), 131–136 (2002).
  • [21] M. Dietrich, K. K˛edzior, G. Krzesi´nski, T. Zagrajek, and B. Zielińska, “Parametric finite element models of human bones”, Acta of Bioengineering and Biomechanics 4, 135–136 (2002).
  • [22] M. Dietrich, K. K˛edzior, K. Skalski, T. Zagrajek, G. Krzesiński, J. Skoworodko, P. Borkowski, and P. Wymysłowski, “On concurrent engineering and design of an intervertebral disc of lumbar spine”, 18-th Conference on Computer-aided Production Engineering CAPE, Professional Engineering Publishing Limited, UK, 209–219 (2003).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPG5-0005-0053
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