Medical Engineering & Physics
Volume 31, Issue 9 , Pages 1063-1068 , November 2009

Surgical instrumentation for the in vivo determination of human lumbar spinal segment stiffness and viscoelasticity

  • Sveva Ambrosetti-Giudici

      Affiliations

    • Bern University of Applied Sciences, Biomedical Engineering, Quellgasse 21, CH-2501 Biel, Switzerland
    • Corresponding Author InformationCorresponding author. Tel.: +41 32 3216370.
  • ,
  • Alois Pfenniger

      Affiliations

    • Bern University of Applied Sciences, Biomedical Engineering, Quellgasse 21, CH-2501 Biel, Switzerland
  • ,
  • Michael H. Krenn

      Affiliations

    • Department for Spine Surgery PMU, Salzburg, Austria
  • ,
  • Wolfgang P. Piotrowski

      Affiliations

    • Department for Spine Surgery PMU, Salzburg, Austria
  • ,
  • Stephen J. Ferguson

      Affiliations

    • Institute for Surgical Technology and Biomechanics, University of Bern, Bern, Switzerland
  • ,
  • Juergen Burger

      Affiliations

    • Bern University of Applied Sciences, Biomedical Engineering, Quellgasse 21, CH-2501 Biel, Switzerland

Received 29 January 2009 ,Revised 2 July 2009 ,Accepted 3 July 2009.

References 

  1. Dickey JP, Bednar DA, Dumas GA. New insight into the mechanics of the lumbar interspinous ligament. Spine. 1996;21(23):2720–2727
  2. Kandziora F, Pflugmacher R, Schafer J, Born C, Duda G, Haas N, et al. Biomechanical comparison of cervical spine interbody fusion cages. Spine. 2001;26(17):1850–1857
  3. Brown MD, Holmes DC, Heiner AD. Measurement of cadaver lumbar spine motion segment stiffness. Spine. 2002;27(9):918–922
  4. Heuer F, Schmidt H, Klezl Z, Claes L, Wilke HJ. Stepwise reduction of functional spinal structures increases range of motion and change lordosis angle. J Biomech. 2006;40:271–280
  5. Kuroki H, Goel VK, Holekamp SA, Ebraheim NA, Kubo S, Tajima N. Contributions of flexion–extension cyclic loads to the lumbar spinal segment stability following different discectomy procedures. Spine. 2004;29(3):E39–E46
  6. Mimura M, Panjabi M, Oxland T, Crisco J, Yamamoto I, Vasavada A. Disc degeneration affects the multidirectional flexibility of the lumbar spine. Spine. 1994;19(12):1371–1380
  7. Umehara S, Zindrick M, Patwardhan AG, Havey RM, Vrbos LA, Knight GW, et al. The biomechanical effect of postoperative hypolordosis in instrumented lumbar fusion on instrumented and adjacent spinal segments. Spine. 2000;25(13):1617–1624
  8. Kaigle A, Holm S, Hansson T. Experimental instability in the lumbar spine. Spine. 1995;20(4):421–430
  9. Panjabi MM. Clinical spinal instability and low back pain. J Electromyogr Kinesiol. 2003;13:371–379
  10. Brown MD, Holmes DC, Heiner AD, Wehman KF. Intraoperative measurement of lumbar spine motion segment stiffness. Spine. 2002;27(9):954–958
  11. Ebara S, Harada T, Hosono N, Inoue M, Tanaka M, Moromoto Y, et al. Intraoperative measurement of lumbar spinal instability. Spine. 1992;17(3S):s44–s50
  12. Frank EH, Chamberland DL, Ragel BT. A proposed technique for intraoperative measurement of cervical spine stiffness. Neurosurgery. 1996;39(1):147–150
  13. Frank EH, Chamberland DL, Ragel BT. Instrumentation for intraoperative measurement of cervical spine stiffness. Neurol Res. 1996;18:217–219
  14. Takano K, Hasegawa K, Kitahara K, Hara T, Sato S, Endo N. Lumbar segmental motion properties in vivo determined by a new intraoperative measurement system. Acta Med Biol. 2006;54(1):1–8
  15. Kitahara K, Hasegawa K, Hara T. A practical technique for intraoperative measurement of spinal mobility: in vitro experimental study. J Biomech Sci Eng. 2007;2(4):187–196
  16. Hasegawa K, Kitahara K, Hara T, Takano K, Shimoda H, Homma T. Evaluation of lumbar segmental instability in degenerative diseases by using a new intraoperative measurement system. J Neurosurg. 2008;8:255–262
  17. Kanayama M, Hashimoto T, Shigenobu K, Oha F, Ishida T, Yamane S. Intraoperative biomechanical assessment of lumbar spinal instability: validation of radiographic parameters indicating anterior column support in lumbar spinal fusion. Spine. 2003;28(20):2368–2372
  18. Ranu HS. The distribution of stresses in the human lumbar spine. Material properties and stress analysis in biomechanics. Manchester: Manchester University Press; 1989;p. 240–9
  19. Ranu HS. Time dependent response of human intervertebral disc to loading. Eng Med. 1985;14(1):43–45
  20. Krenn MK, Ambrosetti-Giudici S, Pfenniger A, Burger J, Piotrowski WP. Minimally invasive intraoperative stiffness measurements of lumbar spinal motion segments. Neurosurg Spine. 2008;63:309–314
  21. Findley WN, Lai JS, Onaran K. Creep and relaxation of nonlinear viscoelastic materials. New York: Dover; 1976;
  22. Elliott DM, Robinson PS, Gimbel JA, Sarver JJ, Abboud JA, Iozzo RV, et al. Effect of altered matrix proteins on quasilinear viscoelastic properties in transgenic mouse tail tendons. Ann Biomed Eng. 2003;31:599–605
  23. Hingorani RV, Provenzano P, Lakes R, Escarcega A, Vanderby R. Nonlinear viscoelasticity in rabbit medial collateral ligament. Ann Biomed Eng. 2003;32(2):306–312
  24. Pioletti DP, Rakotomanana LR. On the independence of time and strain effects in the stress relaxation of ligaments and tendons. J Biomech. 2000;33:1729–1732
  25. Provenzano P, Lakes R, Keenan T, Vanderby R. Nonlinear ligament viscoelasticity. Ann Biomed Eng. 2001;29:908–914
  26. Provenzano P, Lakes R, Corr DT, Vanderby R. Application of nonlinear viscoelastic models to describe ligament behavior. Biomech Model Mechanobiol. 2002;1:45–47
  27. Fung YC. Stress–strain history relations of soft tissues in simple elongation. In:  Fung YC editors. Biomechanics, it's foundations and objectives. Englewood Cliffs: Prentice-Hall; 1972;p. 181–208
  28. Fung YC. Biomechanics: mechanical properties of living tissues. 2nd ed.. New York: Springer-Verlag; 1993;
  29. White AA, Panjabi MM. Clinical of biomechanics of the spine. 2nd ed.. Philadelphia: Lippincott Williams & Wilkins; 1990;
  30. Fung YC. Elasticity of soft tissues in simple elongation. Am J Physiol. 1967;213(6):1532–1544
  31. Roberts S. Disc morphology in health and disease. Biochem Soc Trans. 2002;30(6):864–869
  32. Moorhouse KM, Granata KP. Role of reflex dynamics in spinal stability: intrinsic muscle stiffness alone is insufficient for stability. J Biomech. 2007;40:1058–1065
  33. Rydqvist B, Purali N, Lannergren J. Viscoelastic properties of the rapidly adapting stretch receptor muscle of the crayfish. Acta Physiol Scand. 1994;150(2):151–159
  34. Solomow M, Baratta RV, Zhou BH, Burger E, Zieske A, Gedalia A. Muscular dysfunction elicited by creep of lumbar viscoelastic tissue. J Electromyogr Kinesiol. 2003;13:381–396
  35. Gavronski G, Veraksits A, Vasar E, Maaroos J. Evaluation of viscoelastic parameters of the skeletal muscles in junior triathletes. Physiol Meas. 2007;28:625–637

PII: S1350-4533(09)00146-5

doi: 10.1016/j.medengphy.2009.07.002

Medical Engineering & Physics
Volume 31, Issue 9 , Pages 1063-1068 , November 2009