Browse > Article
http://dx.doi.org/10.3795/KSME-A.2006.30.12.1509

Biomechanical Analysis of Lumbar Interspinous Process Fixators and Design of Miniaturization and Advanced Flexibility  

Park, Jung-Hong (부산대학교 기계기술연구소)
Heo, Soon (부산대학교 기계설계대학원)
Lee, Sung-Jae (인제대학교 의생명공학대학)
Son, Kwon (부산대학교 기계기술연구소)
Publication Information
Transactions of the Korean Society of Mechanical Engineers A / v.30, no.12, 2006 , pp. 1509-1517 More about this Journal
Abstract
The intervertebral fusion was reported to increase the degeneration of the neighboring region. Recently, a new technique of inserting an interspinous process fixator has been introduced to minimize the degenerative change in the lumbar spine. This study analyzed biomechanical effects of the fixator in the lumbar spine, and designed a new prototype to improve flexibility of the fixator with a reduced size. The evaluation was based on the displacement, stiffness and von-Mises stress obtained from the mechanical test and finite element analysis. A finite element lumbar model of L1 to L5 was constructed. The finite element model was used to analyze intervertebral fusion, insertion of a commercial fixator and a new prototype. The range of motion of intervertebral segments and pressures at vertebral discs were calculated from FEA. The results showed that the stiffness of the prototype was reduced by 32.9% than that of the commercial one.
Keywords
Biomechanics; Degenerative Lumbar Spinal Stenosis; Implantation of Interspinous Process;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Berkson, M. H., Nachemson, A. L., and Schultz, A. B., 1979, 'Mechanical Properties of Human Lumbar Spine Motion Segments II. Response of in Compression and Shear, Influence of Gross Morphology,' Journal of Biomechanical Engineering, Vol. 101, pp. 53-57   DOI   ScienceOn
2 Shirazi-Adl, A., and Drouin, G., 1987, 'Load-bearing Role of Facets in a Lumbar Segment under Sagittal Plane Loadings,' Journal of Biomechanics, Vo. 20, No. 6, pp. 601-613   DOI   ScienceOn
3 Nachemson, A. L., 1981, 'Disc Pressure Measurement,' Spine, Vol. 6, pp. 93-97   DOI
4 Tencer, A. F., Ahmed, A. M., and Burke, D. L., 1982, 'Some Static Mechanical Properties of the Lumbar Intervertebral Joint, Intact and Injured,' Journal of Biomechanical Engineering, Vol. 104, pp. 193-210   DOI   ScienceOn
5 Nachemson, A. L., 1960, 'Lumbar Intradiscal Pressure,' Acta Orthopaedica Scandinavica (Supplementum), Vol. 43, pp. 1-104
6 Shirazi-Adl, AI, Shrivastva, S. C., and Ahmed, A. M., 1984, 'Stress Analysis of the Lumbar Disc Body Unit in Compression,' Spine, Vol. 9, No. 2, pp. 120-134   DOI
7 Brown, T., Hansen, R J., and Yorra, A. J., 1957, 'Some Mechanical Tests on the Lumbosacral Spine with Particular Reference to the Intervertebral Discs,' Journal of Bone and Joint Surgery, Vol. 39(A), pp. 1135-1164   DOI
8 Ranu, H. S., Denton, R. A., and King, A. I., ?1979, 'Pressure Distribution Under an Intervertebral Disc,' Journal of Biomechanics, Vol. 12, pp. 807-812   DOI   ScienceOn
9 Markolf, K. L. and Morris, J. M., 1974, 'The Structural Component of the Intervertebral Disc: A Study of Their Contributions to the Ability of the Disc to Withstand Compressive Forces,' Journal of Bone and Joint Surgery, Vol. 56(A), pp. 675-687   DOI
10 Goel, V. K. and Kim, Y. E., 1989, 'Effect of Injury on the Spinal Motion Segment Mechanics in the Axial Compression Mode,' Clinical Biomechanics, Vol. 4, pp. 161-167   DOI   ScienceOn
11 Lim, H. J., Roh, S. W., Jeon, S. R. and Rhirn, S. C., 2004, 'Early Experience with Interspinous U in the Management of the Degenerative Lumbar Disease,' Korean Journal of Spine, pp. 456-462
12 Yamamoto, I., Panjabi, M. M., Crisco,, T., and Oxland, T., 1989, 'Three-Dimensional Movements of the Whole Lumbar Spine and Lumbosacral Joint,' Spine, Vol. 14, No. 11, pp. 1256-1260   DOI
13 Henley, E. N. and David, S. M., 1999, 'Current Concept Review Lumbar Arthrodesis for the Treatment of Back Pain,' Journal of Bone and Joint Surgery, Vol. 81(A), pp. 716-730   DOI
14 Schultz, A. B., Warwick, D. N., Berkson, M. H., and Nachernson, A. L., 1979, 'Mechanical properties of Human Lumbar Spine Motion Segments I. Responses in Flexion, Extension, Lateral Bending and Torsion,' Journal of Biomechanical Engineering, Vol. 101, pp. 46-52   DOI   ScienceOn
15 Annual Book of ASTM Standards, 1999, Vol. 13.01 Medical Device 1
16 Grosland, N. M., 1998, 'Spinal Adaptations in ?Response to Interbody Fusion Systems: A Theoretical Investigation,' Ph. D. Thesis, The University of Iowa, Iowa, pp. 23-41
17 Yerby, S. A., Lindsey, D. P., and Kreshak, J., 2001, 'Failure Load of the Lumbar Spinous Process,' 28th Annual Meeting of the international Society for the Study of the Lumbar Spine, Edinburgh, Scotland, pp. 19-23
18 Lee, H. S., Moon, S. J., Kwon, S. Y., Jung, T. G., Shin, K. C., Lee, K. Y., and Lee, S. J., 2005,'Change in Kinematics of the Spine after Insertion of an Interspinous Spacer for the Treatment of the Lumbar Spinal Stenosis,' Journal of Biomedical Engineering Research, Vol. 26, No. 3, pp. 151-155   과학기술학회마을
19 Vena, P., Franzoso, G., Gastalidi, D., Contro, R. and Dallolio, V., 2005, 'A Finite Element Model of the L4-L5 Spinal Motion Segment: Biomechanica1 Compatibility of an Interspinous Device,' Comput Methods Biomech Biomed Engin, Vol. 8, No. 1, pp. 7-16   DOI   ScienceOn
20 Lindsey, D. P., M. S., Swanson, K. E., Fuchs, P., Hsu, K. Y., Zucherman, J. F., and Yerby, S. A., 1990, 'The Effects of an Interspinous Implant on the Kinematics of the Instrumented and Adjacent Levels in the Lumbar Spine,' Spine, Vol. 28, pp. 2192-2197   DOI   ScienceOn
21 Arnoldi, C. C., Brodsky, A. E., Cachoix J., Crock, H. V., Donnnisse, G.F. and Edgar, M. C., 1976, 'Lumbar Spinal Stenosis and Nerve root Entrapment. Syndromes, Definition, and Classification,' Clinical Orthopedics, Vol. 115, pp. 4-5
22 Zuchennan, J., Hsu, K., Hartjen, C, Mehalic, T., Implicito, D., Martin, M., Johnson, D., Skidmore, G., Vessa, P., Dwyer, J., Puccio, S., Cauthen, J. and Ozuna, R., 2004, 'Interspinous Process Decompression (IPD) Significantly Improves Physical Function in Neurogenic Intermittent Claudication Patients: a Prospective Randomized Multicenter Study,' Proceedings of the NASS 19th Annual Meeting, pp. 59S
23 Panjabi, M. M., Oxland, T. R., Yamamoto, I. and Crisco, J. J., 1994, 'Mechanical Behaviour of the Human Lumbar and Lumbosacral Spine as Shown by Three-dimensional Load-displacement Curves,' Journal of Bone and Joint Surgery, Vol. 76:A, pp. 413-424   DOI
24 Rahm, M. D. and Hall, B. B., 1996, 'Adjacent-segment Degeneration after Lumbar Fusion with Instrumentation: a Retrospective Study,' Journal of Spinal Disorders, Vol. 9, No. 5, pp. 392-400
25 Michael J. S., Kirkham, B. W., Glenn, R. B., Jack, L. L., and James, W.O., 1993, 'Experimental Measurement of Ligament Force, Facet Force, and Segment Motion in the Human Lumbar Spine,' Journal of Biomechanics, Vol. 26, No. 4/5, pp. 427-438   DOI   ScienceOn
26 White III, A. A. and Panjabi, M. M., 1990, Clinical Biomechanics of the Spine, J. B. Lippincott Company, pp. 528-529