. 2021 Mar 11;3913988211001875.
doi: 10.1177/03913988211001875.
Online ahead of print.
Affiliations
Affiliations
- 1 Department of Mechanical Engineering, National Institute of Technology, Patna, India.
- 2 Department of Aerospace Engineering and Applied Mechanics, Indian Institute of Engineering Science and Technology, Shibpur, India.
- 3 Department of Mechanical Engineering, SRM Institute of Science and Technology, Chennai, India.
- 4 Department of Sports Biomechanics, Central University of Rajasthan, Ajmer, Rajasthan, India.
Item in Clipboard
Jayanta Kumar Biswas et al.
Int J Artif Organs.
.
Display options
Format
. 2021 Mar 11;3913988211001875.
doi: 10.1177/03913988211001875.
Online ahead of print.
Affiliations
- 1 Department of Mechanical Engineering, National Institute of Technology, Patna, India.
- 2 Department of Aerospace Engineering and Applied Mechanics, Indian Institute of Engineering Science and Technology, Shibpur, India.
- 3 Department of Mechanical Engineering, SRM Institute of Science and Technology, Chennai, India.
- 4 Department of Sports Biomechanics, Central University of Rajasthan, Ajmer, Rajasthan, India.
Item in Clipboard
Display options
Format
Abstract
Degenerative disc disease (DDD) in lumbar spine is one of the major musculoskeletal disorders that cause low back pain (LBP). The intervertebral disc structure and dynamics of the lumbar spine are significantly affected by lumbar DDD, leading to a reduced range of motion (ROM), muscle weakness and gradual degradation. Spinal fusion and inter-vertebral disc replacement prostheses are two major surgical methods used for treating lumbar DDD. The aim of this present study is to examine biomechanical impacts of single level (L3-L4 and L4-L5) and multi level (L3-L4-L5) inter-vertebral disc replacement in lumbar spine (L2-L5) and to compare the performance with intact spine. Finite element (FE) analysis has been used to compare the mobility and stress distribution of all the models for four physiological movements, namely flexion, extension, left and right lateral bending under 6, 8 and 10 Nm moments. Spinal fusion implants completely restrict the motion of the implanted segment and increase disc stress at the adjacent levels. In contrast to that, the results single level ADR models showed closer ROM and disc stress to natural model. At the spinal segments adjacent to the implantation, single level ADR shows lower chance of disc degeneration. However, significantly increased ROM was observed in case of double level ADR.
Keywords:
Lumbar spine; ROM; disc stress; finite element analysis; inter-vertebral disc.