The behaviour of the lumbar intervertebral disc under repetitive forces.
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Biomedical subjects
Publications and source records attributed to B M Cyron.
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The capsular ligaments of the apophyseal joints are arranged to provide maximum resistance to flexion. They can support about twice body weight in the young although their strength decreases with age.
Values for the compressive breaking load of lumbar vertebrae at physiological strain rates show enormous scatter across the population, ranging from 0.8 kN to nearly 16 kN. Increase in strength was found at faster strain rates, but differences in compressive strength between upper and lower lumbar vertebrae were not significant. Hydraulic strengthening does not appear to contribute to the compressive strength at the strain rates studied.
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Compressive tests were carried out on cadaveric lumbar intervertebral joints, before and after the neural arch was fractured. The results show that although the neural arch can play some part in resisting the intervertebral compressive force, there is no bony contact between the downward projecting tips of the inferior articular processes and the laminae of the vertebra below.
A method is described whereby fractures of the neural arch similar to those in spondylolysis are produced experimentally. The forces, bending moments and displacements required to initiate the fractures are given; The mechanical aspects in the aetiology of spondylolysis are explained by a simplified two-dimensional force analysis.
The possible role of the physical and mechanical properties of the neural arch as contributing factors in the etiology of spondylolysis was tested by comparing two groups of vertebral specimens obtained at necropsy. Group I specimens had been subjected to repetitive cyclic force which they withstood without fracturing. Group II specimens were randomly selected. The cross-sectional distribution of cortical and cancellous bone in the partes interarticulares were measured, and the two groups compared. The previously stressed group was found to have a greater percentage of cortical bone than the random group. The data are interpreted to suggest that thin partes interarticulares may predispose to spondylolysis through the mechanism of fatigue failure.
Lumbar intervertebral joints were subjected to compressive and shear forces calculated to simulate walking with a heavy pack on the back. The joints with articular tropism were found to rotate toward the side of the more oblique facet. The mechanics relating the orientation of the articular facets with joint forces and stability of the lumbar spine are discussed.
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