Abstract:Intervertebral disc flexibility is influenced by lifestyle, loading history, trauma, preexisting conditions, age and degeneration. With regard to degeneration, intervertebral discs become less flexible and stiffer. In this study, a testing protocol using bending and torsion loading was developed to gain the flexibility curves and stiffness of ten cadaveric lumbar discs. Measurements of rotation in the sagittal plane (flexion-extension), coronal plane (right-left lateral bending) and transverse plane (torsion) due to a 5 N-m load are reported. Results show that overall normal discs are more flexible and behave in a nonlinear fashion. The testing results were used in a develop finite element model of an intervertebral disc to investigate the stresses and strains in the disc components: annulus fibrosus and nucleus pulposus with regard to degeneration. Simulation of bending and torsion loadings show large strains in the annulus and nucleus from a normal disc, in contrast higher stresses develop in the annulus from a degenerated disc. The proposed methodology is novel, versatile, functional and economic with implications in bioengineering, medical sciences and the clinical field.
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