Extended AbstractTraumatic spinal cord injury (TSCI) occurs at an annual incidence of 10 to 60 cases per millions of inhabitants depending on the country [1]. TSCI can potentially damage motor and sensory function, leading to a loss of autonomy and a poor quality of life. Burst fractures and fracture dislocations are responsible for respectively 30% and 40 % of all TSCI [1]. During those injuries, the spinal canal can be compromised by bone fragments, ligaments or other structures moving at high velocity toward the spinal cord. The compression magnitude and rate applied to the spinal cord define the extend of the neurological injury but because of the transient nature of the event, the biomechanics of the injury is poorly understood.In vitro replication of the fracture is justified by the need to better understand the biomechanics of the injury. This information is needed to correlate loading conditions and fracture patterns with the mechanical impairment of the spinal cord [2]. Several studies investigated the dynamic events occurring during the replication of burst type fractures [3][4][5][6] while other researchers developed spinal canal occlusion sensors in an attempt to estimate the transient spinal cord compression occurring during the trauma [5,[7][8][9][10]. However, there is no published technology allowing the quantification of the internal strain occurring within the spinal cord during in vitro replication of the trauma. This communication describes an instrumented spinal cord surrogate with localized transverse compression sensing capabilities.The spinal cord physical surrogate was made of silicone rubber foam (FlexFoam-iT! III, Smooth-on, PA, USA). The liquid silicon was quickly poured into a 3D printed ABS casting mold. The resulting silicone cord was 20 cm long and had an ellipsoidal section (major diameter of 11 mm and minor diameter of 9 mm) replicating the human thoracic spinal cord transverse section [11]. During casting and curing of the silicone rubber foam, four 0.5mm diameter nylon wires ran longitudinally through the surrogate. After silicone curing, the wire was removed and replaced by four 250 µm diameter bare optical fibers. The sensing technology was based on the optical power loss occurring when an optical fiber is bent to a given curvature radius, with smaller radii leading to more power loss [12]. As the surrogate is being compressed, the optical fiber bends to adapt to its shape, leading to a decreasing optical power transmitted by the fiber as its curvature radius decreases.The hyperelastic mechanical behavior of fresh porcine spinal cord was well reproduced by the instrumented surrogate with a maximum deviation of 16% when comparing the stress-strain curves obtained following mechanical characterization. Excellent sensing capabilities were observed for both static and dynamic loading with a maximum error of 5% when comparing the compression magnitude recorded by the optical fibers with the displacement of the tensile testing apparatus. This communication describes the first tech...