基于脊柱矢状面曲线建立的腰椎L4-L5机械简化模型及其有效性验证
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上海理工大学

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Construction and Validation of Simplified Model of L4-L5 Section Lumbar Based on the Sagittal Spinal Curve
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    摘要:

    目的 根据人体脊柱矢状面曲线建立腰椎L4-L5活动节段机械简化模型,对该模型结构进行有效性验证与分析。方法 采用基于飞行时间测距原理的体外测量装置获取人体脊柱矢状面曲线,基于该曲线构建腰椎L4-L5机械简化模型并从关节活动度(ROM)对模型有效性进行验证,同时考察椎间盘的应力(IDP)分布及小关节应力(FJF)大小。结果 随动载荷(FL)下模型椎间盘最大应力为0.23MPa、0.46MPa、0.69MPa、0.92MPa及1.15MPa,纯扭矩下模型屈曲、后伸、侧屈及轴向扭转的ROM分别为6.61°、4.03°、3.30°以及2.03°,在FL和扭矩共同作用下各工况的IDP分别为1.80MPa、1.00MPa、1.37MPa、0.80MPa,后伸、侧屈及轴向旋转的FJF分别为79.60N、29.49N、94.64N。结论 基于人体脊柱矢状面曲线构建的机械简化模型可用于脊柱矢状面曲线变化的脊柱力学分析。

    Abstract:

    Objective To establish a simplified mechanical model of the lumbar spine L4-L5 movable segment according to the sagittal curve of the human spine, and to verify and analyze the validity of the structure of the model. Methods An in vitro measurement device based on the time-of-flight distance measurement principle was used to obtain the sagittal curve of the human spine. Based on the curve, a simplified mechanical model of the lumbar spine L4-L5 was constructed and the validity of the model was verified from the range of motion (ROM), intervertebral disc pressure (IDP) and facet joint force (FJF). Results The maximum IDP under the follower load (FL) was 0.23 MPa, 0.46 MPa, 0.69 MPa, 0.92 MPa and 1.15 MPa. The ROM of flexion, extension, lateral flexion and axial torsion of the model under pure moment were 6.61°, 4.03°, 3.30° and 2.03°, the IDP of each working condition under the combined load of FL and moment are 1.80MPa, 1.00MPa, 1.37MPa, 0.80MPa, and the FJF of extension, lateral bending and axial rotation are 79.60N, 29.49N and 96.64N. Conclusion The mechanical simplified model constructed based on the sagittal curve of the human spine can be used to analyze the changes of the sagittal curve of the spine.

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  • 收稿日期:2021-08-16
  • 最后修改日期:2021-10-27
  • 录用日期:2021-10-28
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