This study evaluated the changes of height and bulging occurring in individual layers of the annulus fibrosus of the intervertebral disc for 3 load scenarios (axial compression, flexion, and extension). The numerical model of a single motion segment of the thoracic spine was analysed for 2 different configurations, ie, for the model of a physiological segment and a segment with the posterior column removed. In the physiological segment, all annulus fibrosus layers decrease in height regardless of the applied load, bulging outside the intervertebral disc. Removal of the posterior column increases mobility and disrupts the load transfer system, with the lamellae bulging into the intervertebral disc.
The aim of this experimental study was to analyze the impact of applying different configurations of the transpedicular fixation system on selected mechanical parameters of the thoracolumbar spine under conditions of its instability (after simulated fracture). Five study groups were tested: physiological, with compression fracture of the vertebra, with two-segment fixation, with three-segment fixation, and with four-segment fixation. Each of the analyzed study groups was subjected to axial compression, flexion, and extension. Based on the conducted experimental tests, the mechanical parameters, i.e., stiffness coefficient and dissipation energy, were determined for all groups under consideration. The stiffness value of two-segment fixation is significantly lower than the physiological value (during flexion and extension). The use of long-segment fixation considered in two configurations (three- and four-segment fixation) may result in excessive stiffness of the system due to the high stiffness values achieved (approx. 25–30% higher than the physiological values in the case of compression and on average 60% higher in the case of flexion). The use of long-segment fixator design shows better results than short-segment fixation. Considering both biomechanical and clinical aspects, three-segment fixation seems to be a compromise solution as it saves the patient from more extensive stiffening of the spinal motion segments.
Introduction: The aim of our cross-sectional study is to determine whether there is a link between sex, skeletal class and mandibular asymmetry in orthodontic patients, with tooth length and asymmetry in tooth length on contralateral sides of the mandible. Methods: As the source for relevant data to answer this question, 3D cone-beam tomography (CBCT) images of a total of 95 future orthodontic patients were retrospectively selected from private practice records and were analyzed. The CBCT images were part of routine orthodontic diagnosis. Patients were divided into three groups (Class I, Class III with asymmetry and Class III without asymmetry) based on skeletal variables assessed on orthodontic cephalometric images and frontal photos of the face. Three null hypotheses were developed, and a series of statistical tests was performed in order to support or reject them. Results: We have established that there exists a sexual dimorphism in some of the teeth’s lengths in our sample. Furthermore, we failed to find a link between mandibular asymmetry and asymmetry in tooth length. We have also found a link between skeletal class and tooth length differences in some of the analyzed measurements. Conclusions: Computational models used to design orthodontic appliances and to plan orthodontic treatment should be more individualized to consider a patient’s sex and skeletal class.
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