This review assesses the validity of a biomechanical approach using finite element analysis in the Thoracolumbar Injury Classification and Severity Score System (TLICS) by addressing the “gray zone” decision discrepancy of thoracolumbar spinal injuries. A systematic review was performed using the keywords “Thoracolumbar Injury Classification” AND “finite element analysis of the spinal column” to evaluate the validity of the TLICS and finite element analysis of the thoracolumbar spinal column. Results were classified according to the main conclusions and level of evidence. Thirteen articles are included. Four of the articles evaluated the TLICS in comparison to other classification systems of thoracolumbar spinal injuries. A notable finding is that the TLICS had inconsistencies with other classification systems in the treatment of burst fractures without neurological deficits. One article evaluated the TLICS with the inclusion of magnetic resonance imaging (MRI) in the evaluation, which decreased the agreement between the suggested and actual treatment. Among the three finite element analysis studies, limited data have been published on the posterior ligamentous complex (PLC) status when an injury is suspected or indeterminate. The TLICS has been a reliable classification system in the management of single-column fractures and three-column injuries treated with surgical stabilization. Special attention to enhancing the TLICS classification system by eliminating the “gray zone” of a TLICS score of 4 is essential. Biomedical computational modeling evaluating the PLC status of indeterminate or injury suspected is needed to enhance the current TLICS system and to clarify the decision discrepancy in the “gray zone.”
Steel H-piles have been used widely in bridge construction throughout the U.S. because of their relatively large load-carrying capacity while occupying a small area. However, many H-piles suffer from corrosion, which may lead to abrupt collapse. A cost-effective repair technique, including encasing the corroded region of the steel pile into a concrete jacket, which acts as an alternative load path for the applied axial load, has been used by several state Departments of Transportation. Methyl methacrylate polymer concrete (MMA-PC) is a type of concrete that is commonly used as a repair material. However, there is limited research on the assessment of bond strength between MMA-PC and steel elements. This paper investigates experimentally the bond behavior of seven full-scale steel H-piles encased in concrete jackets. The jackets were cast using either MMA-PC or Portland cement concrete (CC). Different embedment lengths of 63.5 mm (2.5 in.), 127 mm (5 in.), and 190.5 mm (7.5 in.) were used for the MMA-PC and one embedment length of 254 mm (10 in.) was used for the CC jacket. Cylindrical and prismatic jacket configurations were used and tested using push-out. The experimental results revealed that using the MMA-PC jacket was more effective compared with the CC jacket in relation to the load-carrying capacity. For design purposes, a shear bond stress of 2.96 MPa [0.43 kips per square inch (ksi)] can be used for MMA-PC jackets having an embedment length of at least 127 mm (5 in.) whereas a value of 0.83 MPa (0.12 ksi) can be used for CC.
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