IntroductionThe thoracic cage has an important role in breathing [11] and spine stability, particularly in scoliosis. Thus, knowledge of the costo-vertebral joint behaviour becomes crucial in building a finite-element model of the entire spine including the thoracic cage [2].At the present time, very little information about costovertebral joint behaviour is available in the scientific literature [1,2,4,9]. Furthermore, such information as there is is qualitative rather than quantitative and not useful for mechanical modeling. We aimed to determine the required mechanical data. A preliminary study [3] allowed us to plot some load/displacement curves; however, the measuring systems commonly used by other workers in the field were not suitable for studying such a low-stiffness joint.The objective of this study is to introduce a new method to analyse the three-dimensional (3D) mechanical behaviour of the costo-vertebral joint using an opto-electronic system.
Materials and methods
Anatomical samplesNine thoracic cages (Table 1) were isolated from fresh cadavers, at an average of 9 days after death (range 4-11 days). The average age of the subjects was 61 years (range 39-71 years), the average weight was 70 kg (range 46-110 kg) and the average height was 167 cm (range 160-180 cm). There were ten males and one female Abstract This in vitro study introduces a new method to determine quantitative parameters characterizing the mechanical behaviour of the costo-vertebral joint. These parameters are useful in building numerical models of the thoracic spine, taking into account the thoracic cage. Nine thoracic cages were isolated from fresh human cadavers. From each cage, three functional units were tested: T1-T2, T5-T6, T9-T10. Loads were applied according to the joint local coordinate system. Every functional unit was tested first intact and again after section of successive costo-transverse ligaments. We used an opto-electronic system to follow the three-dimensional motion of the joint, and obtained non-linear load/displacement curves according to the primary rotation axis. A statistical analysis of these curves allowed the calculation of parameters describing the joint mechanical behaviour: total range of motion, motion in the low-stiffness zone, and flexibilities in the positive and negative quasi-linear zones. These values can be used as a database for mechanical modeling of the spine.