1989
DOI: 10.1002/jor.1100070117
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Internal deformations of intact and denucleated human lumbar discs subjected to compression, flexion, and extension loads

Abstract: Three rows of six evenly spaced 0.5 mm metal beads were implanted midsagittally into the discs of ten L4-5 human lumbar motion segments. The intradiscal bead displacements in response to compression, flexion, and extension loads were obtained by digitizing the bead positions from sagittal plane radiographs taken before and during the load application. Each disc was denucleated and the loading process was repeated. For the intact discs, in compression, the intradiscal bead displacements were predominantly anter… Show more

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Cited by 134 publications
(71 citation statements)
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“…The interactions included in this model do not include interactions between adjacent lamellae, which are an important part of annulus fibrosus damage and degeneration. [34][35][36][37][38] Also, the contributions of the interaction terms to axial direction stress were counteracted by a negative contribution from fiber stretch. The negative contribution from fiber stretch in the axial loading direction may be attributed to the Poisson's ratio effect, where negative transverse strains (in the x 1 direction, Fig.…”
Section: Discussionmentioning
confidence: 99%
“…The interactions included in this model do not include interactions between adjacent lamellae, which are an important part of annulus fibrosus damage and degeneration. [34][35][36][37][38] Also, the contributions of the interaction terms to axial direction stress were counteracted by a negative contribution from fiber stretch. The negative contribution from fiber stretch in the axial loading direction may be attributed to the Poisson's ratio effect, where negative transverse strains (in the x 1 direction, Fig.…”
Section: Discussionmentioning
confidence: 99%
“…Flexion would of course increase the displacement strains in the nucleus (as observed in previous investigations [29][30][31]) but these would certainly not approach the levels of strain shown to be achievable in the isolated nucleus [1,32]. Further, previous studies have shown that the annulus will fail at axial tensile strains of around 50-60 % [33,34], i.e.…”
Section: Discussionmentioning
confidence: 89%
“…Therefore, despite the fact that the one-dimensional steady-state creep behavior of isolated explants was similar to the discs within the motion segments, it is likely that the mechanism for load support and three-dimensional strain fields were some-what different. While onedimensional measurements of motion segment or disc deformation are commonly used in the literature it is well established that disc deformations occur in three-dimensions particularly for human spinal motion segments due to their 'kidney-bean' shape and substantial sagittal curvature (Brinckmann et al, 1983;Seroussi et al, 1989;Meakin and Hukins, 2000;Tsantrizos et al, 2004). …”
Section: Discussionmentioning
confidence: 99%