Abstract

Degenerative diseases of the spine can lead to or hasten the onset of additional spinal problems that significantly reduce human mobility. The spine consists of vertebral bodies and intervertebral discs. The most degraded are intervertebral discs. The vertebral body consists of a shell (cortical bone tissue) and an internal content (cancellous bone tissue). The intervertebral disc is a complex structural element of the spine, consisting of the nucleus pulposus, annulus fibrosus, and cartilaginous plates. To develop numerical models for the vertebral body and intervertebral disc, first, it is necessary to verify and validate the models for the constituent elements of the lumbar spine. This paper, for the first time, presents discrete elements-based numerical models for the constituent parts of the lumbar spine, and their verification and validation. The models are validated using uniaxial compression experiments available in the literature. The model predictions are in good qualitative and quantitative agreement with the data of those experiments. The loading rate sensitivity analysis revealed that fluid-saturated porous materials are highly sensitive to loading rate: a 1000-fold increase in rate leads to the increase in effective stiffness of 130 % for the intervertebral disc, and a 250-fold increase in rate leads to the increase in effective stiffness of 50 % for the vertebral body. The developed model components can be used to create an L4-L5 segment model, which, in the future, will allow investigating the mechanical behavior of the spine under different types of loading.

Highlights

  • The problem of treatment of patients with degenerative-dystrophic lesions in the lumbar spine still remains unsolved

  • To describe the mechanical behavior of biological tissues, we used the model of a poroelastic body implemented in the method of movable cellular automata (MCA) (Psakhie et al, 2001), (Shilko et al, 2015), which is an efficient method of computational particle mechanics

  • In the MCA method, a solid is considered as an ensemble of discrete elements of finite size that interact with each other according to certain rules, which, within the particle approach and due to many-body interaction forces, describe the deformation behavior of the material as an isotropic elastoplastic body

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Summary

Introduction

The problem of treatment of patients with degenerative-dystrophic lesions in the lumbar spine still remains unsolved. The intervertebral disc undergoes the greatest degenerative changes, which requires replacement with an artificial element. The structure of intervertebral disc is rather complex that ensures the redistribution of stresses in the vertebral body (Nikkhoo et al, 2018). Degenerative-dystrophic changes in the lumbar spine significantly affect the spine mobility. The parts of the spine in the lumbar region (L3-S1) are subject to the greatest damage. Ex-vivo studies focus mainly on histological data and the results of magnetic resonance imaging, radiography, which determine degenerative-dystrophic changes in the structure of vertebral body, intervertebral discs (Lao et al, 2015), (Kaya Ayvaz et al, 2021), Journal homepage: https://www.frontpres.rabek.org

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