Load displacement behavior of the human Lumbo‐sacral joint

The three‐dimensional load displacement behavior of nine fresh adult L5‐S1 spine motion segments was studied. Static test forces up to 160 N in anterior, posterior, and lateral shear, test forces up to 320 N in compression, and test moments up to 15.7 Nm in flexion, extension, lateral bending, and torsion were used. The six displacements of the center of the inferior L5 endplate were measured 15 and 60 s after the load was applied. Specimens were then retested after posterior element excision. The results show that at the maximum test force, intact specimen mean (sd) displacements ranged from 1.65 mm (0.63 mm) in lateral shear to 2.21 mm (0.87 mm) in posterior shear. Posterior element excision resulted in an average 1.66‐fold increase in shear translations. At the maximum moment, rotations ranged from 3.38° (1.03°) in torsion to 7.19° (1.77°) in flexion. Posterior element excision resulted in an average 2.09‐fold increase in bending rotations and a 2.74‐fold increase in the average torsional rotation. In general, these L5‐S1 joints were stiffer than more cranial lumbar segments in flexion, extension, and lateral bending and were less stiff in torsion tests.

[1]  T. Beeker,et al.  Recordings of the Movement at the Intervertebral Segment L5-S1: A Technique for the Determination of the Movement in the L5-S1 Spinal Segment by Using Three Specified Postural Positions , 1984, Spine.

[2]  E. Spangfort,et al.  The lumbar disc herniation. A computer-aided analysis of 2,504 operations. , 1972, Acta orthopaedica Scandinavica. Supplementum.

[3]  A. Nachemson,et al.  Lumbar intradiscal pressure. Experimental studies on post-mortem material. , 1960, Acta orthopaedica Scandinavica. Supplementum.

[4]  M M Panjabi,et al.  Effects of preload on load displacement curves of the lumbar spine. , 1977, The Orthopedic clinics of North America.

[5]  JohnR. Salaman,et al.  LINOLEIC ACID AS AN IMMUNOSUPPRESSIVE AGENT , 1975, The Lancet.

[6]  Malcolm D. Jones The Human Spine in Health and Disease , 1972 .

[7]  A. Schultz,et al.  Mechanical Properties of Human Lumbar Spine Motion Segments—Part I: Responses in Flexion, Extension, Lateral Bending, and Torsion , 1979 .

[8]  H. Junghanns,et al.  The human spine in health and disease , 1971 .

[9]  R J HALEN,et al.  Low-back pain in industry. , 1962, Minnesota medicine.

[10]  M M Panjabi,et al.  Three‐dimensional load‐displacement curves due to froces on the cervical spine , 1986, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[11]  M. Pearcy,et al.  Axial rotation and lateral bending in the normal lumbar spine measured by three-dimensional radiography. , 1984, Spine.

[12]  J D TROUP,et al.  RELATION OF LUMBAR SPINE DISORDERS TO HEAVY MANUAL WORK AND LIFTING. , 1965, Lancet.

[13]  M. Adams,et al.  The effect of fatigue on the lumbar intervertebral disc. , 1983, The Journal of bone and joint surgery. British volume.

[14]  Y K Liu,et al.  The resistance of the lumbar spine to direct shear. , 1975, The Orthopedic clinics of North America.

[15]  A. Schultz,et al.  Mechanical Properties of Human Lumbar Spine Motion Segments: Influences of Age, Sex, Disc Level, and Degeneration , 1979, Spine.

[16]  A B Schultz,et al.  Mechanical properties of lumbar spine motion segments under large loads. , 1986, Journal of biomechanics.

[17]  L. Wiltse,et al.  Terminology and measurement of spondylolisthesis. , 1983, The Journal of bone and joint surgery. American volume.

[18]  J. S. Lawrence,et al.  The epidemiology of low back pain , 1987 .

[19]  W C Hutton,et al.  The Effect of Posture on the Fluid Content of Lumbar Intervertebral Discs , 1983, Spine.

[20]  William C. Hutton,et al.  Is Spondylolysis a Fatigue Fracture? , 1977 .

[21]  W C Hayes,et al.  A Biomechanical Analysis of the Clinical Stability of the Lumbar and Lumbosacral Spine , 1982, Spine.

[22]  Y. K. Liu,et al.  Mechanical response of the lumbar intervertebral joint under physiological (complex) loading. , 1978, The Journal of bone and joint surgery. American volume.

[23]  A. Nachemson The Load on Lumbar Disks in Different Positions of the Body , 1966, Clinical orthopaedics and related research.

[24]  K. Markolf Deformation of the thoracolumbar intervertebral joints in response to external loads: a biomechanical study using autopsy material. , 1972, The Journal of bone and joint surgery. American volume.

[25]  Albert B. Schultz,et al.  Mechanical Properties of Human Lumbar Spine Motion Segments—Part II: Responses in Compression and Shear; Influence of Gross Morphology , 1979 .

[26]  M. Pearcy,et al.  Three-Dimensional X-ray Analysis of Normal Movement in the Lumbar Spine , 1984, Spine.

[27]  J. King,et al.  Mechanical Disorders of the Low Back , 1975 .

[28]  M. Panjabi,et al.  Effects of Disc Injury on Mechanical Behavior of the Human Spine , 1984, Spine.

[29]  J. Ringer Low Back Pain in Industry , 1976, Occupational health nursing.

[30]  A. Schultz,et al.  Lumbar Disc Degeneration: Correlation with Age, Sex, and Spine Level in 600 Autopsy Specimens , 1988, Spine.

[31]  A Schultz,et al.  Use of lumbar trunk muscles in isometric performance of mechanically complex standing tasks , 1983, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.