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Three-dimensional analysis on the biomechanical instability of the human lumbar spine. - Experimental and clinical investigation

Research Project

Project/Area Number 03670692
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Orthopaedic surgery
Research InstitutionHokkaido University

Principal Investigator

SATOH Shigenobu (1992-1993)  Hokkaido University Hospital, Lecture, 医学部・附属病院, 講師 (40142723)

山元 功 (1991)  北海道大学, 医学部, 助手 (20200785)

Co-Investigator(Kenkyū-buntansha) TAKEDA Naoki  Hokkaido University Hospital, instructor, 医学部・附属病院, 助手 (80227032)
KANEDA Kiyoshi  Hokkaido University School of Medicin, Professor, 医学部, 教授 (60000957)
Project Period (FY) 1991 – 1993
Project Status Completed (Fiscal Year 1993)
Budget Amount *help
¥2,300,000 (Direct Cost: ¥2,300,000)
Fiscal Year 1993: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 1992: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1991: ¥1,000,000 (Direct Cost: ¥1,000,000)
KeywordsBiomechanics / Instability / Lumbar spine / バイオメカニクス / 全腰椎 / 不安定 / 三次元動態解析 / 生体力学的不安定性
Research Abstract

[Introduction] The instability of the lumbar spine has not been defined clearly in experimental and clinical studies. Panjabi firstly described the neutral zone (NZ) as the indicator of the instability of the spine. In this study the sequential injuries were produced by removal of the components of the lumbosacral junction step by step and the 3 D movements of these unstable conditions were measured for the purpose of investigating the index of the biomechanical instability especially focused on the NZ.The biomechanical roles of each component of the lumbosacral junction were also investigated.
[Method] Ten fresh frozen cadaveric whole lumbar and lumbosacral specimens with natural lumbar lordosis and lumbosacral inclination were used. Six pure moments were applied to the top of the specimen ; flexion, extension, bilateral axial rotations and lateral bendings, The load-displacement curve was determined including the following three parameters ; neutral zone (NZ), elastic zone (EZ) and range of motion (ROM). The experiment was repeated in the following conditions ; (A) intact specimens, (B) posterior ligaments and facet capsules transected, (C) disc injury, (D) bilateral facetectomies. The data analysis was done in this sutdy. [Results] The ratios of NZ in ROM became bigger in the sequential lumbosacral injuries. The more instable the model became, the bigger the ratio of NZ in ROM became. In the sequential injury models the ratio of NZ in ROM was proven to be the indicator of the severity of the instability. The disc injury produced the most unstable conditions in most of the movements. The total facetectomies produced the most unstable condition in rotational movement.

Report

(4 results)
  • 1993 Annual Research Report   Final Research Report Summary
  • 1992 Annual Research Report
  • 1991 Annual Research Report
  • Research Products

    (20 results)

All Other

All Publications (20 results)

  • [Publications] 山元 功: "腰仙椎部構成体の損傷後における生体力学的不安定性" 日本整形外科学会誌. 65. 1773 (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] 山元 功: "腰仙椎部外傷後における生体力学的不安定性の三次元的評価" 整形外科バイオメカニクス研究会誌. 13. 39 (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] 山元 功: "ヒト腰仙椎不安定性モデルにおけるPedicle Screw Systemの固定性に関する研究" 日本脊椎外科学会誌. 2. 117 (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Isao Yamamoto: "Biomechanical stability of five pedicle screw fixation systems in a human isthmic spondylolisthesis model." Orhtopaedic Transaction. 15. 371-372 (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Isao Yamamoto: "Three dimensional evaluation of the biomechanical instability of the sequential lumbosacral injuries." Orthopaedic Transaction. 17. 327 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Isao Yamamoto: "The biomechanical characteristics of the human sacro-iliac joint." Orthopaedic Transaction. 17. 326 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Isao Yamamoto: "Biomechanics in orthopedics" Springer-Verlag, 325 (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Isao Yamamoto: "Biomechanical instability of the lumbosacral junction after the sequential lumbosacral injuries" The Journal of the Japanese Orthopaedic Association. 65. 1173 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Isao Yamamoto: "Three dimensional evaluation of the biomechamical instability after the injuries of the lumbosacral junction" The Journal of the Orthopedic Biomechanics Association. 13. 39 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Isao Yamamoto: "Biomechanical stability of transpedicular screw systems in unstable lumbosacral models of human cadeveric spines" The Journal of the Japan Spine Research Society. 2. 117 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Isao Yamamoto: "Biomechanical stability of five pedicle screw fixation systems in a human isthmic spondylolisthesis model" Orthopaedic Transaction. 15. 371-372 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Isao Yamamoto: "Three-Dimensional Kinematic Analysis of the Human Whole Lumbar Spine and Natural Lumbosacral Spondylolysis." Biomechamics in orthopedics, Springer-Verlag. 194-203 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Isao Yamamoto: "Three dimensional evaluation of the biomechanical instability of the sequential lumbosacral injuries." Orthopaedic transaction. 17. 327 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Isao Yamamoto: "The biomechanical characteristics of the human sacro-iliac joint." Orthopaedic Transaction. 17. 326 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] J.J.Crisco: "Euler stability of the human ligamentous lumar spine Part II:Experiment" Clinical Biomechanics. 7. 27-32 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] T.R.Oxland: "The effect of injury on rotational coupling at the lumbosacral joint.A biomechanical Investigation." Spine. 17. 74-80 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] Isao Yamamoto (共著): "Biomechanics in Orthopaedics." Springer-Verlag, 325 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] 山元 功: "第5腰椎分離症の三次元動態解析" 整形外科バイオメカニクス. 12. 193-195 (1990)

    • Related Report
      1991 Annual Research Report
  • [Publications] 山元 功: "腰椎姿勢の全腰椎動態に及ぼす影響" 整形外科バイオメカニクス. 12. 197-200 (1990)

    • Related Report
      1991 Annual Research Report
  • [Publications] 山元 功: "腰椎固定術の固定隣接椎間に及ぼす影響" 整形外科バイオメカニクス. 12. 149-152 (1990)

    • Related Report
      1991 Annual Research Report

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Published: 1991-04-01   Modified: 2016-04-21  

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