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Primary Creep Characterization in Porcine Lumbar Spine Subject to Repeated Loading
Concetta Morino1,2,3, Shea Middleton4, Joost Op't Eynde4
1Department of Mechanical Engineering and Materials Science, Duke University, Durham, NC, USA. concettamorino@gmail.com.
Annals of Biomedical Engineering
|July 1, 2024
Summary
Low back pain (LBP) risk increases with repeated flexion and compression. Understanding lumbar spine viscoelasticity, specifically primary creep, is key to predicting injury biomechanics and informing prevention strategies.
Area of Science:
- Biomechanics
- Orthopedics
- Spine Research
Background:
- Low back pain (LBP) is a prevalent global condition with often unknown injury causes.
- Lumbar spine injury risk is elevated by flexion and repeated compression, yet its complex viscoelastic behavior under such loading is poorly understood.
- Characterizing non-injurious primary creep is crucial for understanding the biomechanical response preceding lumbar spine injury.
Purpose of the Study:
- To characterize the primary creep behavior of the lumbar spine under repeated flexion-compression loading.
- To model the viscoelastic response of porcine lumbar spinal units using generalized Kelvin-Voigt and quasilinear viscoelastic (QLV) models.
- To determine biomechanical parameters including creep time constants, creep coefficients, and elastic constants.
Main Methods:
- Fifteen porcine lumbar spinal units were subjected to repeated flexion-compression loading, simulating high-speed watercraft occupant exposures.
- Strain response in the primary creep region was modeled using a generalized Kelvin-Voigt model.
- A quasilinear viscoelastic (QLV) approach was employed to differentiate time-dependent creep from stress-dependent elastic responses.
Main Results:
- The generalized Kelvin-Voigt and QLV models accurately represented the experimental data (average R² = 0.997).
- Optimized creep time constants of 24 s and 580 s contributed 20% ± 3% and 30% ± 3% to the overall strain, respectively.
- Non-transient and elastic behaviors accounted for 50% ± 0% and an average standard deviation of 24.5% strain, respectively.
Conclusions:
- The study successfully characterized primary creep in porcine lumbar spines under simulated occupational loading.
- These findings provide essential biomechanical data on the response preceding lumbar spine injury.
- The results can enhance lumbar injury prediction models and kinematic simulations for improved safety measures.
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