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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Clinical Biomechanic...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Clinical Biomechanics
Article . 2008 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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A new laser scanning technique for imaging intervertebral disc displacement and its application to modeling nucleotomy

Authors: Heuer, Frank; Schmidt, Hendrik; Claes, Lutz; Wilke, Hans-Joachim;

A new laser scanning technique for imaging intervertebral disc displacement and its application to modeling nucleotomy

Abstract

Nucleotomy is a standard procedure for treating disc prolapse. It can reduce intervertebral disc height, flattening and displacing the disc, which could lead to a painful narrowing of the foramina due to nerve root compression. The purpose of this study was to investigate the disc displacement of a complete spinal segment with and without nucleotomy. We hypothesized that a nucleotomy under a certain load combination might amplify disc displacement.A laser scanner was developed for recording three-dimensional disc displacement of six loaded L4-5 specimens for three conditions: intact, disc with vertebral bodies and subsequent nucleotomy. Specimens were exposed to pure moments of 7.5 N m in the three principal anatomical directions. Disc displacement was obtained at maximal deflection. A finite element model was validated and subsequently utilized to determine disc displacement. The task of the finite element model was to provide supplemental data for the posterolateral region, which could not be measured from intact specimens.Disc displacement measurements of intact specimens were limited to the anterior part of discs, whereas the finite element model was able to provide the missing data of the dorsal disc region. The simulation of load combinations showed that the highest disc displacement was 1.9 mm at the lateral or posterolateral region. The nucleotomy increased the disc displacement up to 2.1mm, whereas the displacement zenith migrated posterolaterally.These results could be a possible explanation for disadvantages of nucleotomy as a treatment. With the methodology presented here, we would be able to assess the performance of nucleus implants by determining the disc displacement map. This could also give us appropriate information of the annular deformation, which is needed for the development of motion preserving implants.

Keywords

Combined loading, Disc bulging, Lasers, Finite element analysis, Reproducibility of Results, In Vitro Techniques, Middle Aged, Models, Biological, Sensitivity and Specificity, Laser scanner, Lumbar spine, Imaging, Three-Dimensional, Surgery, Computer-Assisted, Soft tissue deformation, Validation, Image Interpretation, Computer-Assisted, Humans, Computer Simulation, Diskectomy, Percutaneous, Intervertebral Disc, Intervertebral Disc Displacement

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    citations
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    27
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
27
Top 10%
Top 10%
Top 10%
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