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ELSEVIER
Abstract
The prediction of the time dependent response of the spine to dynamic loading conditions is essential in understanding
the injury mechanisms leading to occupationally related low back disorders (OLBD). Many previous finite element (FE)
models of the lumbar spine have over-simplified the geometry and the material properties of their elements, yielding results
limited generalizability. This study reports on the development and validation of a nonlinear viscoelastic FE model that can
quantify the mechanical responses of the L2/L3 motion segment to time varying external loads. This model was developed
by consideration of the intrinsic material properties of its individual constituents. A piecewise parameter identification
method was adopted due to the inherent complexity in determining the role and contribution of each element to the overall
behavior of the motion segment. The results of simulation of four loading conditions (quasistatic, constant loading rate,
creep and cyclic relaxation) showed a satisfactory agreement with experimental observations in the literature. The detailed
estimates of the state of stress/strain of this validated FE model can be used to test the role of epidemiological risk factors
such as prolonged awkward posture, speed of lift (strain rate effect) and complex repetitive loading in OLBD. 1997
Elsevier Science Ltd.
Keywords: Lumbar spine; Motion segment; Finite element model; Viscoelasticity; Injury mechanism; Low back pain
1. I n t r o d u c t i o n
As many as 85% of adults experience back pain
that interferes with their work or recreational activity
and up to 25% of the people between the ages of
82
J.L. Wang et al. / Theoretical and Applied Fracture Mechanics 28 (1997) 81-93
J.L. Wang et al. / Theoretical and Applied Fracture Mechanics 28 (1997) 81-93
83
2. M e t h o d
The geometry of the FE model is based on the
direct measurement of an L 2 - L 3 motion segment
[22]. The functional unit of spine, also called a
0, c
Anulus fibrosus
nucleus pulposus
Fig. 1. The finite element mesh of the L2-L3 motion segment. Only the vertebral bodies, disc and spinous processes are shown here. The
isolated eriss-cross sa'uctured anulus fibers and ligaments are not plotted for clarity. The anulus fiber, anulus matrix, nucleus pulposus and
ligaments are simulated as viscoelastic materials where the rest of the elements are elactic.
84
Table 1
The optimized material properties and element types of the L 2 / L 3 motion segment
element type
Poisson ratio
Cortical bone [ 4 9 - 5 2 ]
Cancellous bone [53,54]
Inferior prOcess [24]
Superior process [24]
Endplate [24]
Facet articulation [24]
3-D
3-D
3-D
3-D
3-D
3-D
12000
100
3500
7000
24
0.30
0.20
0.25
0.25
0.40
No. element
48
176
32
30
40
38
nonlinear
nonlinear
nonlinear
nonlinear
spring
dashpot
spring
dashpot
100
50
960
480
Prony Series
relaxation of
shear
bulk
time (s)
gj = 0.3991
k I = 0.3991
r I = 3.45
g2
g3
g4
gl
g2
g3
g4
g5
k 2 = 0.300
k 3 = 0.149
k 4 = 0.150
kI = 0
k2 = 0
k3 = 0
k4 = 0
k5 =0.8
~'2 =
r3=
74 =
rI=
z2 =
"r3 =
z4 =
r5 =
=
=
=
=
=
=
=
=
0.0000
0.3605
0.1082
0.6375
0.1558
0.1202
0.0383
0
100
1000
5000
0.141
2.21
39.9
266
500
60
108
2122
4349
11166
J.L. Wang et al. / Theoretical and Applied Fracture Mechanics28 (1997) 81-93
Table 2
The experimentsused for determining the viscoelasticmaterial properties
Materials
Loading
Specimen
Anulus fiber
CSR
RTT
Anulus matrix
CSR
MS
creep
AM
Nucleus pulposus
shear
NP
creep
MS (IDP)
Ligaments
CSR
ALL
Viscoelastic model
Zener model
Prony, short-term
Prony, long-term
Prony, short-term(shear)
Prony, long-term(bulk)
Zener model
85
Exp. data
[26,24]
[32]
[33]
[34]
[35]
[36,37]
CSR: constant strain rate, RTr: rat tail tendon, MS: motion segment, AM: anulus matrix, NP: nucleus pulposus, IDP: intmdiscal pressure.
ALL: anterior longitudinal ligament.
lated fibers, long term stiffness modulus of the anulus matrix (AM), shear modulus of the NP, and
temporal response of spinal ligaments. Since the
material properties were not available for all individual components, the overall behavior of the motion
segment (body-disc-body unit) was also used in this
process. An iterative method was used to obtain an
'optimized set' of material properties that satisfy the
viscoelastic behavior of the motion segment across
the available (and often incomplete) experimental
data. The overall optimized material properties are
listed in Table 1 and the experiments used for obtaining the material properties are listed in Table 2.
=1Go
&
2~gi(1-e
i- l
-t/',)
(1)
86
(a)
Theorsticul
md Applied
Fracture
Mechanics
-~
0.25
I
0.2
I
,. 1_
28 (1997) 81-93
3%lsec.
O.B%lsec.
+
0
O.O3%/sec.
------Optimized
Curves
Strain
(%)
I
20 1
;:
b
E
!I
;;
r331
- - FEM Optimized
15t
(r-sq=99.92%)
10 i-
i
5 -
Time (seconds)
Fig. 2. The material parameters of the anulus matrix. (a) The short-term response: A set of experiments [32] using thirty cycles of loading
was conducted at different strain rates (3, 0.3, & O.O03%/second).
Only one ascending cycle of one motion segment are shown here. The
average of the short term constants of eight motion segments are: g, = 0.3991, T, = 3.45 seconds. (b) The long-term response of the anulus
matrix subjected to constant compression load. The experiment 1331 was conducted in compression within a confmed space to find the
resistance of AF. Hence, the result represent the mechanical properties of the AM rather than the AFib. The same boundary and loading
conditions were simulated by FE model and its prediction indicated a very strong fit to the experimental results (Rz = 99.2%).
87
L9
=
0.8 ~
-g"5
0.6
E
r"
.o
0.4
0.2
0,.
. . . . . . . . . . . . . . . . . .
10-2
10-1
100
101
10 2
10 3
Time (second)
Fig. 3. The best fit of reduced shear relaxation function for the nucleuspulposususingseries based on experimental data [34].
88
J.L. Wang et al, / Theoretical and Applied Fracture Mechanics 28 (1997) 81-93
3. M o d e l v a l i d a t i o n
The behavior of the full motion segment is complex and required careful validation using a diverse
2O
500~
E
Z
r- 10
E
o
=E
2001
5
r!
xO Flexion
Extension
Lateral Bending
Axial Rotation
5
Rotation (deg.)
1 0 0 ~
10
(a) Deformation
14 . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
Rotation (deg.)
-~t0
~'2.5
10
=E
eL
u.
4!
2
5
10
Rotation (deg.)
(c) Maximum Anulus Fiber Strain
o ~
0.5
i
2000
4000
Force (N)
(d) Disk Pressure at
Pure Compression
Fig. 4. The responses of the full L 2 - L 3 viscoelastic FE model during pure flexion, extension, lateral bending and rotation moments up to 20
Nm, and a pure compression up to 4000 N. The maximum Ioadings were attained within 30 seconds (to match the experimental procedure).
The responses are well within the results from the previously reported elastic model [39] that have been validated extensively with the
experimental results in the literature.
89
Table 4
The comparison of mechanical responses of the elasto-static FE model [38] and the current viscoelastic model (30 s loading duration) during
pure loading of the full L2-L3 motion segment
Loading
condition
Deformation (o)
at 20 Nm
Flexion [38]
Current model
7.2
8.3
12
87
2.7
2.5
Extension [38]
Current model
6.4
5.9
332
422
3.9
3.7
8.3
8.6
25
49
4.2
6.1
2.6
4.4
215
266
7.0
7.0
to
25
x
+
O
---. 0 1 5 I- - '
,
2 I
0.05 ]
0
3%lsec.
'
0.3%lsec.
0 03%lsec
Exp. Data [32]
ABAQUS simulation
~'~
_~ ' ~ ~ o -
.
0.5
~- ~x"
-;
.
1.5
S t r a i n (%)
Fig. 5. The comparison of short term responseof the viscoelastic FE model and the averaged experimental results of eight motion segments
[32]. The loading rates arc 3, 0.3, 0.03%/second.
90
J.L. Wang et al. / Theoretical and Applied Fracture Mechanics 28 (1997 ~81-93
4 :3 5j" |
ABAQUSsimulation
Averaged
.,~
Standard
......
results [32]
deviation
"
2.5
0"51 .....
0
500
..........................................................
1000
t 500
2000
2500
3000
3500
Time (sec.)
Fig. 6. The comparison of long term creep response of the averaged experimental results of eight motion segments [32] and the FE model
simulation. The instantaneous strain is subtracted to allow ensemble averaging of creep responses.
Table 5
The comparison of mechanical responses from the experiments
with the predictions of the standard linear solid (SLS) model [9]
and current FE model during cyclic stress relaxation. Eight lumbar
spine motion segment were tested in the experiment
Frequency (Hz)
Experiment
SLS
FEM
0.590
0.219
0.082
Stiffness (MN/m)
0.01
1.62 (SD 0.31)
0.10
2.23 (SD 0.45)
1.00
2.42 (SD 0.51)
NA
NA
NA
1.21
1.70
1.86
Modulus (MPa)
0.01
0.10
1.00
5.0
NA
5.4
9.74
13.64
14.89
0.18
0.16
0.048
energy) obtained from the FE simulations were compared with the experimental observations including
the results of the optimized lumped parameter model
(using standard linear solid, SLS) [9] in Table 5.
Assuming the difference in the mechanical responses
between levels of L 1 / L 2 and L 2 / L 3 motion segments can be neglected, the results of the FE model
provided a better match with the experimental data
than the optimized lumped model. The relative hysteresis energy loss showed the least agreement between the experiments and model predictions.
4. Discussion
Several assumptions and limitations are applicable
to the current model. First, it should be noted that the
ideal test for obtaining the short-term constants of
AM should be the loading of the AM alone, not the
body-disc-body motion segment (Fig. 2(a)). Since
the duration of loading was short and the range of
axial displacement was quite small (0.1 mm), the
resistance of the L 1 - L 2 specimens to deformation
could be largely attributed to the AM. The contribution of the AFib to resisting the deformations is
considered negligible due to the small deformation
of motion segment and small disc bulging. The
contribution of NP was also neglected due to its
smaller stiffness; therefore a larger stress will be
resisted by the AM than by the NP at the same
loading displacement.
Second, it is known that the mechanical behavior
of the disc during creep is greatly influenced by the
fluid movement in the AF and NP; hence the poroelastic model incorporating osmotic and swelling
pressures may be more appropriate to predict the
response [20]. However, there is the intrinsic viscoelastic behavior observed for the disc [41]. Therefore, the fluid flow may not be the only mechanism
to describe the creep and recovery behaviors [42].
Numerous studies have also demonstrated that soft
tissues subjected to repetitive loading showed creep
and stress relaxation behaviors because of their viscoelastic properties [6,7]. The present work simulated the loss of fluid in the disc by reducing its bulk
modulus. More comparative studies are needed to
delineate the full benefits and disadvantages of these
91
92
J.L. Wang et al. / Theoretical and Applied Fracture Mechanics 28 (1997) 81-93
Acknowledgements
Support was provided by the Bureau of Workers
Compensation, the Industrial Commission of Ohio,
Vestibular Development Fund and NIDRR, RERC
grant #H133E30009. The invaluable assistance of
Patrick Sparto, Professor Kamran Barin, Professor
William S. Marras and Professor Hans-Joachim
Wilke is greatly appreciated.
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[32]
[33]
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93