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      Annulus fibrosus functional extrafibrillar and fibrous mechanical behaviour: experimental and computational characterisation

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          Abstract

          The development of current surgical treatments for intervertebral disc damage could benefit from virtual environment accounting for population variations. For such models to be reliable, a relevant description of the mechanical properties of the different tissues and their role in the functional mechanics of the disc is of major importance. The aims of this work were first to assess the physiological hoop strain in the annulus fibrosus in fresh conditions ( n = 5) in order to extract a functional behaviour of the extrafibrillar matrix; then to reverse-engineer the annulus fibrosus fibrillar behaviour ( n = 6). This was achieved by performing both direct and global controlled calibration of material parameters, accounting for the whole process of experimental design and in silico model methodology. Direct-controlled models are specimen-specific models representing controlled experimental conditions that can be replicated and directly comparing measurements. Validation was performed on another six specimens and a sensitivity study was performed. Hoop strains were measured as 17 ± 3% after 10 min relaxation and 21 ± 4% after 20–25 min relaxation, with no significant difference between the two measurements. The extrafibrillar matrix functional moduli were measured as 1.5 ± 0.7 MPa. Fibre-related material parameters showed large variability, with a variance above 0.28. Direct-controlled calibration and validation provides confidence that the model development methodology can capture the measurable variation within the population of tested specimens.

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          Most cited references21

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          Single lamellar mechanics of the human lumbar anulus fibrosus.

          The mechanical behavior of the entire anulus fibrosus is determined essentially by the tensile properties of its lamellae, their fiber orientations, and the regional variation of these quantities. Corresponding data are rare in the literature. The paper deals with an in vitro study of single lamellar anulus lamellae and aims to determine (i) their tensile response and regional variation, and (ii) the orientation of lamellar collagen fibers and their regional variation. Fresh human body-disc-body units (L1-L2, n=11) from cadavers were cut midsagittally producing two hemidisc units. One hemidisc was used for the preparation of single lamellar anulus specimens for tensile testing, while the other one was used for the investigation of the lamellar fiber orientation. Single lamellar anulus specimens with adjacent bone fragments were isolated from four anatomical regions: superficial and deep lamellae (3.9+/-0.21 mm, mean +/- SD, apart from the outer boundary surface of the anulus fibrosus) at ventro-lateral and dorsal positions. The specimens underwent cyclic uniaxial tensile tests at three different strain rates in 0.15 mol/l NaCl solution at 37 degrees C, whereby the lamellar fiber direction was aligned with the load axis. For the characterization of the tensile behavior three moduli were calculated: E(low) (0-0.1 MPa), E(medium) (0.1-0.5 MPa) and E(high) (0.5-1 MPa). Additionally, specimens were tested with the load axis transverse to the fiber direction. From the second hemidisc fiber angles with respect to the horizontal plane were determined photogrammetrically from images taken at six circumferential positions from ventral to dorsal and at three depth levels. Tensile moduli along the fiber direction were in the range of 28-78 MPa (regional mean values). Superficial lamellae have larger E(medium) (p=0.017) and E(high) (p=0.012) than internal lamellae, and the mean value of superficial lamellae is about three times higher than that of deep lamellae. Tensile moduli of ventro-lateral lamellae do not differ significantly from the tensile moduli of dorsal lamellae, and E(low) is generally indifferent with respect to the anatomical region. Tensile moduli transverse to the fiber direction were about two orders of magnitude smaller (0.22+/-0.2 MPa, mean +/- SD, n=5). Tensile properties are not correlated significantly with donor age. Only small viscoelastic effects were observed. The regional variation of lamellar fiber angle phi is described appropriately by a regression line |phi|=23.2 + 0.130 x alpha (r(2)=0.55, p<0.001), where alpha is the polar angle associated with the circumferential position. The single anulus lamella may be seen as the elementary structural unit of the anulus fibrosus, and exhibits marked anisotropy and distinct regional variation of tensile properties and fiber angles. These features must be considered for appropriate physical and numerical modeling of the anulus fibrosus.
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            Finite element analysis of the spine: towards a framework of verification, validation and sensitivity analysis.

            A number of papers have recently emphasised the importance of verification, validation and sensitivity testing in computational studies within the field of biomechanical engineering. This review examines the methods used in the development of spinal finite element models with a view to a standardised framework of verification, validation and sensitivity analysis. The scope of this paper is restricted to models of the vertebra, the intervertebral disc and short spinal segments. In the case of single vertebral models, specimen-specific methods have been developed, which allow direct validation against experimental tests. The focus of intervertebral disc modelling has been on representing the complex material properties and further sensitivity testing is required to fully understand the relative roles of these input parameters. In order to construct complex multi-component short segment models, many geometric and material parameters are required, some of which are yet to be fully characterised. There are also major challenges in terms of short segment model validation. Throughout the review, areas of good practise are highlighted and recommendations for future development are proposed, taking a step towards more robust spinal modelling procedures, promoting acceptance from the wider biomechanics community.
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              Height and torsional stiffness are most sensitive to annular injury in large animal intervertebral discs.

              Acute annulus fibrosus injury has been identified as a contributing factor to intervertebral disc (IVD) degeneration. Injuries as small as those resulting from needle injection result in localized mechanical disruption via fiber breakage, but it is unknown whether these injuries initiate degeneration locally or through changes in the mechanical behavior of the entire disc. However, in vitro biomechanical studies of injury are limited to a single type of injury or measurements in only one or two degrees of freedom.
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                Author and article information

                Journal
                R Soc Open Sci
                R Soc Open Sci
                RSOS
                royopensci
                Royal Society Open Science
                The Royal Society Publishing
                2054-5703
                August 2017
                23 August 2017
                23 August 2017
                : 4
                : 8
                : 170807
                Affiliations
                [1 ]Institute of Medical and Biological Engineering, School of Mechanical Engineering, University of Leeds , Leeds, UK
                [2 ]Department of Kinesiology and Physical Education, Wilfrid Laurier University , Waterloo, Ontario, Canada
                Author notes
                Author for correspondence: Marlène Mengoni e-mail: m.mengoni@ 123456leeds.ac.uk
                Author information
                http://orcid.org/0000-0003-0986-2769
                Article
                rsos170807
                10.1098/rsos.170807
                5579130
                28879014
                7d2b9c82-df0d-4a36-86cd-1b7b46e59092
                © 2017 The Authors.

                Published by the Royal Society under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/, which permits unrestricted use, provided the original author and source are credited.

                History
                : 29 June 2017
                : 20 July 2017
                Funding
                Funded by: European Research Council;
                Award ID: StG-2012-306615
                Funded by: Engineering and Physical Sciences Research Council, http://dx.doi.org/10.13039/501100000266;
                Award ID: EP/K020757/1
                Categories
                1004
                26
                25
                1003
                47
                Engineering
                Research Article
                Custom metadata
                August, 2017

                intervertebral disc,annulus fibrosus,pre-strain,reverse engineering,direct-controlled calibration

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