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Level-dependent coronal and axial moment-rotation corridors of degeneration-free cervical spines in lateral flexion
The Journal of bone and joint surgery.American volume
Short Title: J.Bone Joint Surg.Am.
Format: Journal Article
Publication Date: Nov 30, 2006
Pages: 1066 - 1074
Sources ID: 32116
Notes: LR: 20160512; JID: 0014030; 2007/05/03 09:00 [pubmed]; 2007/06/21 09:00 [medline]; 2007/05/03 09:00 [entrez]; ppublish
Visibility: Public (group default)
Abstract: (Show)
BACKGROUND: Aging, trauma, or degeneration can affect intervertebral kinematics. While in vivo studies can determine motions, moments are not easily quantified. Previous in vitro studies on the cervical spine have largely used specimens from older individuals with varying levels of degeneration and have shown that moment-rotation responses under lateral bending do not vary significantly by spinal level. The objective of the present in vitro biomechanical study was, therefore, to determine the coronal and axial moment-rotation responses of degeneration-free, normal, intact human cadaveric cervicothoracic spinal columns under the lateral bending mode. METHODS: Nine human cadaveric cervical columns from C2 to T1 were fixed at both ends. The donors had ranged from twenty-three to forty-four years old (mean, thirty-four years) at the time of death. Retroreflective targets were inserted into each vertebra to obtain rotational kinematics in the coronal and axial planes. The specimens were subjected to pure lateral bending moment with use of established techniques. The range-of-motion and neutral zone metrics for the coronal and axial rotation components were determined at each level of the spinal column and were evaluated statistically. RESULTS: Statistical analysis indicated that the two metrics were level-dependent (p 0.95). CONCLUSIONS: Range-of-motion metrics compared favorably with those of in vivo investigations. Coronal and axial motions of degeneration-free cervical spinal columns under lateral bending showed substantially different level-dependent responses. The presentation of moment-rotation corridors for both metrics forms a normative dataset for the degeneration-free cervical spines.