Effect of injury and orthotic support on the stability of the spine

A. Patwardhan, S. Li, T. Gavin, K. Meade, M. Lorenz
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Abstract

The effect of injury to the thoracolumbar spinal segment and the influence of orthotic support on the stability of the spine was studied using a finite-element model of the spine. The stability of an injured spine with and without orthotic support was evaluated in terms of the progression of translational and angular deformity at the injured segment when the spine was subjected to gravitational loads and flexion moment in the upright posture. Results indicate that a hyperextension orthosis improves the stability of the model spine whose ability to withstand gravitational and flexion loads was severely compromised due to injury at T12-L2 segment.<>
损伤及矫形支持对脊柱稳定性的影响
采用脊柱有限元模型研究了胸腰椎段损伤对脊柱稳定性的影响以及矫形支撑对脊柱稳定性的影响。当脊柱在直立姿势下受到重力载荷和屈曲力矩时,根据受伤节段的平移和角度畸形的进展来评估有和没有矫形支持的受伤脊柱的稳定性。结果表明,超伸展矫形器提高了模型脊柱的稳定性,模型脊柱承受重力和屈曲载荷的能力因T12-L2节段损伤而严重受损。
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