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ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

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The aim of the present study was twofold. Firstly, to develop a parameterized FE model of the<br />

human IVD that can be used to simulate the influence of different IVD geometries on the<br />

mechanical response of the discs. Secondly, to use this model to identify a window of<br />

mechanical properties that candidate implant materials would have to fit into to, to regenerate<br />

a range of motion after implantation comparable to the in-vivo conditions for healthy discs.<br />

3. MATERIALS AND METHODS<br />

A pair of L4-L5 vertebrae from a bone bank was used to define generic disc shapes; this level<br />

in the spine is prone to suffer from DDD. The vertebrae were modeled as rigid structures and<br />

the facet joints were simplified by two parallel plain surfaces that represent the cartilage<br />

layers. The shape of the disc in the disc plane was defined by eight landmarks that were<br />

interpolated by spline curves which allowed for a parameterization of the disc shape. The<br />

lordotic angle, disc height, endplate shape and disc bulge were also parameterized. The ratio<br />

of nucleus area vs. disc area (0.43) was defined according to literature [2]. The model was<br />

symmetric about the sagittal plane. The gap between the plane cartilage surfaces (0.5 mm),<br />

which represent the facet joints, was defined according to Zander et al. [3]. A<br />

parameterization of the disc mesh was coded in Python (Release 2.5.4) and implemented in<br />

ABAQUS vers. 6.11. The annulus was meshed with 8-node hybrid elements (C3D8H) but the<br />

nucleus was meshed with fluid elements (F3D4) to build a fluid cavity. The implementation<br />

of an-isotropic annulus fiber orientation was taken from the literature [4] and is alternating in<br />

each annulus layer. Ligaments were modeled with connector elements. The influence of<br />

individual muscle forces was ignored. All loads were applied through a reference point in the<br />

superior vertebra. The model was supported at the inferior disc level. FE mesh convergence<br />

was investigated by monitoring a selected range of motion parameters. The FE model results<br />

were found to be only weakly mesh dependent. The resulting FE model is illustrated in fig. 1.<br />

Fig.1. Left: A Parameterized FE model of a L4-L5 intervertebral disc. Right: The nine<br />

different vertebrae geometries investigated in this study. The vertebra body size was varied<br />

from -1.5 to +1.5 standard deviations (SD) from the average geometry reported by Panjabi et<br />

al. [5]. The disc height and lordotic angle were varied from -1.0 to +1.5 standard deviations<br />

from the average of the values reported by Abuzayed et al. [6].<br />

The annulus matrix was assumed to follow a Neo-Hookean material behavior in accordance<br />

with the study of Rohlmann et al. [7], with: C10 = 0.3448 and D1 = 0.3. The fiber<br />

reinforcement was defined in accordance with the study of Markert et al. [8], with the<br />

coefficient μ = 0.1073 and = 25.8129 taken from the study of Studer et al. [9]. The material<br />

behavior was implemented as a user subroutine (UMAT) in ABAQUS. The material<br />

properties of the cartilage (E = 10 MPa, Poisson ratio = 0.4) were defined in accordance with

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