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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

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

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were modeled with identical geometry of the one used in the experimental validation<br />

tests and the steel was modeled as a linear elastic isotropic material (Young<br />

modulus=97.5GPa, Poisson ratio=0.3).<br />

Simulations were run using the commercial code ABAQUS/Standard 6.10 (Dassault<br />

Systèmes Ri. Simulia, USA) by imposing a vertical load of 2000 N to the S1 model<br />

(results at a more physiological load of 500N were also extrapolated) while S2 model<br />

was loaded as S1 with additional simulations imposing a 10Nm moment in flexion,<br />

extension and torsion. For each simulation, the location of the most critical points in the<br />

rods subjected to traction and the value of Von Mises stresses VM in those points have<br />

been extrapolated.<br />

3.2 Experimental validation<br />

In order to validate the numerical predictions for the two models above described, two<br />

experimental setups have been built according to ISO and ASTM standards (Figure 1).<br />

On each of the two bars of the spinal fixators, one uniaxial linear strain gage (KGF–02-<br />

120-C1-11; Kyowa Electronic Instruments Co. Ltd, Tokyo, Japan) was glued with its<br />

long axis aligned with the longitudinal axis of the rod. In order to compensate<br />

temperature effects, each strain gage was connected in a half-bridge Wheatstone<br />

configuration to an identical transducer mounted on a dummy specimen. The bridge was<br />

alimented and conditioned trough a HBM Spider 8 amplifier system.<br />

The constructs were then mounted on a servohydraulic MTS 858 (MTS Systems,<br />

Minneapolis, MN, USA) testing machine equipped with a 15 kN load cell and subjected<br />

to six cycles under compression of loading and unloading between 30 and 300 N for the<br />

ASTM configuration and between 600 and 2000 N for the ISO configuration. Signals<br />

from the strain gages were registered and stored at a frequency of 20Hz; mean value and<br />

standard deviation of the maximum strain measured during the tests were calculated.<br />

Such values were then compared to those calculated in the FE models in an area<br />

corresponding to the one where the strain gage was glued.<br />

3.3 FE model of the instrumented lumbar spine<br />

The FE model of the spinal fixator was then virtually mounted in a previously validated<br />

model of L2-L4 lumbar spine [1] comprehensive of bony structures, discs and<br />

ligaments.<br />

The screws of the fixator were virtually inserted through the pedicles of the vertebras: in<br />

order to allow for a correct positioning, both the angle between the two screws and the<br />

orientation of the rods with respect to the vertical axis have been slightly modified with<br />

respect to the configuration prescribed by the standards.<br />

The link between the screws and the bone was described using the embedding elements<br />

method: only the threaded part of each screw was embedded in a portion of bony<br />

structures of the vertebras which acted as a host volume.<br />

Three different models were built: (i) M1 model, a complete model of the L2-L4 lumbar<br />

segment fixed with screws and rods; (ii) M2 model, a model of L2-L4 segment in which<br />

vertebrectomy of L3 was performed, fixed with screws and rods, (iii) M3 model, the<br />

same M2 model with a spring of 7280 N/mm stiffness interposed between L2 and L4,<br />

simulating an anterior Titanium cage, usually clinically used to obtain fusion when<br />

vertebrectomy is performed. All the models are reported in Figure 2.

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