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Role of posterior elements in the disc bulging of a degenerated cervical spine.

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Title: Role of posterior elements in the disc bulging of a degenerated cervical spine.
Author(s): Amirouche, F.; Solitro, G.F.; Siemionow, K.; Drucker, D.; Upadhyay, A,.; Patel, P.
Subject(s): disc degeneration Cervical Spine Bulging Laminectomy Facetectomy
Abstract: Background Many studies have been developed to characterize the mechanical behavior of the intervertebral disc specifically for the lumbar spine and there have been limited studies done on the cervical spine with the goal to evaluate the strength of the cervical spine under compression without any information on the bulging of the intervertebral discs. The goal of the current study is to examine the deformation response of the cervical intervertebral disc classified with grade III or greater degeneration and analyze the relationship between axial deformation and anterior and posterior bulge under compression up to 550 N. Methods Each specimen was compressed for 3 cycles to a maximum load of 550N in steps of 50 N. The bulge was measured using Linear Variable Differential Transformers (LVDTs on an intact spinal segment, spinal segment with post laminectomy, and spinal segment post facetectomy. Results The anterior budge for an intact spinal segment shows a change of slope at loads of 262N±66N. For a physiological load of 250N the vertical displacement or spine segment height was reduced by 10.1% for an intact segment and 8.78% for the laminectomy and facetectomy configurations with F=0.159 (Fcrit=3.89) with no statistical difference observed. For the post laminectomy there was a decrease of 35% in anterior bulge compared to the intact specimen. Conclusions Our results show that for grade III disc degeneration the cervical segments bulging for both the laminectomy and facetectomy procedures are not significantly different. In post laminectomy the average anterior and posterior bulges are similar to the average anterior and posterior bulge post facetectomy.
Issue Date: 2015-01-03
Publisher: Elsevier Inc.
Citation Info: Farid Amirouche, PhD, Giovanni F. Solitro, PhD, Kris Siemionow MD, David Drucker MS, Ashish Upadhyay MD, Priyesh Patel BS. Role of posterior elements in the disc bulging of a degenerated cervical spine. International Journal of Spine Surgery Volume 9 Article 13. doi: 10.14444/2013
Type: Article
Description: This is the author’s version of a work that was accepted for publication in International Journal of Spine Surgery. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in International Journal of Spine Surgery Volume 9 Article 13. doi: 10.14444/2013
URI: http://hdl.handle.net/10027/19434
ISSN: 2211-4599
Sponsor: None
Date Available in INDIGO: 2015-05-06
 

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