On the Finite Element Modeling of the Lumbar Spine: A Schematic Review
Finite element modelling of the lumbar spine is a challenging problem. Lower back pain is among the most common pathologies in the global populations, owing to which the patient may need to undergo surgery. The latter may differ in nature and complexity because of spinal disease and patient contraindications (i.e., aging). Today, the understanding of spinal column biomechanics may lead to better comprehension of the disease progression as well as to the development of innovative therapeutic strategies. Better insight into the spine’s biomechanics would certainly guarantee an evolution of current device-based treatments. In this setting, the computational approach appears to be a remarkable …
A Population-Based 3D Atlas of the Pathological Lumbar Spine Segment
The spine is the load-bearing structure of human beings and may present several disorders, with low back pain the most frequent problem during human life. Signs of a spine disorder or disease vary depending on the location and type of the spine condition. Therefore, we aim to develop a probabilistic atlas of the lumbar spine segment using statistical shape modeling (SSM) and then explore the variability of spine geometry using principal component analysis (PCA). Using computed tomography (CT), the human spine was reconstructed for 24 patients with spine disorders and then the mean shape was deformed upon specific boundaries (e.g., by ±3 or ±1.5 standard deviation). Results dem…
Fractional Calculus as a New Perspective in the Viscoelastic Behaviour of the Intervertebral Disc
The spinal column is the load-bearing structure of the human being along with its components, which together build a strong, resistant, and stable structure, but there are a few different pathologies from which it can suffer, such as herniated discs. The intervertebral disc acts as a shock absorber and ensures the spine’s great capacity to support high loads and different states of stress, thanks to its viscoelastic properties. Some studies have attempted to describe the viscoelastic behaviour of the intervertebral disc using classical rheological models, such as the Kelvin-Voigt, or multi-parameter models. Even if these models partially describe the viscoelastic response of disc, all visco…