Journal article
Range of Motion of the Intact Lumbar Segment: A Multivariate Study of 42 Lumbar Spines
International journal of spine surgery, v 9, pp 5-5
01 Jan 2015
PMID: 25785241
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background
A thorough understanding of the biomechanical characteristics of the healthy human spine is critical in furthering the treatment of spinal pathology. The goal of this study was to investigate the motion of the intact lumbar spine segment as measured by range of motion (ROM), and to investigate the dependencies thereof on gender and intervertebral level.
Materials and Methods
Kinematic data was obtained for 42 human lumbar segments (L1-S1) in response to a pure-moment loading protocol in flexion extension (FE), lateral bending (LB) and axial torsion (AT). Data was obtained for 204 individual functional spinal units (91 female, 113 male). Multivariate analysis of variance was conducted to detect differences between genders and intervertebral levels in each mode of loading. Correlations between ROM and donor demographics, including height, weight, and age, were conducted.
Results
ROM was significantly greater for females than for males in FE, LB and AT (p < 0.001). ROM tended to increase down the vertebral column in FE. L3-4 FE ROM was significantly greater than L1-2 (p=0.024), and L4-5 and L5-S1 FE ROM were significantly greater than for every other level (p < 0.003). LB ROM tended to be greater toward the center of the segment with L2-3, L3-4 and L4-5 ROM being significantly greater than both L1-2 (p < 0.001) and L5-S1 (p=0.006, p < 0.001, p=0.043, respectively). A similar trend was found for AT, however only L1-2 was significantly less than all other levels (p=0.042, p < 0.001, p < 0.001, and p=0.034 for L2-3, L3-4, L4-5, and L5-S1 respectively).
Conclusion
The significant differences in lumbar ROM between male and female spine segments and between the intervertebral levels must be taken into account in study design in order to prevent biases in outcomes. The significant differences in ROM between levels may also have critical implications in the design of spinal implants, particularly those designed to maintain or restore healthy motion.
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Details
- Title
- Range of Motion of the Intact Lumbar Segment: A Multivariate Study of 42 Lumbar Spines
- Creators
- Daniel J. Cook - Allegheny Health NetworkMatthew S. Yeager - Allegheny Health NetworkBoyle C. Cheng - Allegheny Health Network
- Publication Details
- International journal of spine surgery, v 9, pp 5-5
- Publisher
- Elsevier
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000215038000006
- Scopus ID
- 2-s2.0-84942902712
- Other Identifier
- 991021930447304721
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- Web of Science research areas
- Surgery