Elsevier

Clinical Biomechanics

Volume 10, Issue 1, January 1995, Pages 3-19
Clinical Biomechanics

Review paper
Recent advances in lumbar spinal mechanics and their clinical significance

https://doi.org/10.1016/0268-0033(95)90432-9Get rights and content

Abstract

Of the many problems associated with low back pain, those which are most amenable to biomechanical investigation are identified. Recent advances in lumbar spinal mechanics are then reviewed in five sections dealing with mechanical function, mechanisms of failure, movements in vivo, loading in vivo, and the biological consequences of mechanical loading. The discussion suggests that mechanical fatigue damage may frequently be the underlying cause of low back pain, even when degenerative changes are evident in the tissues, and the review ends by suggesting some priority areas for future research.

References (220)

  • A.L. Osvalder et al.

    A method for studying the biomechanical load response of the (in vitro) lumbar spine under dynamic flexion-shear loads

    J Biomech

    (1993)
  • LH Yahia et al.

    Rheological properties of the human lumbar spine ligaments

    J Biomed Eng

    (1991)
  • C.G. Greenough et al.

    The effects of compensation on recovery from low-back injury

    Spine

    (1989)
  • S.J. Bigos et al.

    A prospective study of work perceptions and psychosocial factors affecting the report of back injury

    Spine

    (1991)
  • J.L. Kelsey et al.

    An epidemiologic study of lifting and twisting on the job and risk for acute prolapsed lumbar intervertebral disc

    J Orthop Res

    (1984)
  • D.J. Mundt et al.

    An epidemiologic study of non-occupational lifting as a risk factor for herniated lumbar intervertebral disc

    Spine

    (1993)
  • W.S. Marras et al.

    The role of dynamic three-dimensional trunk motion in occupationally-related low back disorders

    Spine

    (1993)
  • M.A. Adams et al.

    The effect of posture on the role of the apophyseal joints in resisting intervertebral compressive force

    J Bone Joint Surg

    (1980)
  • R.B. Dunlop et al.

    Disc space narrowing and the lumbar facet joints

    J Bone Joint Surg

    (1984)
  • T.P. Green et al.

    Spondylolysis: bending of the inferior articular processes of lumbar vertebrae during simulated spinal movements

    Spine

    (1994)
  • K.H. Yang et al.

    Mechanism of facet load transmission as a hypothesis for low back pain

    Spine

    (1984)
  • M.A. Adams et al.

    The relevance of torsion to the mechanical derangement of the lumbar spine

    Spine

    (1981)
  • A.M. Ahmed et al.

    The effect of facet geometry on the axial torque-rotation response of lumbar motion segments

    Spine

    (1990)
  • NA Duncan et al.

    The role of axial rotation in the etiology of unilateral disc prolapse: an experimental and finite-element analsyis

    Spine

    (1991)
  • BM Cyron et al.

    Spondylolytic fractures

    J Bone Joint Surg

    (1976)
  • BM Cyron et al.

    Articular tropism and stability of the lumbar spine

    Spine

    (1980)
  • W.C. Hutton et al.

    Is spondylolysis a fatigue fracture?

    Spine

    (1977)
  • JB Myklebust et al.

    Tensile strength of spinal ligaments

    Spine

    (1988)
  • BM Cyron et al.

    The tensile strength of the capsular ligaments of the apophyseal joints

    J Anat

    (1981)
  • DJA Heylings

    Supraspinous and interspinous ligaments of the human lumbar spine

    J Anat

    (1978)
  • M.A. Adams

    The mechanical properties of lumbar intervertebral joints with special reference to the causes of low back pain

  • M.A. Adams et al.

    The resistance to flexion of the lumbar intervertebral joint

    Spine

    (1980)
  • M.A. Adams et al.

    Diurnal variations in the stresses on the lumbar spine

    Spine

    (1987)
  • DHK Chow et al.

    Torsional stability of the lumbosacral junction. Significance of the iliolumbar ligament

    Spine

    (1989)
  • I Yamamoto et al.

    The role of the iliolumbar ligament in the lumbosacral junction

    Spine

    (1990)
  • M.A. Adams et al.

    The effect of posture on the fluid content of lumbar intervertebral discs

    Spine

    (1983)
  • A.L. Nachemson

    Lumbar intradiscal pressure

    Acta Orthop Scand

    (1960)
  • D.S. McNally et al.

    Internal intervertebral disc mechanics as revealed by stress profilometry

    Spine

    (1992)
  • A Nachemson

    In-vivo discometry in lumbar discs with irregular nucleograms

    Acta Orthop Scand

    (1965)
  • M.A. Adams et al.

    Abnormal stress concentrations in lumbar intervertebral discs following damage to the vertebral body: a cause of disc failure. European Spine Society (Acromed) Award paper

    Eur Spine J

    (1993)
  • P Brinckmann et al.

    Change of disc height, radial disc bulge and intradiscal pressure from discectomy: an in-vitro investigation on human lumbar discs

    Spine

    (1991)
  • M.A. Adams et al.

    Tensile properties of the annulus fibrosus. Part I. The contribution of fibre-matrix interactions to tensile stiffness and strength

    Eur Spin J

    (1993)
  • P.W. McCarthy et al.

    Immunohistochemical demonstration of sensory nerve fibres and endings in lumbar intervertebral discs of the rat

    Spine

    (1991)
  • N Bogduk et al.
  • P Brinckmann et al.

    Deformation of the vertebral end-plate under axial loading of the spine

    Spine

    (1983)
  • A.D. Holmes et al.

    End-plate displacement during compression of lumbar vertebra-disc-vertebra segments and the mechanism of failure

    Spine

    (1993)
  • P Brinckmann et al.

    The influence of vertebral body fracture, intra-discal injection, and partial discectomy on the radial bulge and height of human lumbar discs

    Spine

    (1985)
  • IAF Stokes

    Bulging of lumbar intervertebral discs: non-contacting measurements of anatomical specimens

    J Spinal Disord

    (1988)
  • M Panjabi et al.

    Intrinsic disc pressure as a measure of integrity of the lumbar spine

    Spine

    (1988)
  • M.A. Adams et al.

    The strength in anterior bending of lumbar intervertebral discs

    Spine

    (1994)
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