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Experimental determination
of cervical spine mechanical properties
The results of research into human cervical spine mechanical parameters necessary for process modelling are presented. Our tests
were divided into identification of tissues mechanical features and determination of data useful for validating human cervical spine mod-
els. Mechanical properties of the whole cervical spine as well as the stiffness of ligaments and discs were identified on the basis of tests
on cadaveric spinal specimens. Thanks to our cooperation with medical practitioners, physiological cross-section areas of neck muscles
were analysed using MRI. Functional computed tomography was used to determine kinematics of cervical vertebrae during head move-
ment in sagittal and frontal planes.
Key words: human cervical spine biomechanics, spine tissues mechanical properties
______________________________
* Corresponding author: Marek Gzik, Division of General Mechanics and Biomechanics, Department of Applied Mechanics,
Silesian University of Technology, ul. Konarskiego 18a/18b, 44-100 Gliwice, Poland. E-mail: marek.gzik@polsl.pl
Received: April 11th, 2008
Accepted for publication: November 4th, 2008
50 M. GZIK et al.
a) b)
Th4
C7
C2
a) b)
a) b)
a) b)
After spine stiffness identification, six anterior Tensile strength of ligaments was determined. In
longitudinal ligaments (C3–C6) and discs (C6–C7) order to avoid the problems of fixation, the liga-
were isolated from specimens. Average cross- ments were tested in situ with pressure holders (fig-
section area of ligaments in C4–C5 was 38 mm2. ure 5).
200
Ligament 180
Tensile force [N]
160
140
Pressure 120
holders 100
80
60
40
20
0
0 2 4 6 8 10 12 14
a) b) E longation [m m ]
600
400
Compression 300
holders
200
100
0
0 1 2 3 4 5 6
a) Deformation [mm]
b)
Fig. 6. Compression test of disc: a) photo of device, b) average material characteristics determined
Compressive properties of six intervertebral discs The experiments were conducted on five women
C6–C7 were determined (figure 6). Discs were iso- (between the ages of 25 and 56) and five men (between
lated together with part of adjacent vertebral bodies. the ages of 36 and 56). The group of main neck muscles
The total height of specimens amounted to 12 mm responsible for head and cervical spine movement was
(6 mm front height of individual disc) and the cross- analysed. Our research differs from those presented by
section area was 350 mm2. Figures 5b and 6b present other authors [3], [6], because it is based on three-
average response in male and female spines during the dimensional analysis of muscle volume. Each muscle
tests. was framed in the space, and its cross-section area was
determined. The results were obtained for natural head
position. Average physiological cross-section areas for
right and left muscles are presented in the table.
3. MRI of neck muscles
Table. Average physiological cross-section areas of
male and female neck muscles
Nowadays there is no technique which allows Female Male
individual muscle forces to be measured. Muscles Muscle
(mm2) (mm2)
role in movement could be recognized using Trapezius R* 695 1095
mathematical models. The modelling of muscles is L** 731 1106
based on the information about their anatomy and Sternocleidomastoid R 275 364
physiology. Physiological cross-section area is an L 278 396
Semispinalis capitis R 62 93
important parameter in the process of muscle force
L 64 94
identification. Due to our cooperation with Voxel Splenius capitis R 77 94
Diagnosis Centre in Bytom the cross-section areas L 75 95
of male and female neck muscles were determined Obliquus capitis inferior R 146 191
(figure 7). 148 185
Rectus capitis posterior major R 74 108
L 76 106
Scalenus medius R 164 188
L 158 187
* Right, ** left.
4. Human cervical
spine examination using
functional computed tomography
Fig. 7. MRI of sternocleidomastoid muscle with outline Computed tomography (CT) is the method fre-
of physiological cross-section area quently applied in the diagnosis of a human skeletal
Experimental determination of cervical spine mechanical properties 53
Fig. 8. Results of cervical vertebra rotation during head flexion–extension in sagittal plane
Fig. 9. Results of cervical vertebra rotation during head side movement in frontal plane
system. Nowadays various advanced techniques offer cal technique. The present research should be continued
the possibility of carrying out examination during which allows average kinematical parameters to be
human activity. Some examples of the results of cervi- determined for male and female spines on the basis of
cal vertebra kinematics analysis of head movement in a representative sample of people.
sagittal and frontal planes (one adult man examined)
are presented in figures 8 and 9.
In order to validate human cervical spine models, 5. Conclusions
information about real object is indispensable. Typical
model is verified by comparing kinematical parameters
obtained from numerical simulation and from tests on Such parameters as stiffness or elastic modulus,
human body. Rotation of cervical vertebrae presented physiological cross-section area of muscles and verte-
above could be useful for models validation. Use can bra kinematical parameters are required for a mathe-
be made of functional computed tomography in order matical modelling.
to validate the models of human motion organ. This The analysis of male and female cervical spine
validation is based on the latest achievements in medi- stiffness revealed a similar spine response to torsion in
54 M. GZIK et al.
horizontal plane, the others characteristics showed ments can contribute to the creation of much more
that male spine is stiffer and transmits greater loads. realistic models which prevent neck injuries or im-
The anatomical construction of human cervical spine prove surgical treatment technique.
restricts in a special way the movement in frontal
plane. The side bending of head activates most effec-
Acknowledgements
tively neck muscles.
Six anterior longitudinal ligaments and discs were
The research was supported by the Polish Ministry of Science
tested during the experiments. The ligaments are espe-
and High Education, project no. 4 T07B 01730.
cially active during strip elongation, while the discs –
during tension and compression. A biomechanical model
design is connected with some simplified assumptions. References
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