Determinants of the mechanical behavior of human lumbar vertebrae after simulated mild fracture.

Details

Serval ID
serval:BIB_654BD69E1452
Type
Article: article from journal or magazin.
Collection
Publications
Title
Determinants of the mechanical behavior of human lumbar vertebrae after simulated mild fracture.
Journal
Journal of Bone and Mineral Research
Author(s)
Wegrzyn J., Roux J.P., Arlot M.E., Boutroy S., Vilayphiou N., Guyen O., Delmas P.D., Chapurlat R., Bouxsein M.L.
ISSN
1523-4681 (Electronic)
ISSN-L
0884-0431
Publication state
Published
Issued date
2011
Volume
26
Number
4
Pages
739-746
Language
english
Notes
Publication types: Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Abstract
The ability of a vertebra to carry load after an initial deformation and the determinants of this postfracture load-bearing capacity are critical but poorly understood. This study aimed to determine the mechanical behavior of vertebrae after simulated mild fracture and to identify the determinants of this postfracture behavior. Twenty-one human L(3) vertebrae were analyzed for bone mineral density (BMD) by dual-energy X-ray absorptiometry (DXA) and for microarchitecture by micro-computed tomography (µCT). Mechanical testing was performed in two phases: initial compression of vertebra to 25% deformity, followed, after 30 minutes of relaxation, by a similar test to failure to determine postfracture behavior. We assessed (1) initial and postfracture mechanical parameters, (2) changes in mechanical parameters, (3) postfracture elastic behavior by recovery of vertebral height after relaxation, and (4) postfracture plastic behavior by residual strength and stiffness. Postfracture failure load and stiffness were 11% ± 19% and 53% ± 18% lower than initial values (p = .021 and p < .0001, respectively), with 29% to 69% of the variation in the postfracture mechanical behavior explained by the initial values. Both initial and postfracture mechanical behaviors were significantly correlated with bone mass and microarchitecture. Vertebral deformation recovery averaged 31% ± 7% and was associated with trabecular and cortical thickness (r = 0.47 and r = 0.64; p = .03 and p = .002, respectively). Residual strength and stiffness were independent of bone mass and initial mechanical behavior but were related to trabecular and cortical microarchitecture (|r| = 0.50 to 0.58; p = .02 to .006). In summary, we found marked variation in the postfracture load-bearing capacity following simulated mild vertebral fractures. Bone microarchitecture, but not bone mass, was associated with postfracture mechanical behavior of vertebrae.
Keywords
Absorptiometry, Photon, Age Factors, Aged, Aged, 80 and over, Biomechanical Phenomena, Bone Density, Compressive Strength, Elasticity, Female, Fractures, Compression, Hardness, Humans, Lumbar Vertebrae/anatomy & histology, Lumbar Vertebrae/chemistry, Male, Mechanical Phenomena, Middle Aged, Sex Characteristics, X-Ray Microtomography
Pubmed
Web of science
Create date
26/08/2014 19:49
Last modification date
17/01/2020 8:55
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