Publications by authors named "Stefan Spiering"

The location of the instantaneous helical axis (IHA) and the impact of the facet joints (FJ) on the kinematics in the thoracic spine remain inconclusive. This study aimed to examine the IHA in the functional spinal unit (FSU) T4-5 during axial rotation in intact conditions and after bilateral facetectomy. Four human T4-5 FSUs were examined with an established 6D measuring apparatus in intact conditions and after bilateral facetectomy.

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Article Synopsis
  • Kinematics of cervical spinal units were analyzed before and after total disc arthroplasty to enhance prosthetic design and determine clinical guidelines.
  • The study involved 8 human spinal segments examined for motion characteristics under normal conditions and after two types of prostheses: Bryan and Prestige.
  • Findings showed both prostheses altered spinal motion significantly, increasing ventral inclination and hypermobility in segment C3/C4 more than in segment C5/C6, indicating potential issues with the prosthetic design.
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Total disc arthroplasty (TDA) increases the risk of adjacent segment disease (ASD). Kinematic analyses are necessary to compare the intact condition (IC) with alterations after TDA to develop better prostheses. A well-established 6D measuring apparatus (resolution < 2.

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The biomechanical properties of the lumbar spine have long been studied. However, despite its enormous importance, basic functional and morphological properties have been not well understood and require further experimental analysis since data concerning the spatial instantaneous segmental motions are hardly available. This study describes the theoretical background and the technical properties of an innovative method for tracking the instantaneous 3D motion of human spinal segments in vitro at high spatial resolution.

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