A data-driven microstructure-based model for predicting circumferential behavior and failure in degenerated human annulus fibrosus.

The degeneration of the intervertebral disc annulus fibrosus poses significant challenges in understanding and predicting its mechanical behavior. In this article, we present a novel approach, enriched with detailed insights into microstructure and degeneration progression, to accurately predict the mechanics of the degenerated human annulus. Central to this framework is a fully three-dimensional continuum-based model that integrates hydration state and multiscale structural features, including proteoglycan macromolecules and interpenetrating collagen fibrillar networks across various hierarchical levels within the multi-layered lamellar/inter-lamellar soft tissue, capable of sustaining deformation-induced damage.

Comprehensive analysis of damage evolution in human annulus fibrosus: Numerical exploration of mechanical sensitivity to biological age-dependent alteration.

Background And Objective: The annulus fibrosus is an essential part of the intervertebral disc, critical for its structural integrity. Mechanical deterioration in this component can lead to complete disc failure, particularly through tears development, with radial tears being the most common. These tears are often the result of both mechanical and biological factors.

Overloading effect on the osmo-viscoelastic and recovery behavior of the intervertebral disc.

In vitro studies investigating the effect of high physiological compressive loads on the intervertebral disc mechanics as well as on its recovery are rare. Moreover, the osmolarity effect on the disc viscoelastic behavior following an overloading is far from being studied. This study aims to determine whether a compressive loading-unloading cycle exceeding physiological limits could be detrimental to the cervical disc, and to examine the chemo-mechanical dependence of this overloading effect.

Understanding the Effect of Grain Boundaries on the Mechanical Properties of Epoxy/Graphene Composites.

This work presents a molecular dynamics (MD) simulation study on the effect of grain boundaries (GBs) on the mechanical properties of epoxy/graphene composites. Ten types of GB models were constructed and comparisons were made for epoxy/graphene composites containing graphene with GBs. The results showed that the tensile and compressive behaviors, the glass transition temperature (), and the configurations of epoxy/graphene composites were significantly affected by GBs.

A Coupled Electro-Mechanical Homogenization-Based Model for PVDF-Based Piezo-Composites Considering α → β Phase Transition and Interfacial Damage.

Polyvinylidene fluoride or polyvinylidene difluoride (PVDF) is a piezoelectric semi-crystalline polymer whose electro-mechanical properties may be modulated via strain-induced α → β phase transition and the incorporation of polarized inorganic particles. The present work focuses on the constitutive representation of PVDF-based piezo-composites developed within the continuum-based micromechanical framework and considering the combined effects of particle reinforcement, α → β phase transition, and debonding along the interface between the PVDF matrix and the particles under increasing deformation. The micromechanics-based model is applied to available experimental data of PVDF filled with various concentrations of barium titanate (BaTiO) particles.

A Microstructure-Based Mechanistic Approach to Detect Degeneration Effects on Potential Damage Zones and Morphology of Young and Old Human Intervertebral Discs.

There is an increasing demand to develop predictive medicine through the creation of predictive models and digital twins of the different body organs. To obtain accurate predictions, real local microstructure, morphology changes and their accompanying physiological degenerative effects must be taken into account. In this article, we present a numerical model to estimate the long-term aging effect on the human intervertebral disc response by means of a microstructure-based mechanistic approach.

Microstructure and Mechanical Properties of Severely Deformed Polypropylene in ECAE (Equal Channel Angular Extrusion) via Routes A and C.

Equal channel angular extrusion (ECAE) is a solid-state extrusion process for modifying microstructures via severe plastic deformation without modifying the specimen cross section. In this study, changes in the microstructure and mechanical properties of polypropylene resulting from extrusion orientation route A (no rotation between extrusions) and extrusion orientation route C (a rotation of 180° between extrusions) are investigated using a 90° die-angle tooling outfitted with back pressure. Important differences are reported for the ECAE-induced deformation behavior between the two processing routes.

Fusion and clinical outcomes of lumbar interbody fusion for low-grade isthmic spondylolisthesis.

Introduction: Low-grade isthmic spondylolisthesis (ISPL) is generally treated by circumferential fusion with interbody graft, although there is no consensus on technique.

Hypothesis: The various interbody fusion strategies provide satisfactory fusion rates and clinical results.

Methods: A multicenter retrospective study analyzed lumbar interbody fusion for low-grade ISPL performed between March 2016 and March 2019.

Spatial analysis of the glioblastoma proteome reveals specific molecular signatures and markers of survival.

Molecular heterogeneity is a key feature of glioblastoma that impedes patient stratification and leads to large discrepancies in mean patient survival. Here, we analyze a cohort of 96 glioblastoma patients with survival ranging from a few months to over 4 years. 46 tumors are analyzed by mass spectrometry-based spatially-resolved proteomics guided by mass spectrometry imaging.

Micromechanical Modeling of the Biaxial Deformation-Induced Phase Transformation in Polyethylene Terephthalate.

In this paper, a micromechanics-based constitutive representation of the deformation-induced phase transformation in polyethylene terephthalate is proposed and verified under biaxial loading paths. The model, formulated within the Eshelby inclusion theory and the micromechanics framework, considers the material system as a two-phase medium, in which the active interactions between the continuous amorphous phase and the discrete newly formed crystalline domains are explicitly considered. The Duvaut-Lions viscoplastic approach is employed in order to introduce the rate-dependency of the yielding behavior.

Modeling multiaxial damage regional variation in human annulus fibrosus.

In the present article, a fully three-dimensional human annulus fibrosus model is developed by considering the regional variation of the complex structural organization of collagen network at different scales to predict the regional anisotropic multiaxial damage of the intervertebral disc. The model parameters are identified using experimental data considering as elementary structural unit, the single annulus lamellae stretched till failure along the micro-sized collagen fibers. The multi-layered lamellar/inter-lamellar annulus model is constructed by considering the effective interactions between adjacent layers and the chemical-induced volumetric strain.

A microstructure-based model for a full lamellar-interlamellar displacement and shear strain mapping inside human intervertebral disc core.

The determinant role of the annulus fibrosus interlamellar zones in the intervertebral disc transversal and volumetric responses and hence on their corresponding three-dimensional conducts have been only revealed and appreciated recently. Their consideration in disc modeling strategies has been proven to be essential for the reproduction of correct local strain and displacement fields inside the disc especially in the unconstrained directions of the disc. In addition, these zones are known to be the starting areas of annulus fibrosus circumferential tears and disc delamination failure mode, which is often judged as one of the most dangerous disc failure modes that could evolve with time leading to disc hernia.

In Situ Generation of Green Hybrid Nanofibrillar Polymer-Polymer Composites-A Novel Approach to the Triple Shape Memory Polymer Formation.

The paper discusses the possibility of using in situ generated hybrid polymer-polymer nanocomposites as polymeric materials with triple shape memory, which, unlike conventional polymer blends with triple shape memory, are characterized by fully separated phase transition temperatures and strongest bonding between the polymer blends phase interfaces which are critical to the shape fixing and recovery. This was demonstrated using the three-component system polylactide/polybutylene adipateterephthalate/cellulose nanofibers (PLA/PBAT/CNFs). The role of in situ generated PBAT nanofibers and CNFs in the formation of efficient physical crosslinks at PLA-PBAT, PLA-CNF and PBAT-CNF interfaces and the effect of CNFs on the PBAT fibrillation and crystallization processes were elucidated.

Diagnosis of reoperated cervical non-union: Multicenter retrospective study about 45 patients.

Introduction: Non-union is one of the main complications of single- or multi-level cervical spine fusion, considerably impairing functional results. The aim of this study was to evaluate the respective contributions of imaging examinations in the diagnostic process, the challenge being to avoid inappropriate surgery and unnecessary complementary examinations.

Material And Method: A retrospective multicenter study included all patients managed for cervical spine non-union between 2008 and 2018.

A microstructure-based modeling approach to assess aging-sensitive mechanics of human intervertebral disc.

Background And Objective: The human body soft tissues are hierarchic structures interacting in a complex manner with the surrounding biochemical environment. The loss of soft tissues functionality with age leads to more vulnerability regarding to the external mechanical loadings and increases the risk of injuries. As a main example of the human body soft tissues, the intervertebral disc mechanical response evolution with age is explored.

Relevance of a novel external dynamic distraction device for treating back pain.

Low back pain is a common, expensive, and disabling condition in industrialized countries. There is still no consensus for its ideal management. Believing in the beneficial effect of traction, we developed a novel external dynamic distraction device.

Interlamellar matrix governs human annulus fibrosus multiaxial behavior.

Establishing accurate structure-property relationships for intervertebral disc annulus fibrosus tissue is a fundamental task for a reliable computer simulation of the human spine but needs excessive theoretical-numerical-experimental works. The difficulty emanates from multiaxiality and anisotropy of the tissue response along with regional dependency of a complex hierarchic structure interacting with the surrounding environment. We present a new and simple hybrid microstructure-based experimental/modeling strategy allowing adaptation of animal disc model to human one.

How Osmoviscoelastic Coupling Affects Recovery of Cyclically Compressed Intervertebral Disc.

Study Design: Osmoviscoelastic behavior of cyclically loaded cervical intervertebral disc.

Objective: The aim of this study was to evaluate in vitro the effects of physiologic compressive cyclic loading on the viscoelastic properties of cervical intervertebral disc and, examine how the osmoviscoelastic coupling affects time-dependent recovery of these properties following a long period of unloading.

Summary Of Background Data: The human neck supports repetitive loadings during daily activities and recovery of disc mechanics is essential for normal mechanical function.

Osmo-inelastic response of the intervertebral disc annulus fibrosus tissue.

The aim of this article is to provide some insights on the osmo-inelastic response under stretching of annulus fibrosus of the intervertebral disc. Circumferentially oriented specimens of square cross section, extracted from different regions of bovine cervical discs (ventral-lateral and dorsal-lateral), are tested under different strain-rates and saline concentrations within normal range of strains. An accurate optical strain measuring technique, based upon digital image correlation, is used in order to determine the full-field displacements in the lamellae and fibers planes of the layered soft tissue.

French Spine Surgery Society guidelines for management of spinal surgeries during COVID-19 pandemic.

Since the outbreak of coronavirus disease 2019 (COVID-19) in December 2019 in China, various measures have been adopted in order to attenuate the impact of the virus on the population. With regard to spine surgery, French physicians are devoted to take place in the national plan against COVID-19, the French Spine Surgery Society therefore decided to elaborate specific guidelines for management of spinal disorders during COVID-19 pandemic in order to prioritize management of patients. A three levels stratification was elaborated with Level I: Urgent surgical indications, Level II: Surgical indications associated to a potential loss of chance for the patient and Level III: Non-urgent surgical indications.

How pre-strain affects the chemo-torsional response of the intervertebral disc.

Background: The role of the axial pre-strain on the torsional response of the intervertebral disc remains largely undefined. Moreover, the chemo-mechanical interactions in disc tissues are still unclear and corresponding data are rare in the literature. The paper deals with an in-vitro study of the pre-strain effect on the chemical sensitivity of the disc torsional response.

Long-term complications of minimally-open anterolateral interbody fusion for L5-S1.

Background: Multiple surgical techniques and approaches exist to obtain lumbar interbody fusion. Anterolateral (oblique) is a relatively recent technique. Controversy exists for its use at the L5-S1 level.

Interlamellar-induced time-dependent response of intervertebral disc annulus: A microstructure-based chemo-viscoelastic model.

The annulus fibrosus of the intervertebral disc exhibits an unusual transversal behavior for which a constitutive representation that considers as well regional effect, chemical sensitivity and time-dependency has not yet been developed, and it is hence the aim of the present contribution. A physically-based model is proposed by introducing a free energy function that takes into account the actual disc annulus structure in relation with the surrounding biochemical environment. The response is assumed to be dominated by the viscoelastic contribution of the extracellular matrix, the elastic contribution of the oriented collagen fibers and the osmo-induced volumetric contribution of the internal fluid content variation.