AI Article Synopsis

  • The research focuses on how intervertebral discs (IVDs) impact stress distribution in growth plates (GPs) in adolescent idiopathic scoliosis (AIS) when there's muscle weakness.
  • The study utilized finite element models (FEs) to compare scenarios with and without IVDs, revealing that including IVDs significantly increased stress levels in GPs, particularly in the AIS model.
  • Results indicated that muscle paralysis drastically reduced stress on the most tilted growth plates, suggesting that modeling IVDs is crucial for understanding neuromuscular disorders and predicting scoliosis progression during growth.

Article Abstract

This study aimed to ascertain the relevance of intervertebral discs (IVD) in the stress distribution on growthplates (GPs) of a trunk model with adolescent idiopathic scoliosis (AIS) following a unilateral weakening of muscles. A thoracolumbar spine finite element (FE) model of a young female healthy and an AIS spine comprising GPs linked to the T12 through sacrum vertebrae. Two scenarios of including (FEI) and excluding (FEE) IVDs were considered. Then, using optimization-driven musculoskeletal models of the AIS and healthy trunks, the FE models were examined under subject-specific muscle forces and gravity loads. Results of this study demonstrate that when IVDs included in the FE model, an increase, ranging from 0.2 to 1.7 MPa, with the highest value occurring at the apex of the AIS model, in the von Mises stresses in the GPs. The ratio of 1.5 was found for the maximum von-Mises stress value on the most tilted GP in the FEI over the FEE model. Unilateral paralysis of muscles caused a reduction of 50% and 63% in the von Mises stress ratio of the concave-over-convex side of the most tilted GP in the FEI and FEE models of the AIS spine with healthy muscles, respectively. The intradiscal pressures, found for FEE and FEI models, assented to recent in-vivo investigations. Nonetheless, employing IVDs in the simulations provides an indispensable tool to anticipate the effects of neuromuscular disorders on GP stresses in an AIS spine and predict deformity progression during growth.

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Source
http://dx.doi.org/10.1002/cnm.3863DOI Listing

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