The effect of failure mechanics on the fatigue responses of lumbar intervertebral disc.

Lumbar disc herniation is usually caused by the accumulation of long-term mechanical loads and sudden overload damage. Therefore, this study aims to illustrate how fatigue failure in lumbar spine segments is influenced by both cyclic loading magnitude and pre-existing damage. Eighty-six sheep intervertebral disc samples were divided into four groups to test the fatigue responses in healthy and damaged intervertebral discs. Both before and after fatigue loading, the specimens were performed on loading-unloading tests to analyze the viscoelasticity changes, while the specimens were performed on MRI examination to analyze the geometric and morphological changes. The Stress-Failure curve (SN curve) was examined, while the number of cycles to failure of damaged specimens was much smaller than that of healthy specimens at the same stress level during cyclic loading, and the relationship was approximately linear on a logarithmic scale. In addition, the healthy specimens will not accumulate fatigue failure if the compression force remains below 50% of the ultimate compressive tolerance (UTC). Before and after fatigue loading, the loading-unloading curves do not coincide and show obvious strain-rate-dependent viscoelastic characteristics, while the elastic modulus of the damaged specimen is significantly smaller. For magnetic resonance imaging, morphological changes included the changes of nucleus pulposus (NP) shape and area, while fatigue has a more significant effect on ruptured and herniated disc specimens. The dissipated energy of the intervertebral discs under cyclic loading was then calculated based on viscoelastic constitutive equations, which show that the load and preexisting damage both have significant effects on the dissipation rate.