Foi avaliada a participação dos corpos vertebrais e discos intervertebrais na lordose lombar e, a contribuição destes nas curvaturas lombares de diferentes magnitudes. Foram avaliadas as radiografias lombares em perfil de 350 adultos assintomáticos (143 homens e 207 mulheres, idade média 29 anos). Foram mensuradas a curvatura lombossacra (L1S1), a curvatura lombolombar (L1L5), a angulação de cada corpo vertebral e cada disco intervertebral por meio de uma variação do método de Cobb. A participação percentual dos corpos vertebrais e dos discos intervertebrais na curvatura lombossacra também foi determinada. Comparações entre os sexos e as faixas etárias foram realizadas. Os indivíduos foram divididos em três subgrupos populacionais, de acordo com a magnitude da lordose lombossacra, de modo a separar os indivíduos pertencentes aos extremos da curva de distribuição. Os componentes da curvatura lombar (corpos vertebrais e discos intervertebrais) foram comparados nestes três subgrupos. A medida da curvatura lombossacra no grupo inicial foi -60,9o (-33o a -89o). Os corpos vertebrais eram cifóticos em L1 (2,15o), tendiam ao neutro em L2 (-0,36o) e eram progressivamente lordóticos de L3 (-1,56o) a L5 (-9,23o). Os discos intervertebrais eram progressivamente lordóticos (variando de -4,99o em L1-L2 a -15,58o em L5-S1). Os corpos vertebrais e discos intervertebrais apresentaram participação progressivamente maior na curvatura lombossacra no sentido crânio-caudal. Os discos intervertebrais participaram com cerca de 80% da curvatura lombossacra, sendo que os elementos mais caudais (corpos vertebrais L4 e L5 e discos intervertebrais L4-L5 e L5-S1) corresponderam a mais de 65% da curvatura lombossacra. Os indivíduos mais velhos apresentaram medidas das curvaturas lombares maiores cerca de 4º em comparação aos indivíduos mais jovens, havendo diferença significante para as medidas dos corpos vertebrais L2 e L5 e o disco intervertebral L3-L4, sendo maiores as medidas nos indivíduos mais velhos. As medidas das curvaturas lombares e dos corpos vertebrais L2 e L4 apresentaram diferença estatisticamente significante entre os sexos, sendo as medidas maiores nos indivíduos do sexo feminino. A curvatura lombossacra apresentou média de -46,9° no subgrupo lordose menor; -61,59° no subgrupo lordose intermediária e; -74,13° no subgrupo lordose maior. A curvatura lombolombar apresentou média de -33,28° no subgrupo lordose menor; -45,34° no subgrupo lordose intermediária e; -56,96° no subgrupo lordose maior. Os corpos vertebrais e os discos intervertebrais apresentaram medidas absolutas menores no subgrupo lordose menor do que as dos subgrupos lordose intermediária e lordose maior, mas a participação dos discos intervertebrais na curvatura lombossacra no subgrupo lordose menor (88%) foi maior que nos subgrupos lordose intermediária (81%) e no subgrupo lordose maior (75%). Complementarmente, os corpos intervertebrais apresentaram maior participação nos subgrupos lordose maior e lordose intermediária. Individualmente, os corpos vertebrais apresentaram maior participação no subgrupo lordose maior, exceto pelo corpo vertebral L5 que apresentou maior participação no subgrupo lordose menor. A maior participação percentual dos discos intervertebrais no subgrupo lordose menor era devida à inclinação cifótica dos corpos vertebrais mais cefálicos (especialmente L1 e L2) no subgrupo lordose menor do que nos demais subgrupos, que, por um efeito compensatório, causava uma maior participação discal nas curvaturas menores. Os demais subgrupos apresentavam os corpos vertebrais cefálicos com inclinação muito mais lordótica do que o observado no subgrupo lordose menor. Concluímos que os discos intervertebrais são os principais responsáveis pela curvatura lombar e que a contribuição dos corpos vertebrais e discos intervertebrais na lordose lombar difere entre indivíduos com curvaturas de diferentes magnitudes. Apesar de ocorrer um aumento gradual do acunhamento lordótico do corpo e disco a cada nível vertebral conforme aumenta a medida da lordose, as vértebras mais cefálicas provocam uma diferença na contribuição percentual entre discos intervertebrais e corpos vertebrais nas curvaturas de tamanhos diferentes. / The vertebral bodies and intervertebral discs participation in lumbar lordosis and their contribution between lumbar curves of different size were studied. 350 lumbar spine radiographs of asymptomatic adults (143 men and 207 women, average age 29 years) were evaluated. Lumbosacral (L1S1) and lumbolumbar (L1L5) curves and the angular inclination of each vertebral boby and intervertebral disc were measured using a Cobb method variant. The percentile participation of each vertebral body and intervertebral disc in the lumbossacal curve was calculated. Sex and age were compared. The subjects were separated in tree subgroups, in acording to lumbosacral curve size. The compounds of lumbar curve (discs and vertebrae) were compared in these tree subgroups. The mean lumbosacral curve was ?60,9º (-33º to ?89º). L1 vertebral body was kyphotic (2,15º), L2 was neutral (-0,36º), and the other ones were progressively lordotic from L3 (-1,56º) to L5 (-9,23º). The intervertebral discs were progressively lordotic from L1-L2 (?4,99º) to L5-S1 (?15,58º). Both vertebrae and discs showed a progressive participation in cephalic-caudal direction. The participation of discs was about 80% of lumbosacral curve, and the caudal elements (L4, L5 vertebrae and L4-L5, L5-S1 discs) contributed far 65% of the curve. The older subjects presented lumbar curves larger than younger 4º average, with significant statistical difference to L2, L5 and L3-L4 measures, with older subjects presenting bigger angular values. There were statistical differences of lumbar curves, L2 and L4 measures between sexes, with females presenting bigger values. The lumbosacral curve presented average -46,9º in minor lordosis subgroup, -64,59º in intermediate lordosis sugbroup, and ?74,13º in major lordosis subgroup. The lumbolumbar curve presented average ?33,28º in minor lordosis subgroup, -45,34º in intermediate lordosis subgroup, and ?56,96º in major lordosis subgroup. The absolut values of vertebrae and discs angles were smaller in minor lordosis subgroup than in major lordosis subgroup, but the intervertebral discs participation of was bigger in minor lordosis subgroup (88%) than intermediate lordosis (81%) and major lordosis (75%) subgroups. Complementarely, the vertebrae had a bigger participation in intermediate and major lordosis subgroups. Individually, the vertebrae presented a larger participation in major lordosis subgroup, excepting L5 that presented bigger participation in minor lordosis subgroup. The discs presented larger participation in minor lordosis subgroup. That is consequence of a more kyphotic inclination of the cephalic vertebrae in minor lordosis subgroup than the other ones, causing a compensating effect, with a larger disc participation in the small curves. The intermediate and major lordosis subgroups had the cephalic vertebrae more lordotic than that of the minor lordosis subgroup. We concluded that the intervertebral discs are the main responsible for the lumbar curve angulation and that the contribution of vertebrae and discs in lumbar curves of different sizes is not equal. In spite of a gradual increase of lordotic wedging while lumbar curve increase, the cephalic vertebrae make the disc and vertebrae participation different between different magnitude lumbar curves.

Degeneration of the lumbar intervertebral disc, a condition widely implicated in the cause of low back pain among adult humans, is typically characterised by progressive biochemical and structural changes to the extracellular matrix. Comprehensive descriptions of the structural and functional inter-relationships within the extracellular matrix are therefore critical to understanding the degenerative process and developing effective treatments. In the anulus fibrosus, this matrix has a complex, hierarchical architecture comprised of collagens, proteoglycans, and elastic fibres. Elastic fibres are critical constituents of dynamic biological structures that functionally require elasticity and resilience. Studies to date of elastic fibre network structure in the anulus fibrosus have been qualitative and limited in scope. Additionally, there is poor understanding of the structural and functional associations between elastic fibres and other matrix constituents such as collagen, and, critically, there have been no studies directly examining the nature and magnitude of the contribution made by elastic fibres to anulus fibrosus mechanical behaviour. In this thesis, multiple experimental studies are described that specifically examine each of these areas. Novel imaging techniques were developed and combined with histochemistry and light microscopy to facilitate the visualisation of elastic fibres at a level of detail not previously achieved. Examination of elastic fibre network structure revealed architectural differences between the intralamellar and interlamellar regions, suggesting that elastic fibres perform functional roles at distinct levels of the anulus fibrosus structural hierarchy. The density of elastic fibres within lamellae was found to be significantly higher in the lamellae of the posterolateral region of the anulus than the anterolateral, and significantly higher in the outer regions than the inner, suggesting it may be commensurate with the magnitude of the tensile strains experienced by each region of the disc in bending and torsion. The nature of the structure-function associations between elastic fibres and collagen was then examined with respect to the reported structural mechanisms of collagen matrix tensile deformation. Histological assessment of collagen crimp morphology in specimens from which elastic fibres had been enzymatically removed revealed no observable differences when compared with controls, suggesting that any contribution made by elastic fibres to maintaining crimp is minimal. Elastic fibres in anulus fibrosus specimens subjected to radial tensile deformations exhibited complex patterns of re-arrangement, suggesting that they maintain cross-collagen fibre connectivity. Elastic fibres were also observed to maintain physical connections between consecutive lamellae undergoing relative separation. Finally, the nature and magnitude of the contribution made by elastic fibres to anulus fibrosus mechanical properties at the tissue level was investigated using a combination of biochemically verified enzymatic treatments and biomechanical tests. Targeted degradation of elastic fibres resulted in a significant reduction in both the initial modulus and the ultimate modulus, and a significant increase in the extensibility, of radially oriented anulus fibrosus specimens. Separate treatments and mechanical tests were used to account for any changes attributable to non-specific degradation of glycosaminoglycans. These results suggest that elastic fibres enhance the mechanical integrity of the anulus fibrosus extracellular matrix in the direction perpendicular to the plane containing the collagen fibres. In summary, the results of the studies presented in this thesis provide important new insights into the structure and function of the anulus fibrosus elastic fibre network, and highlight its potential importance as a contributing or ameliorating factor in the progression of the structural and mechanical changes associated with intervertebral disc degeneration. Additionally, these results establish an improved framework for the development of more accurate analytical and finite element models to describe disc behaviour. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1317006 / Thesis (Ph.D.) -- University of Adelaide, School of Medical Sciences, 2008

This thesis is an investigation of the access provided to the vertebral canal in dogs by the hemilaminectomy and mini-hemilaminectomy surgical techniques using computed tomography (CT), and the completeness of evacuating extruded material in dogs with intervertebral disc (IVD) extrusion using magnetic resonance imaging (MRI). Hemilaminectomy and mini-hemilaminectomy were performed on opposite sides of the spine at T11-T12, T13-L1, and L2-L3 in 10 cadavers. Measurements of the vertebral canal height, defect height, and any dorsal and ventral remnants of the vertebral arch were obtained by CT. A covariate analysis was used to compare measurements with the surgical technique, surgical site, and side of the vertebral column. Defect height was greater with hemilaminectomy due to a smaller dorsal lamina remnant. There was no statistical difference in the height of the ventral remnant, or with surgical site. Nineteen prospectively recruited dogs with suspected IVD extrusion were randomly assigned to hemilaminectomy (10 dogs) or mini-hemilaminectomy (9 dogs) groups. Intervertebral disc extrusion was identified pre-operatively with MRI and later confirmed surgically, and immediate post-operative MRI was performed at the surgical site. The volume of extruded IVD material pre- and post-operative was calculated from transverse T2 images. Although residual IVD material was present in post-operative images from all dogs in the hemilaminectomy group and only 4 in the mini-hemilaminectomy group, there was no statistically significant difference between the proportionate volumes of material removed by either technique. The median residual volume with hemilaminectomy was 13.6% (confidence interval: 7.8 – 23.6%), and with mini-hemilaminectomy was 7.7% (4.3 – 13.8%). The results of this study confirm that the difference in the defect height between techniques is related to the removal of the articular processes creating a larger defect along the dorsal vertebral canal, while no difference in access to the ventral canal was observed. No effect of vertebral site was detected suggesting neither procedure provides an advantage over the other due to location of the lesion along the thoracolumbar spine. Residual extruded IVD material occurs with both techniques; while no statistical difference was noted, a larger population should be examined. / Ontario Veterinary College Pet Trust

Bibliography: leaves 148-160. / xix, 160, [40] leaves, [19] leaves of plates : ill. ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Investigates the process of neovascularization of intervertebral disc components, with ageing and in disease. Establishes the extent of end plate vascularization in the lumbar discs of young normal sheep, and demonstrates that some components of the disc undergo neovascularization in response to physical trauma, possibly as a part of tissue repair response. / Thesis (Ph.D.)--University of Adelaide, Dept. of Pathology, 1996?

Thesis (M.Sc.). / Written for the Dept. of Pharmacology and Therapeutics. Title from title page of PDF (viewed 2009/06/29). Includes bibliographical references.

Orientador: Ruís Camargo Tokimatsu / Resumo: Esse trabalho tem a finalidade de projetar, com base em levantamento bibliográfico, uma prótese de disco intervertebral de Ti6Al4V pelo processo DMLS. Os sistemas de imagem de tomografias computadorizadas e ressonâncias magnéticas trabalham de maneira semelhante. Imagens em 3D de dados dos pacientes são construídas através da combinação de fatias 2D tomadas a partir de sistemas de sensores e da interpolação entre eles. A distância entre as fatias desses sistemas de imagens é grosseira comparada com a tecnologia da manufatura aditiva, portanto, esses processos combinam as imagens das fatias dentro de um software para criar um modelo 3D sobrepondo camadas, devido a essa sinergia entre os dois tipos de sistema, pesquisadores de todo o mundo tentam melhorar e inventar próteses para substituir o disco intervertebral através da ciência. Os resultados mostraram que a fabricação de uma prótese de disco com junta esférica pelo processo de manufatura aditiva é viável, porém nos segmentos menores, como na cervical ainda são difíceis de produzir devido à altura do disco intervertebral e ao limite da dimensão das camadas da manufatura aditiva, que atualmente estão por volta dos 20μm, por isso requerem tratamentos superficiais após sua fabricação. Espera-se que este trabalho possa ajudar futuros pesquisadores da área de biomecânica da coluna vertebral. / Abstract: This work has the purpose of designing, based on a bibliographical survey, an intervertebral disc prosthesis of Ti6Al4V by the DMLS process. Computed tomography (CT) imaging systems and MRIs work similarly. 3D images of patients data are constructed by combining 2D slices taken from sensor systems and interpolating between them. The distance between the slices of these imaging systems is rough compared to the additive manufacturing technology, so these processes combine the slice images within a software to create a 3D model overlapping layers because of this synergy between the two system types, researchers around the world try to improve and devise prostheses to replace the intervertebral disc through science. The results showed that the manufacture of a disc prosthesis with spherical joint by the additive manufacturing process is feasible, but in the smaller segments, such as in the cervical still difficult to produce due to the height of the intervertebral disc and to the limit of the size of the layers of the manufacture additives, which are currently around 20μm, so they require surface treatments after their manufacture. It is hoped that this work may help future researchers in the area of spinal biomechanics. / Mestre

Made available in DSpace on 2014-06-11T19:28:35Z (GMT). No. of bitstreams: 0 Previous issue date: 2006-01-13Bitstream added on 2014-06-13T19:37:19Z : No. of bitstreams: 1 lemos_ff_me_guara.pdf: 3167749 bytes, checksum: 900a2570260a39cccd178d8a2ecb5b4a (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Para melhor entender os mecanismos degenerativos da coluna vertebral e avaliar o melhor método para seu tratamento é necessário que se conheça o comportamento dos diversos componentes das articulações intervertebrais. Com isso, torna-se essencial o desenvolvimento de dispositivos capazes de simular as condições fisiológicas de movimentos e cargas a fim de realizar testes in vitro que fornecerão dados para posteriormente serem testados in vivo. O objetivo deste trabalho é o desenvolvimento de dispositivos para a realização de testes in vitro com coluna vertebral. Estes dispositivos constam de uma máquina capaz de simular o movimento de flexão-extensão, pré-cargas axiais e a angulação pélvica, e uma lâmina de extensometria para captar as deformações dos tecidos testados. Foram realizados experimentos com discos invertebrais suínos a fim de avaliar a eficiência dos dispositivos. Realizaram-se dois experimentos usando os dispositivos desenvolvidos e um experimento na máquina universal de ensaios. Como resultado obteve-se valores de propriedades mecânicas coerentes com a literatura e o disco intervertebral comportando-se como um material viscoelástico. Outro ponto importante foi a obtenção da pressão intradiscal aproximada relacionando-a com o deslocamento angular da coluna. Conclui-se que os dispositivos apresentaram funcionamento satisfatório, abrindo perspectivas para outros estudos. / The best way to understand the degenerative mechanisms of the vertebral column and to evaluate appropriated methods for its treatment it is necessary to know the behavior of the diverse components of the intervertebral joints. So, it becomes essential to simulate the physiological conditions of movements and loads in order to carry through test in vitro that they will supply datas to be tested in vivo. The objective of this study is the development of devices of low cont for the accomplishment of tests in vitro with spine. These devices consist of a machine capable to simulate the movement of flexion-extension, daily pay-loads and the pelvic inclination, and an extensometry blade to catch the deformations of tested structures. POrcine had been carried through experiments with intervertebral discs in order to evaluate the efficiency od the devices. Two experiments had been become fullfilled using the developed devices and an experiment in the universal test machine. As result we got values of coherent mechanical properties with literature and the intervertebral disc behaving as a viscoelastic material. Another important point was the attainment of the intradiscal pressure approached relating it with the angular displacement of the spine. It is concluded that the devices had presented satisfactory functioning, opening perspective for other studies.

Made available in DSpace on 2015-12-06T23:44:58Z (GMT). No. of bitstreams: 0 Previous issue date: 2011 / Introdução: Nas doenças degenerativas do disco intervertebral, a diminuição da concentração de glicosaminoglicanos (GAGs) mostra-se um marcador precoce. O efeito da atividade física é controverso, podendo causar danos ou proteger o disco. Objetivo: estudar o efeito do overtraining, gerado pela atividade física, nos discos intervertebrais de ratos treinados, por meio do comportamento dos GAGs. Método: Foram utilizados 34 ratos Wistar, dez animais não realizaram o treinamento (GC), oito foram treinados na esteira, mas não realizaram o overtraining (GCAd), oito realizaram o protocolo de overtraining e foram sacrificados em 48 horas (OT 11 semanas) e oito, após duas semanas (OT 13 semanas). Foram retirados os discos L5-L6 e L6-S1 e realizada análise bioquímica dos GAGs. Resultados: Os animais que realizaram todo protocolo de treinamento (OT 11 semanas e OT 13 semanas) atingiram o estado de overtraining, pois não houve melhora do seu desempenho, mesmo após cessar o treinamento. Na análise dos GAGs, notou-se diferença importante entre o grupo OT 11 semanas com os grupos OT 13 semanas e GC. Do mesmo modo, foi observada uma diferença entre os grupos GC-Ad e GC. Nas amostras dos animais submetidos ao treinamento, incluído o grupo GC-Ad, houve predominância de dermatam sulfato. Conclusão: O treinamento físico dos animais foi capaz de produzir efeito nos discos intervertebrais, com aumento da concentração de GAGs, e predominância da expressão de dermatam sulfato. A condição de overtraining não gerou resposta diferente do grupo GC-Ad, o qual não foi submetido ao protocolo completo, com concentração de GAGs reversível após duas semanas de repouso. / Introduction: decreased concentration of glycosaminoglycans (GAGs) shows an early marker of the degenerative intervertebral disc decease. The effect of physical activity is still controversial, may cause damage or protect the disc. Objective: study the effect of overtraining, induced by physical training in the intervertebral discs of trained rats, by mean of the biochemical behavior of GAGs. Methods: 34 Wistar rats were used, ten animals did not undergo physical training (GC), eight were trained on the treadmill, but did not realize the overtraining stage of the training protocol (GC-Ad), eight have completed the protocol of overtraining and were sacrificed within 48 hours (OT 11 weeks) and after two weeks (OT 13 weeks). Discs were removed from the L5-L6 and L6-S1 and performed a biochemical analysis of GAGs. Results: The animals that underwent all the training protocol reached a overtraining status, because no improvement in their performance, even after cessation of training, were observed. In the analysis of GAGs, we noticed an increased concentration of GAGs in the groups OT-11weeks and GC-Ad. An important difference between the group OT-11 weeks with the groups OT 13 weeks and GC were observed. Similarly, there was a difference between the GC and GC-Ad. In samples taken from animals undergoing training, included the GC-Ad group, there was a predominance of dermatan sulfate. Conclusion: the physical training of the animals were able to generate a biochemical response in the intervertebral discs. Been shown an increased concentration of GAGs, with predominant expression of dermatan sulfate. The overtraining status did not generate a different response, compared with the trained group, which was not subjected to the full overtraining protocol. Being observed that the response was reversible after two weeks of rest. / BV UNIFESP: Teses e dissertações

Submitted by BRUNO FONTOURA DA SILVA COLMAN (brunocolman@hotmail.com) on 2018-05-03T15:19:22Z No. of bitstreams: 1 Dissertação de Mestrado - Bruno Colman Rev.36_03-05-2018.pdf: 5215084 bytes, checksum: 2152650458ee3ee274744cb5b222bb3c (MD5) / Approved for entry into archive by Cristina Alexandra de Godoy null (cristina@adm.feis.unesp.br) on 2018-05-03T17:05:09Z (GMT) No. of bitstreams: 1 colman_bfs_me_ilha.pdf: 5215084 bytes, checksum: 2152650458ee3ee274744cb5b222bb3c (MD5) / Made available in DSpace on 2018-05-03T17:05:09Z (GMT). No. of bitstreams: 1 colman_bfs_me_ilha.pdf: 5215084 bytes, checksum: 2152650458ee3ee274744cb5b222bb3c (MD5) Previous issue date: 2018-03-05 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Esse trabalho tem a finalidade de projetar, com base em levantamento bibliográfico, uma prótese de disco intervertebral de Ti6Al4V pelo processo DMLS. Os sistemas de imagem de tomografias computadorizadas e ressonâncias magnéticas trabalham de maneira semelhante. Imagens em 3D de dados dos pacientes são construídas através da combinação de fatias 2D tomadas a partir de sistemas de sensores e da interpolação entre eles. A distância entre as fatias desses sistemas de imagens é grosseira comparada com a tecnologia da manufatura aditiva, portanto, esses processos combinam as imagens das fatias dentro de um software para criar um modelo 3D sobrepondo camadas, devido a essa sinergia entre os dois tipos de sistema, pesquisadores de todo o mundo tentam melhorar e inventar próteses para substituir o disco intervertebral através da ciência. Os resultados mostraram que a fabricação de uma prótese de disco com junta esférica pelo processo de manufatura aditiva é viável, porém nos segmentos menores, como na cervical ainda são difíceis de produzir devido à altura do disco intervertebral e ao limite da dimensão das camadas da manufatura aditiva, que atualmente estão por volta dos 20μm, por isso requerem tratamentos superficiais após sua fabricação. Espera-se que este trabalho possa ajudar futuros pesquisadores da área de biomecânica da coluna vertebral. / This work has the purpose of designing, based on a bibliographical survey, an intervertebral disc prosthesis of Ti6Al4V by the DMLS process. Computed tomography (CT) imaging systems and MRIs work similarly. 3D images of patients data are constructed by combining 2D slices taken from sensor systems and interpolating between them. The distance between the slices of these imaging systems is rough compared to the additive manufacturing technology, so these processes combine the slice images within a software to create a 3D model overlapping layers because of this synergy between the two system types, researchers around the world try to improve and devise prostheses to replace the intervertebral disc through science. The results showed that the manufacture of a disc prosthesis with spherical joint by the additive manufacturing process is feasible, but in the smaller segments, such as in the cervical still difficult to produce due to the height of the intervertebral disc and to the limit of the size of the layers of the manufacture additives, which are currently around 20μm, so they require surface treatments after their manufacture. It is hoped that this work may help future researchers in the area of spinal biomechanics. / CAPES - PROPG

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, CAPES