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RESEARCH PAPERS

Study on Effect of Graded Facetectomy on Change in Lumbar Motion Segment Torsional Flexibility Using Three-Dimensional Continuum Contact Representation for Facet Joints

[+] Author and Article Information
R. N. Natarajan, G. B. J. Andersson, T. P. Andriacchi

Department of Orthopedic Surgery, Rush Presbyterian St. Luke’s Medical Center, Chicago, IL 60612

A. G. Patwardhan

Department of Orthopaedic Surgery, Loyola University Medical Center, Maywood, IL 60606

J Biomech Eng 121(2), 215-221 (Apr 01, 1999) (7 pages) doi:10.1115/1.2835106 History: Received December 10, 1997; Revised October 04, 1998; Online January 23, 2008

Abstract

Facet joints provide rigidity to the lumbar motion segment and thus protect the disk, particularly against torsional injury. A surgical procedure that fully or partially removes the facet joints (facetectomy) will decrease the mechanical stiffness of the motion segment, and potentially place the disk at risk of injury. Analytical models can be used to understand the effect of facet joints on motion segment stability. Using a facet joint model that represents the contact area as contact between two surfaces rather than as point contact, it was concluded that a substantial sudden change in rotational motion, due to applied torsion moment, was observed after 75 percent of any one of the facet joints was removed. Applied torsional moment loading produced coupled extension motion in the intact motion segment. This coupled motion also experienced a large change following complete unilateral facetectomy. Clinically, the present study showed that surgical intervention in the form of unilateral or bilateral total facetectomy might require fusion to reduce the primary torsion motion.

Copyright © 1999 by The American Society of Mechanical Engineers
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