Effect of endplate calcification and mechanical deformation on the distribution of glucose in intervertebral disc: a 3D finite element study.
Effect of endplate calcification and mechanical deformation on the distribution of glucose in intervertebral disc: a 3D finite element study.
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DOI:
10.1080/10255842.2010.535815
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发表时间:
2011-02
影响因子:
1.6
通讯作者:
Gu WY
中科院分区:
文献类型:
--
作者:
Jackson AR;Huang CY;Gu WY
The intervertebral disc (IVD) is avascular, receiving nutrition from surrounding vasculature. Theoretical modelling can supplement experimental results to understand nutrition to IVD more clearly. A new, 3D finite element model of the IVD was developed to investigate effects of endplate calcification and mechanical deformation on glucose distributions in IVD. The model included anatomical disc geometry, non-linear coupling of cellular metabolism with pH and oxygen concentration, and strain-dependent properties of the extracellular matrix. Calcification was simulated by reducing endplate permeability (~79%). Mechanical loading was applied based on in vivo disc deformation during the transition from supine to standing positions. Three static strain conditions were considered: supine, standing, and weight-bearing standing. Minimum glucose concentrations decreased 45% with endplate calcification, while disc deformation led to a 4.8–63% decrease, depending on the endplate condition (i.e,. normal vs. calcified). Furthermore, calcification more strongly affected glucose concentrations in the nucleus compared to the annulus fibrous region. This study provides important insight into nutrient distributions in IVD under mechanical deformation.
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