Lumbar spinal strains associated with whiplash injury: A cadaveric study

To study and quantify the effects of rear-end collision on the lumbar spine. The lumbar spine of a cadaver was instrumented with rosette strain gauges applied on the lateral and anterior surfaces of T12, L2, and L4. Biaxial accelerometers were mounted on L1, L3, and L5. The cadaver was seated, restr...

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Veröffentlicht in:American journal of physical medicine & rehabilitation 2002-09, Vol.81 (9), p.645-650
Hauptverfasser: FAST, Avital, SOSNER, Julian, BEGEMAN, Paul, THOMAS, Mark A, CHIU, Thomas
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container_end_page 650
container_issue 9
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container_title American journal of physical medicine & rehabilitation
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creator FAST, Avital
SOSNER, Julian
BEGEMAN, Paul
THOMAS, Mark A
CHIU, Thomas
description To study and quantify the effects of rear-end collision on the lumbar spine. The lumbar spine of a cadaver was instrumented with rosette strain gauges applied on the lateral and anterior surfaces of T12, L2, and L4. Biaxial accelerometers were mounted on L1, L3, and L5. The cadaver was seated, restrained, and subjected to rear impacts of 5g and 8g. The anterior shear strains had a biphasic shape. Spinal strains peaked at the T12 at approximately 120 and 370 msec, whereas in the L4 vertebra, it peaked at 200 and 380 msec. The anterior strain pattern of the L4 and T12 vertebrae were in diametrically opposite directions. In the second set of tests (8g experiment), the acceleration forces and strains pattern were similar to the 5g test but of higher magnitude. The principal anterior strain was 480 microm/m for 5g and 530 microm/m for 8g; the lateral shear strain was 680 microm/m and 1500 microm/m in the 5g and 8g experiments, respectively. Forces generated during simulated whiplash collision induce biphasic lumbar spinal motions (increased-decreased lordosis) of insufficient magnitude to cause bony injuries, but they may be sufficient to cause soft-tissue injuries.
doi_str_mv 10.1097/00002060-200209000-00002
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The lumbar spine of a cadaver was instrumented with rosette strain gauges applied on the lateral and anterior surfaces of T12, L2, and L4. Biaxial accelerometers were mounted on L1, L3, and L5. The cadaver was seated, restrained, and subjected to rear impacts of 5g and 8g. The anterior shear strains had a biphasic shape. Spinal strains peaked at the T12 at approximately 120 and 370 msec, whereas in the L4 vertebra, it peaked at 200 and 380 msec. The anterior strain pattern of the L4 and T12 vertebrae were in diametrically opposite directions. In the second set of tests (8g experiment), the acceleration forces and strains pattern were similar to the 5g test but of higher magnitude. The principal anterior strain was 480 microm/m for 5g and 530 microm/m for 8g; the lateral shear strain was 680 microm/m and 1500 microm/m in the 5g and 8g experiments, respectively. Forces generated during simulated whiplash collision induce biphasic lumbar spinal motions (increased-decreased lordosis) of insufficient magnitude to cause bony injuries, but they may be sufficient to cause soft-tissue injuries.</description><subject>Acceleration - adverse effects</subject><subject>Accidents, Traffic</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cadaver</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lordosis - etiology</subject><subject>Lordosis - pathology</subject><subject>Lumbar Vertebrae - injuries</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Osteoarticular system. Muscles</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. 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Muscles</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. 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The lumbar spine of a cadaver was instrumented with rosette strain gauges applied on the lateral and anterior surfaces of T12, L2, and L4. Biaxial accelerometers were mounted on L1, L3, and L5. The cadaver was seated, restrained, and subjected to rear impacts of 5g and 8g. The anterior shear strains had a biphasic shape. Spinal strains peaked at the T12 at approximately 120 and 370 msec, whereas in the L4 vertebra, it peaked at 200 and 380 msec. The anterior strain pattern of the L4 and T12 vertebrae were in diametrically opposite directions. In the second set of tests (8g experiment), the acceleration forces and strains pattern were similar to the 5g test but of higher magnitude. The principal anterior strain was 480 microm/m for 5g and 530 microm/m for 8g; the lateral shear strain was 680 microm/m and 1500 microm/m in the 5g and 8g experiments, respectively. 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source MEDLINE; Journals@Ovid Complete
subjects Acceleration - adverse effects
Accidents, Traffic
Aged
Biological and medical sciences
Cadaver
Humans
Investigative techniques, diagnostic techniques (general aspects)
Lordosis - etiology
Lordosis - pathology
Lumbar Vertebrae - injuries
Lumbar Vertebrae - pathology
Male
Medical sciences
Osteoarticular system. Muscles
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Sprains and Strains
Stress, Mechanical
Weight-Bearing
Whiplash Injuries - complications
Whiplash Injuries - etiology
Whiplash Injuries - pathology
title Lumbar spinal strains associated with whiplash injury: A cadaveric study
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