Evidence map›Paper›PMID 31947653›Full record

ArticleMaterials (Basel, Switzerland)2020

Digital Image Correlation (DIC) Assessment of the Non-Linear Response of the Anterior Longitudinal Ligament of the Spine during Flexion and Extension.

Maria Luisa Ruspi, Marco Palanca, Luca Cristofolini, Christian Liebsch, Tomaso Villa, Marco Brayda-Bruno, Fabio Galbusera, Hans-Joachim Wilke, Luigi La Barbera

Open access · goldAbstract read
In one paragraph

Article in Materials (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Maria Luisa RuspiDepartment of Industrial Engineering, School of Engineering and Architecture, Alma Mater Studiorum-Università di Bologna, I-40131 Bologna, Italy.
Marco PalancaDepartment of Industrial Engineering, School of Engineering and Architecture, Alma Mater Studiorum-Università di Bologna, I-40131 Bologna, Italy.
Luca CristofoliniDepartment of Industrial Engineering, School of Engineering and Architecture, Alma Mater Studiorum-Università di Bologna, I-40131 Bologna, Italy.
Christian LiebschInstitute of Orthopaedic Research and Biomechanics, Trauma Research Center Ulm (ZTF), University Hospital Ulm, D-89081 Ulm, Germany.
Tomaso VillaLaboratory of Biological Structure Mechanics, Department of Chemistry, Materials and Chemical Engineering "G. Natta", Politecnico di Milano, I-20133 Milan, Italy.
Marco Brayda-BrunoDepartment of Spine Surgery III, IRCCS Istituto Ortopedico Galeazzi, I-20161 Milan, Italy.
Fabio GalbuseraIRCCS Istituto Ortopedico Galeazzi, I-20161 Milan, Italy.
Hans-Joachim WilkeInstitute of Orthopaedic Research and Biomechanics, Trauma Research Center Ulm (ZTF), University Hospital Ulm, D-89081 Ulm, Germany.
Luigi La BarberaLaboratory of Biological Structure Mechanics, Department of Chemistry, Materials and Chemical Engineering "G. Natta", Politecnico di Milano, I-20133 Milan, Italy.
Istituto Ortopedico Galeazzi · ITUniversity of Bologna · ITUniversity Hospital Ulm · DECentre Hospitalier Universitaire Sainte-Justine · CA

Funding

Scoliosis Research Society New Investigator Grant SRS-Globus NI, Sept. 2016 - Sept. 2017
6 · The paper itself

Abstract

While the non-linear behavior of spine segments has been extensively investigated in the past, the behavior of the Anterior Longitudinal Ligament (ALL) and its contribution during flexion and extension has never been studied considering the spine as a whole. The aims of the present study were to exploit Digital Image Correlation (DIC) to: (I) characterize the strain distribution on the ALL during flexion-extension, (II) compare the strain on specific regions of interest (ROI) of the ALL in front of the vertebra and of the intervertebral disc, (III) analyze the non-linear relationship between the surface strain and the imposed rotation and the resultant moment. Three specimens consisting of 6 functional spinal units (FSUs) were tested in flexion-extension. The full-field strain maps were measured on the surface of the ALL, and the most strained areas were investigated in detail. The DIC-measured strains showed different values of peak strain in correspondence with the vertebra and the disc but the average over the ROIs was of the same order of magnitude. The strain-moment curves showed a non-linear response like the moment-angle curves: in flexion the slope of the strain-moment curve was greater than in extension and with a more abrupt change of slope. To the authors' knowledge, this is the first study addressing, by means of a full-field strain measurement, the non-linear contribution of the ALL to spine biomechanics. This study was limited to only three specimens; hence the results must be taken with caution. This information could be used in the future to build more realistic numerical models of the spine.

Indexed as

anterior longitudinal ligament (ALL)digital image correlation (DIC)in vitro testingnon-linear material propertiesspine biomechanics

Identifiers

PMID31947653
PMCPMC7014455
OpenAlexW2999065936

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.