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Research ArticleFull Length Article
Open Access

A compliant-mechanism approach to achieving specific quality of motion in a lumbar total disc replacement

Peter A. Halverson, Anton E. Bowden and Larry L. Howell
International Journal of Spine Surgery January 2012, 6 78-86; DOI: https://doi.org/10.1016/j.ijsp.2012.02.002
Peter A. Halverson
aCrocker Spinal Technologies, Salt Lake City, UT
bDepartment of Mechanical Engineering, Brigham Young University, Provo, UT
PhD
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Anton E. Bowden
bDepartment of Mechanical Engineering, Brigham Young University, Provo, UT
PhD
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  • For correspondence: abowden@byu.edu
Larry L. Howell
bDepartment of Mechanical Engineering, Brigham Young University, Provo, UT
PhD
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Article Figures & Data

Figures

  • Fig. 1
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    Fig. 1

    (A) Median moment-rotation response and (B) HAM of lumbar spine in flexion-extension. The HAMs of motion in B are represented by lines, the shading of which corresponds to the angular response in A.

  • Fig. 2
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    Fig. 2

    Prototype TDR.

  • Fig. 3
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    Fig. 3

    The implant motion profile as viewed from an isometric view (top) and sagittal view (bottom) for an idealized geometry. 6 flexures (A-F) guide the motion of the device while providing a torque-rotation response that mimics that of the intact functional spinal unit.

  • Fig. 4
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    Fig. 4

    (A) Functional schematic of modified F1717, with center of pressure illustrated by dashed line, and (B) actual test setup.

  • Fig. 5
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    Fig. 5

    Spine tester and environmental chamber.

  • Fig. 6
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    Fig. 6

    Resultant prototype surface geometry without flexures or endplates, in the (A) sagittal and (B) frontal planes. (C) An isometric view of the prototype surface and flexure geometry without endplates. A photograph of the prototype with endplates is shown in Fig. 2.

  • Fig. 7
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    Fig. 7

    Force-rotation response in isolated testing conditions as compared with predicted values.

  • Fig. 8
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    Fig. 8

    Moment-rotation response of FSU before and after implantation, shown in (A) flexion-extension, (B) lateral bending, and (C) axial rotation. (A) Published flexion-extension QOM data for a first-generation “slidingfriction” TDR are included for comparison.

  • Fig. 9
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    Fig. 9

    Measured response of integrated FSU and (A) predicted QOM when placed in its proper location and (B) predicted QOM when misplaced by ± 4 mm to its ideal location.

  • Fig. 10
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    Fig. 10

    Measured displacement of a marker mounted on the superior vertebra of the FSU before and after implantation shown in flexion-extension.

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International Journal of Spine Surgery
Vol. 6
1 Jan 2012
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A compliant-mechanism approach to achieving specific quality of motion in a lumbar total disc replacement
Peter A. Halverson, Anton E. Bowden, Larry L. Howell
International Journal of Spine Surgery Jan 2012, 6 78-86; DOI: 10.1016/j.ijsp.2012.02.002

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A compliant-mechanism approach to achieving specific quality of motion in a lumbar total disc replacement
Peter A. Halverson, Anton E. Bowden, Larry L. Howell
International Journal of Spine Surgery Jan 2012, 6 78-86; DOI: 10.1016/j.ijsp.2012.02.002
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