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Abstract

In these days when greater requirements are made on individual achievements and when private and public insurance against sickness and accidents becomes more general, greater demands are also made upon the diagnostic resources of the physician. The physician may be engaged full time or as consultant in preventive and social medicine. Biomechanical investigations of the lumbar spine are therefore of great medical interest. Manual labour in general has become easier with mechanization but, on the other hand, seemingly easy work may, through its repetition and disproportion, put greater strain on a separate part of the body, such as the back. It is not unusual that the machinery at our service exposes our body to great mechanical strain. The modern physician must be familiar with the injuries that may occur from particular mechanical strains and should be aware of the force which may be allowed when the body is consciously exposed to mechanical strain. These problems have been discussed previously but their practical significance has not been sufficient to justify systematic investigations.

Keywords

Lumbar Spine Vertebral Body Intervertebral Disc Nucleus Pulposus Dynamic Stress 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Bartelink, D. L.: The role of abdominal pressure in relieving the pressure on the lumbar intervertebral discs. J. Bone Jt Surg. 39, 718 (1957).Google Scholar
  2. Beadle, O. A.: The intervertebral discs. Observations on their normal and morbid anatomy in relation to certain deformities. Med. Eese-arch Council Special Eeport Series No 161, London 1931.Google Scholar
  3. Böhmig, E.: Die Blutgefäßversorgung der Wirbelbandscheiben, das Verhalten des interverte-bralen Chordasegments und die Bedeutung beider für die Bandscheibendegeneration, zugleich ein Beitrag zur enchondralen Ossification der Wirbelkörper. Langenbecks Arch. klin. Chir. 158, 374 (1930).Google Scholar
  4. Brandes, K.: Über die Bedeutung der Schmorischen Knorpelknötchen und ihren röntgenologischen Nachweis. Dtsch. Z. Chir. 231, 361 (1931).CrossRefGoogle Scholar
  5. Brown, Th., E. Hansen and A. Yorra: Some mechanical tests on the lumbosacral spine with particular reference to the intervertebral discs. J. Bone Jt Surg. 39, 1135 (1957).Google Scholar
  6. Buisson, Marie: Un caso di ernie discal intra-spongiose multiple. Boll. Soc. piemont. Chir. 4, 245 (1934).Google Scholar
  7. Buisson, Marie: Un caso di ernie discal intra-spongiose multiple. Eef. Zbl. ges. Chir. 66, 671 (1934).Google Scholar
  8. Calvé, J., et M. Galland: Le nucleus pulposus intervertébral, son anatomie, sa physiologie, sa pathologie. Presse méd. 38, 520 (1930).Google Scholar
  9. Dalèn, Å.: Paper read at Nordisk Militär Congress Oslo, Juni (1965).Google Scholar
  10. Decoulx, P., et G. Rieunau: Les fractures du rachis dorso-lombaire sans troubles nerveux. Rev. chir. orthop. 44, 254 (1958).PubMedGoogle Scholar
  11. Eie, N., Wehm, P.: Measurements of the intraabdominal pressure in relation to weight bearing of the lumbar spine. Oslo City Hospital J., 12–205 (1962).Google Scholar
  12. Evans, Gr.: Stress and strain in the long bones of the lower extremity. Amer. Acad. orthop. Surg. Instruct. Course lect. 9, 264 (1952).Google Scholar
  13. Evans, Gr.: Methods of studying the biomechanical significance of bone form. Amer. J. physic. Anthrop. 11, 413 (1953).CrossRefGoogle Scholar
  14. Evans, Gr.: Studies in human biomechanism. Ann. N.Y. Acad. Sci. 63, 586 (1955).CrossRefGoogle Scholar
  15. Evans, and M. Lebow: The strength of human compact bone as revealed by engineering technics. Amer. J. Surg. 83, 326 (1952).PubMedCrossRefGoogle Scholar
  16. Evans, and H. R. Lissner: Studies on pelvis deformations and fractures. Anat. Rec. 121, 141 (1955).PubMedCrossRefGoogle Scholar
  17. Evans, and H. R. Lissner: Biomechanical studies on the lumbar spine and pelvis. J. Bone Jt Surg. 41, 278 (1959).Google Scholar
  18. Evans, G. F.: Corne Basic Aspects of Biomechanics of the Spine. Zsch. Physical Medicin and Rehabilitation, vol. 51, p. 214 (1970).Google Scholar
  19. Fick, R.: Handbuch der Anatomie und Mechanik der Gelenke. Jena: G. Fischer 1911.Google Scholar
  20. Forest, A. V. de, and G. Ellis: Brittle lacquer as an aid to stress analysis. J. Aeronaut Sci. 7, 205 (1940).Google Scholar
  21. Frankel, V.: The formal neck. Uppsala: Alm-qvist och Wiksell 1960.Google Scholar
  22. Gocke, C.: Beitrag zur Druckfestigkeit des spon-giösen Knochens. Beitr. klin. Chir. 143, 539 (1928).Google Scholar
  23. Hansen, H. J., and S. E. Olsson: The effect of a single violent trauma on the spine of the dog. Acta orthop. scand. 24, 1 (1954).PubMedCrossRefGoogle Scholar
  24. Hardy, W. G., H. R. Lissner, J. E. Webster and E. S. Gurdjian: Repeated loading tests of the lumbar spine. Surg. Forum. 9, 690 (1959).Google Scholar
  25. Hirsch, C.: The reaction of intervertebral discs to compression forces. J. Bone Jt Surg. 37, 1188 (1955).Google Scholar
  26. Hirsch, and A. Nachemson: A new observation on the mechanical behavior of lumbar discs. Acta orthop. scand. 23, 254 (1954).PubMedCrossRefGoogle Scholar
  27. Hult, L.: Cervical, dorsal and lumbar spinal syndromes. Acta orthop. scand. Suppl. 17 (1954).Google Scholar
  28. Joplin, R.: The intervertebral disc. Embryology, anatomy, physiology and pathology. Surg. Gynec. Obstet. 61, 591 (1935).Google Scholar
  29. Knutsson, F.: Experiences with epidural contrast investigation of the lumbo-sacral canal in disc prolapse. Acta radiol. (Stockh.) 22, 694 (1941).CrossRefGoogle Scholar
  30. Knutsson, F.: The vacuum phenomen in the intervertebral disc. Acta radiol. (Stockh.) 23, 173 (1942).CrossRefGoogle Scholar
  31. Knutsson, F.: The instability associated with disc degeneration in the lumbar spine. Acta radiol. (Stockh.) 25, 593 (1944).CrossRefGoogle Scholar
  32. Lange, Ch.: Untersuchungen über Elastizitätsverhältnisse in den menschlichen Rückenwirbeln mit Bemerkungen über die Pathogenese der Deformitäten. Z. orthop. Chir. 10, 47 (1902).Google Scholar
  33. Knutsson, F.: Diagnostic puncture of intervertebral discs in sciatica. Acta orthop scand. 17, 231 (1948).CrossRefGoogle Scholar
  34. Knutsson, F.: Technique and results in myelography and disc puncture. Acta radiol. (Stockh.) 34, 321 (1950).CrossRefGoogle Scholar
  35. Messerer, O.: Über Elastizität und Festigkeit der menschlichen Knochen. Stuttgart 1880.Google Scholar
  36. Morris, J. M., Lucas, D. B., and B. Bresler: Role of the trunk in stability of the spine. Journal Bone Jt Surg. 43 A, 327 (1961).Google Scholar
  37. Nachemson, A.: Lumbar intervertebral pressure. Acta orthop. scand. Suppl. 43 (1960).Google Scholar
  38. Olsson, S. E.: The dynamic factor in spinal cord compression. A study on dogs with special reference to cervical disc protrusions. J. Neurosurg. 15, 308 (1958).PubMedCrossRefGoogle Scholar
  39. Perey, O.: Contrast medium examination of intervertebral discs of lower lumbar spine. Acta orthop. scand. 20, 327 (1951).PubMedCrossRefGoogle Scholar
  40. Perey, O.: Fracture of the vertebral end-plate in the lumbar spine. Acta orthop. scand. Suppl. 25 (1957).Google Scholar
  41. Putschar, W.: Zur Kenntnis der Knorpelinseln in den Wirbelkörpern. Beitr. path. Anat. 79, 150 (1927 a).Google Scholar
  42. Putschar, W.: Über Knorpelinseln in den Wirbelkörpern Verh. dtsch. path. Ges. 22, 262 (1927 b).Google Scholar
  43. Rauber, A. A.: Elastizität und Festigkeit der Knochen. Leipzig: Wilhelm Engelmann 1876.Google Scholar
  44. Roaf, R.: A study of the mechanics of spinal injuries. Journal Bone Jt Surg. 42B, 810 (1960).Google Scholar
  45. Robert: Eine eigentümliche, angeborene Lordose, wahrscheinlich bedingt durch eine Verschiebung des Körpers des letzten Lendenwirbels auf die vordere Fläche des ersten Kreuzbeinwirbels (Spondylolisthesis Kilian) nebst Bemerkungen über die Mechanik dieser Beckenformation. Mschr. Geburtsh. Gynäk. 5, 81 (1855).Google Scholar
  46. Rolander, S.: Acta orthop. scand. Suppl. 90 (1966).Google Scholar
  47. Rose, G., u. A. v. Mentzingen: Knorpelknoten im Wirbelkörper und Trauma. Chirurg 2, 418 (1930).Google Scholar
  48. Schantz, A.: Krankenvorstellungen. Münch. med. Wschr. 48, 553 (1910).Google Scholar
  49. Schantz, A.: Wirbelsäule und Trauma. Langenbecks Arch. klin. Chir. 148, 187 (1927).Google Scholar
  50. Schmorl, G.: Über die an den Wirbelbandscheiben vorkommenden Ausdehnungs- und Zerreißungsvorgänge und die dadurch an ihnen und der Wirbelspongiosa hervorgerufenen Veränderungen. Verh. dtsch. path. Ges. 22, 250 (1927).Google Scholar
  51. Schmorl, u. H. Junghanns: Die gesunde und die kranke Wirbelsäule in Köntgenbild und Klinik, 3. Aufl. Stuttgart: Georg Thieme 1953.Google Scholar
  52. Severin, E.: Kyggradens rörelseformer. Heise og Arbete 3, 131 (1957).Google Scholar
  53. Tideström, F.: Om ryggradens vridningsrörlighet — analys med modellförsök. Nord. Med. 59, 967 (1958).Google Scholar
  54. Virgin, W. J.: Experimental investigations into the physical properties of the intervertebral disc. J. Bone Jt Surg. B 33, 607 (1951).Google Scholar
  55. Wissing, O.: Über Knorpelknötchen in der Co-lumna. Acta path. microbiol. scand. Suppl. 3, 499 (1930).Google Scholar
  56. Wogt-Lorentsen, F.: Paper read at Nordisk Militär Congress Oslo, Juni (1965).Google Scholar

Copyright information

© Springer-Verlag Berlin · Heidelberg 1974

Authors and Affiliations

  • Olof Perey

There are no affiliations available

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