Lumbar Diskectomy, Facetectomy, and Laminectomy of L4–L5 and L5–S1 Levels: Experimental Approach and Biomechanical Consequences of Practical Application

  • J. Y. Lazennec
  • R. Desjardins
  • R. Roy-Camille
  • C. G. Laudet
  • A. Lazennec
  • B. Roger


Despite many experimental investigations, a lot of questions remain about the concept of lumbar instability, both degenerative and postoperative [1–5]. The purpose of this study is to analyze the possible deterioration of physiologic behavior at L4–L5 and L5–S1 levels. From the experimental point of view, these results allow one to reflect on the influence of some anatomic details on the intimate biomechanic relationships of these functional units [6,7].


Functional Unit Neutral Zone Anterior Displacement Articular Process Lumbosacral Spine 
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  1. 1.
    Posner I, White AA III, Edwards TW, Hayes WC (1982) A biomechanical analysis of the clinical stability of the lumbar and lumbosacral spine. Spine 7: 374–389PubMedCrossRefGoogle Scholar
  2. 2.
    Smith TJ, Fernie GR (1991) Functional biomechanics of the spine. Spine 16 (10): 1197–1203PubMedCrossRefGoogle Scholar
  3. 3.
    Tencer AF, Ahmed AM, Burke DL (1982) Some static mechanical properties of the lumbar intervertebral joint intact and injured. J Biomech Eng 104: 193–201PubMedCrossRefGoogle Scholar
  4. 4.
    Tkaczuk H (1968) Tensile properties of human lumbar longitudinal ligaments Acta Orthop Scand [Suppl] 115Google Scholar
  5. 5.
    White AA III, Panjabi MM (1978) The basic kinematics of the human spine. Spine 3 (1): 12–20PubMedCrossRefGoogle Scholar
  6. 6.
    Schultz AB, Warnick DN, Berkson MH, Nachemson AL (1982) Mechanical properties of human lumbar spine motion segments. Part 1: Response in flexion extension, lateral bending and torsion. J Biomech Eng 104: 193–201Google Scholar
  7. 7.
    Yang SW, Langrana NA, Lee CK (1986) Biomechanics of lumbosacral spine fusion in combined compression torsion loads. Spine 11: 937–941PubMedCrossRefGoogle Scholar
  8. 8.
    Broberg KB (1983) On the mechanical behavior of intervertebral discs. Spine 8: 151–165PubMedCrossRefGoogle Scholar
  9. 9.
    Skalli W, Lavaste F, Barraco A, Bisserie M, Saillant G, Roy-Camille R (1982) Etude “in vitro” d’un segment vertébral lombaire humain. Comportement expérimental et modélisation mécanique. J Biophys Méd Nucí 6 (4): 193–199Google Scholar
  10. 10.
    Haher TR, Bergman M, O’Brien M, Tallman Felmly W, Choueka J, Welin D, Chow G, Vassiliou A (1991) The effect of the three columns of the spine on the instantaneous axis or rotation in flexion and extension. Spine 16 (10): 312–318Google Scholar
  11. 11.
    Tibrewal SB, Pearcy MJ, Portek I, Spivey J (1985) A prospective study of lumbar spinal movements before and after discectomy using biplanar radiography, Correlation of clinical radiographic findings.Google Scholar
  12. 12.
    Edwards WT (1983) A biomechanical analysis of the lumbar and lumbosacral spine in the sagittal spine. Doctoral thesis, Massachusetts Institude of Technology. Cambridge, MAGoogle Scholar
  13. 13.
    Goel VK, Goyal S, Clark C, Nishiyama K, Nye T (1985) Kinematics of the whole lumbar spine: effect of discectomy. Spine 10: 543–554PubMedCrossRefGoogle Scholar
  14. 14.
    Goel VK, Nishiyama K, Weinstein JN, Liu YK (1986) Mechanical properties of lumbar spinal motion segments as affected by partial disc removal. Spine 11: 1008–12PubMedCrossRefGoogle Scholar
  15. 15.
    Guyer DW, Yuan HA, Werner FW, Frederickson BE, Murphy D (1987) Bio-mechanical comparison of seven internal fixation devices for the lumbosacral junction. Spine 12 (6): 569–573PubMedCrossRefGoogle Scholar
  16. 16.
    Lavaste F, Asselineau A, Diop A, Grandjean JL, Laurain JM, Skalli W, Roy-Camille R (1990) Experimental procedure for mechanical evaluation of dorso- lumbar segments and osteosynthesis devices. Rachis 2 (6): 435–446Google Scholar
  17. 17.
    Panjabi MM, Krag MH, Goel VK (1981) A technique for measurement and description of three-dimensional six degree-of-freedom motion of a body with an application to the human spine. J Biomech 14: 447–460PubMedCrossRefGoogle Scholar
  18. 18.
    Panjabi MM, Takata K, Goel VK (1983) Kinematics of intervertebral foramen. Spine 8: 348–357PubMedCrossRefGoogle Scholar
  19. 19.
    Edwards TW (1991) Biomechanics of posterior lumbar fixation: Analysis of testing methodologies. Spine 16 (10): 1224–1232PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • J. Y. Lazennec
    • 1
  • R. Desjardins
    • 2
  • R. Roy-Camille
    • 3
  • C. G. Laudet
    • 1
  • A. Lazennec
    • 1
  • B. Roger
    • 1
  1. 1.Service d’AnatomieFaculté Pitie-SalpetriereParisFrance
  2. 2.Service d’OrthopédieHôpital MaisonneuveHIT2MA MontrealCanada
  3. 3.Service d’OrthopédieHôpital Pitie-SalpetriereParisFrance

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