Abstract

The facet capsule ligament (FCL) is a structure in the lumbar spine that constrains motions of the vertebrae. Subfailure loads can produce microdamage resulting in increased laxity, decreased stiffness, and altered viscoelastic responses. Therefore, the purpose of this investigation was to determine the mechanical and viscoelastic properties of the FCL under various magnitudes of strain from control samples and samples that had been through an impact protocol. Two hundred FCL tissue samples were tested (20 control and 180 impacted). Impacted FCL tissue samples were obtained from functional spinal units that had been exposed to one of nine subfailure impact conditions. All specimens underwent the following loading protocol: preconditioning with five cycles of 5% strain, followed by a 30 s rest period, five cycles of 10% strain, and 1 cycle of 10% strain with a hold duration at 10% strain for 240 s (4 min). The same protocol was followed for 30% and 50% strain. Measures of stiffness, hysteresis, and force-relaxation were computed. No significant differences in stiffness were observed for impacted specimens in comparison to control. Impacted specimens from the 8 g flexed and 11 g flexed and neutral conditions exhibited greater hysteresis during the cyclic-30% and cyclic-50% portion of the protocol in comparison to controls. In addition, specimens from the 8 g and 11 g flexed conditions resulted in greater stress decay for the 50%-hold conditions. Results from this study demonstrate viscoelastic changes in FCL samples exposed to moderate and highspeed single impacts in a flexed posture.

References

1.
Fast
,
A.
,
Sosner
,
J.
,
Begeman
,
P.
,
Thomas
,
M. A.
, and
Chiu
,
T.
,
2002
, “
Lumbar Spinal Strains Associated With Whiplash Injury: A Cadaveric Study
,”
Am. J. Phys. Med. Rehabil.
,
81
(
9
), pp.
645
650
.10.1097/00002060-200209000-00002
2.
Beattie
,
N.
, and
Lovell
,
M. E.
,
2010
, “
Can Patients With Low Energy Whiplash Associated Disorder Develop Low Back Pain?
,”
Injury
,
41
(
2
), pp.
144
146
.10.1016/j.injury.2009.06.165
3.
Magnússon
,
T.
,
1994
, “
Extracervical Symptoms After Whiplash Trauma
,”
Cephalalgia
,
14
(
3
), pp.
223
227
.10.1046/j.1468-2982.1994.014003223.x
4.
Gay
,
J.
, and
Abott
,
K.
,
1953
, “
Common Whiplash Injuries of the Neck
,”
JAMA
, (
152
(
18
), pp.
1698
1704
.10.1001/jama.1953.03690180020006
5.
Chapline
,
J. F.
,
Ferguson
,
S. A.
,
Lillis
,
R. P.
,
Lund
,
A. K.
, and
Williams
,
A. F.
,
2000
, “
Neck Pain and Head Restraint Position Relative to the Driver's Head in Rear-End Collisions
,”
Accid. Anal. Prev.
,
32
(
2
), pp.
287
297
.10.1016/S0001-4575(99)00126-8
6.
Fewster
,
K. M.
,
Parkinson
,
R. J.
, and
Callaghan
,
J. P.
,
2019
, “
Low-Velocity Motor Vehicle Collision Characteristics Associated With Claimed Low Back Pain
,”
Traffic Inj. Prev.
,
20
(
4
), pp.
419
423
.10.1080/15389588.2019.1601716
7.
Pearson
,
A. M.
,
Ivancic
,
P. C.
,
Ito
,
S.
, and
Panjabi
,
M. M.
,
2004
, “
Facet Joint Kinematics and Injury Mechanisms During Simulated Whiplash
,”
Spine (Phila. Pa. 1976)
,
29
(
4
), pp.
390
397
.10.1097/01.BRS.0000090836.50508.F7
8.
Siegmund
,
G. P.
,
Myers
,
B. S.
,
Davis
,
M. B.
,
Bohnet
,
H. F.
, and
Winkelstein
,
B. A.
,
2001
, “
Mechanical Evidence of Cervical Facet Capsule Injury During Whiplash: A Cadaveric Study Using Combined Shear, Compression, and Extension Loading
,”
Spine (Phila. Pa. 1976)
,
26
(
19
), pp.
2095
2101
.10.1097/00007632-200110010-00010
9.
Lu
,
Y.
,
Chen
,
C.
,
Kallakuri
,
S.
,
Patwardhan
,
A.
, and
Cavanaugh
,
J. M.
,
2005
, “
Neural Response of Cervical Facet Joint Capsule to Stretch: A Study of Whiplash Pain Mechanism
,”
Stapp Car Crash J.
,
49
, pp.
49
65
.https://pubmed.ncbi.nlm.nih.gov/17096268/
10.
Cavanaugh
,
J. M.
,
Lu
,
Y.
,
Chen
,
C.
, and
Kallakuri
,
S.
,
2006
, “
Pain Generation in Lumbar and Cervical Facet Joints
,”
J. Bone Jt. Surg. Am.
,
88
(
suppl_2
), pp.
63
67
.10.2106/JBJS.E.01411
11.
Panjabi
,
M. M.
,
Goel
,
V. K.
, and
Takata
,
K.
,
1982
, “
Physiologic Strains in the Lumbar Spinal Ligaments. An In Vitro Biomechanical Study 1981 Volvo Award in Biomechanics
,”
Spine (Phila. Pa. 1976)
,
7
(
3
), pp.
192
203
.10.1097/00007632-198205000-00003
12.
Ianuzzi
,
A.
,
Little
,
J. S.
,
Chiu
,
J. B.
,
Baitner
,
A.
,
Kawchuk
,
G.
, and
Khalsa
,
P. S.
,
2004
, “
Human Lumbar Facet Joint Capsule Strains: I. During Physiological Motions
,”
Spine J.
,
4
(
2
), pp.
141
152
.10.1016/j.spinee.2003.07.008
13.
Zehr
,
J. D.
,
Barrett
,
J. M.
,
Fewster
,
K. M.
,
Laing
,
A. C.
, and
Callaghan
,
J. P.
,
2019
, “
Strain of the Facet Joint Capsule During Rotation and Translation Range-of-Motion Tests: An In Vitro Porcine Model as a Human Surrogate
,”
Spine J.
, 20(3),
475
487
.
14.
Panjabi
,
M. M.
,
Yoldas
,
E.
,
Oxland
,
T. R.
, and
Crisco
,
J. J.
,
1996
, “
Subfailure Injury of the Rabbit Anterior Cruciate Ligament
,”
J. Orthop. Res.
,
14
(
2
), pp.
216
222
.10.1002/jor.1100140208
15.
Pollock
,
R. G.
,
Wang
,
V. M.
,
Bucchieri
,
J. S.
,
Cohen
,
N. P.
,
Huang
,
C. Y.
,
Pawluk
,
R. J.
,
Flatow
,
E. L.
,
Bigliani
,
L. U.
, and
Mow
,
C. V.
,
2000
, “
Effects of Repetitive Subfailure Strains on the Mechanical Behavior of the Inferior Glenohumeral Ligament
,”
J. Shoulder Elb. Surg.
,
9
(
5
), pp.
427
435
.10.1067/mse.2000.108388
16.
Provenzano
,
P. P.
,
Heisey
,
D.
,
Hayashi
,
K.
,
Lakes
,
R.
, and
Vanderby
,
R.
,
2002
, “
Subfailure Damage in Ligament: A Structural and Cellular Evaluation
,”
J. Appl. Physiol.
,
92
(
1
), pp.
362
371
.10.1152/jappl.2002.92.1.362
17.
Nelson-Wong
,
E.
,
Glinka
,
M.
,
Noguchi
,
M.
,
Langevin
,
H.
,
Badger
,
G. J.
, and
Callaghan
,
J. P.
,
2018
, “
Acute Surgical Injury Alters the Tensile Properties of Thoracolumbar Fascia in a Porcine Model
,”
ASME J. Biomech. Eng.
,
140
(
10
), p.
101012
.10.1115/1.4040452
18.
Panjabi
,
M. M.
,
Moy
,
P.
,
Oxland
,
T. R.
, and
Cholewicki
,
J.
,
1999
, “
Subfailure Injury Affects the Relaxation Behavior of Rabbit ACL
,”
Clin. Biomech.
,
14
(
1
), pp.
24
31
.10.1016/S0268-0033(98)00046-1
19.
Quinn
,
K. P.
,
Lee
,
K. E.
,
Ahaghotu
,
C. C.
, and
Winkelstein
,
B. A.
,
2007
, “
Structural Changes in the Cervical Facet Capsular Ligament: Potential Contributions to Pain Following Subfailure Loading
,”
Stapp Car Crash J.
,
51
, pp.
169
187
.https://pubmed.ncbi.nlm.nih.gov/18278597/
20.
Quinn
,
K. P.
, and
Winkelstein
,
B. A.
,
2007
, “
Cervical Facet Capsular Ligament Yield Defines the Threshold for Injury and Persistent Joint-Mediated Neck Pain
,”
J. Biomech.
,
40
(
10
), pp.
2299
2306
.10.1016/j.jbiomech.2006.10.015
21.
Gregory
,
D. E.
, and
Callaghan
,
J. P.
,
2010
, “
An Examination of the Influence of Strain Rate on Subfailure Mechanical Properties of the Annulus Fibrosus
,”
ASME J. Biomech. Eng.
,
132
(
9
), p.
091010
.10.1115/1.4001945
22.
Oxland
,
T. R.
,
Panjabi
,
M. M.
,
Southern
,
E. P.
, and
Duranceau
,
J. S.
,
1991
, “
An Anatomic Basis for Spinal Instability: A Porcine Trauma Model
,”
J. Orthop. Res.
,
9
(
3
), pp.
452
462
.10.1002/jor.1100090318
23.
Yingling
,
V. R.
,
Callaghan
,
J. P.
, and
McGill
,
S. M.
,
1999
, “
The Porcine Cervical Spine as a Model of the Human Lumbar Spine: An Anatomical, Geometric, and Functional Comparison
,”
J. Spinal Disord. Tech.
,
12
(
5
), pp.
415
423
.10.1097/00002517-199912050-00012
24.
Galante
,
J. O.
,
1967
, “
Tensile Properties of the Human Lumbar Annulus Fibrosus
,”
Acta. Orthop. Scand.
,
38
(
Supp. 100
), pp.
1
91
.10.3109/ort.1967.38.suppl-100.01
25.
Fewster
,
K. M.
, Zehr, J. D.,
Barrett
,
J. M.
, Laing, A. C., and
Callaghan
,
J. P.
,
2021
, “
Exploring the Influence of Impact Severity and Posture on Vertebral Joint Mechanics in an In-Vitro Porcine Model
,”
J. Biomech.
, 122, p. 110479.10.1016/j.jbiomech.2021.110479
26.
Little
,
J. S.
, and
Khalsa
,
P. S.
,
2005
, “
Material Properties of the Human Lumbar Facet Joint Capsule
,”
ASME J. Biomech. Eng.
,
127
(
1
), pp.
15
24
.10.1115/1.1835348
27.
Gregory
,
D. E.
, and
Callaghan
,
J. P.
,
2012
, “
An Examination of the Mechanical Properties of the Annulus Fibrosus: The Effect of Vibration on the Intra-Lamellar Matrix Strength
,”
Med. Eng. Phys.
,
34
(
4
), pp.
472
7
.10.1016/j.medengphy.2011.08.007
28.
De Carvalho
,
D. E.
, and
Callaghan
,
J. P.
,
2012
, “
Influence of Automobile Seat Lumbar Support Prominence on Spine and Pelvic Postures: A Radiological Investigation
,”
Appl. Ergon.
,
43
(
5
), pp.
876
882
.10.1016/j.apergo.2011.12.007
29.
Mattucci
,
S. F. E.
,
Moulton
,
J. A.
,
Chandrashekar
,
N.
, and
Cronin
,
D. S.
,
2012
, “
Strain Rate Dependent Properties of Younger Human Cervical Spine Ligaments
,”
J. Mech. Behav. Biomed. Mater.
,
10
, pp.
216
226
.10.1016/j.jmbbm.2012.02.004
30.
Yoganandan
,
N.
,
Pintar
,
F.
,
Butler
,
J.
,
Reinartz
,
J.
,
Sances
,
A.
,
Sances
,
A.
, and
Larson
,
S. J.
,
1989
, “
Dynamic Response of Human Cervical Spine Ligaments
,”
Spine (Phila. Pa. 1976)
, 14(10), pp.
1102
1110
.
31.
Dumas
,
G. A.
,
Beaudoin
,
L.
, and
Drouin
,
G.
,
1987
, “
In Situ Mechanical Behavior of Posterior Spinal Ligaments in the Lumbar Region. An In Vitro Study
,”
J. Biomech.
, 20(3), pp. 301–
303
,
305
310
.10.1016/0021-9290(87)90296-x
32.
Elliott
,
D. M.
, and
Setton
,
L. A.
,
2001
, “
Anisotropic and Inhomogeneous Tensile Behavior of the Human Anulus Fibrosus: Experimental Measurement and Material Model Predictions
,”
ASME J. Biomech. Eng.
,
123
(
3
), pp.
256
263
.10.1115/1.1374202
33.
Lynch
,
H. A.
,
Johannessen
,
W.
,
Wu
,
J. P.
,
Jawa
,
A.
, and
Elliott
,
D. M.
,
2003
, “
Effect of Fiber Orientation and Strain Rate on the Nonlinear Uniaxial Tensile Material Properties of Tendon
,”
ASME J. Biomech. Eng.
,
125
(
5
), pp.
726
731
.10.1115/1.1614819
34.
Chandrashekar
,
N.
,
Hashemi
,
J.
,
Slauterbeck
,
J.
, and
Beynnon
,
B. D.
,
2008
, “
Low-Load Behaviour of the Patellar Tendon Graft and Its Relevance to the Biomechanics of the Reconstructed Knee
,”
Clin. Biomech.
,
23
(
7
), pp.
918
925
.10.1016/j.clinbiomech.2008.03.070
35.
Shadwick
,
R. E.
,
1990
, “
Elastic Energy Storage in Tendons: Mechanical Differences Related to Function and Age
,”
J. Appl. Physiol.
, 68(3), pp.
1033
1040
.10.1152/jappl.1990.68.3.1033
36.
Puxkandl
,
R.
,
Zizak
,
I.
,
Paris
,
O.
,
Keckes
,
J.
,
Tesch
,
W.
,
Bernstorff
,
S.
,
Purslow
,
P.
, and
Fratzl
,
P.
,
2002
, “
Viscoelastic Properties of Collagen: Synchrotron Radiation Investigations and Structural Model
,”
Philos. Trans. R. Soc. B Biol. Sci.
,
357
(
1418
), pp.
191
197
.10.1098/rstb.2001.1033
You do not currently have access to this content.