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Aging and disease    2015, Vol. 6 Issue (3) : 180-187     DOI: 10.14336/AD.2014.0621
Original Article |
Analysis of Vertebral Bone Strength, Fracture Pattern, and Fracture Location: A Validation Study Using a Computed Tomography-Based Nonlinear Finite Element Analysis
Imai Kazuhiro()
Department of Life Sciences, Graduate School of Arts and Sciences, The University of Tokyo, Tokyo, Japan
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Finite element analysis (FEA) is an advanced computer technique of structural stress analysis developed in engineering mechanics. Because the compressive behavior of vertebral bone shows nonlinear behavior, a nonlinear FEA should be utilized to analyze the clinical vertebral fracture. In this article, a computed tomography-based nonlinear FEA (CT/FEA) to analyze the vertebral bone strength, fracture pattern, and fracture location is introduced. The accuracy of the CT/FEA was validated by performing experimental mechanical testing with human cadaveric specimens. Vertebral bone strength and the minimum principal strain at the vertebral surface were accurately analyzed using the CT/FEA. The experimental fracture pattern and fracture location were also accurately simulated. Optimization of the element size was performed by assessing the accuracy of the CT/FEA, and the optimum element size was assumed to be 2 mm. It is expected that the CT/FEA will be valuable in analyzing vertebral fracture risk and assessing therapeutic effects on osteoporosis.

Keywords vertebral fracture      bone strength      finite element analysis      osteoporosis     
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present address: Kunming Biomed International, Kunming, Yunnan, 650500, China

Issue Date: 01 June 2015
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Imai Kazuhiro
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Imai Kazuhiro. Analysis of Vertebral Bone Strength, Fracture Pattern, and Fracture Location: A Validation Study Using a Computed Tomography-Based Nonlinear Finite Element Analysis[J]. Aging and disease, 2015, 6(3): 180-187.
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Figure 1.  Finite element models. A whole vertebral body constructed with 1 mm (left), 2 mm (middle), or 3 mm (right) tetrahedral elements from the computed tomography data.
Figure 2.  CT/FEA analyzed minimum principal strain versus measured minimum principal strain. Values of CT/FEA analyzed minimum principal strain and those of measured minimum principal strain by mechanical testing were significantly correlated.
Figure 3.  The reconstructed micro-CT image and the minimum principal strain distribution analyzed by the CT/FEA. The minimum principal strain distribution constructed with1 mm (left), 2 mm (middle), and 3 mm (right) elements at the mid-sagittal cross section.
Figure 4.  The mid-sagittal section of the undecalcified specimen after the mechanical testing. Direct histological observation revealed that the fracture line in the upper part consisted of piled calcified trabecular bone.
Figure 5.  The lateral soft X-ray radiogram and the reconstructed micro-CT image after the mechanical testing. Marked radiolucency was recognized at the anterior part of the vertebra.
Figure 6.  CT/FEA analysis. Red elements as the failed elements appeared at the anterior part of the vertebra.
Figure 7.  The minimum principal strain distribution. CT/FEA analysis with 1 mm (left), 2 mm (middle), and 3 mm (right) elements.
Figure 8.  The histological examination of the mid-section of the specimen after the mechanical testing.

There was little continuity of the longitudinal trabecula with less content of the bone marrow at the anterior part.

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