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Statistical Parametric Mapping The Analysis Of Functional Brain Images

Dynamics of structures

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Development of new metallic alloys for biomedical applications

A new method for the treatment of scoliosis is described in which a metal system of rods and hooks is implanted, and distraction and compression forces applied, to correct the curve and stabilize the treated segments in the corrected position by skeletal fixation. The technique and principles of this method of treatment and a summary of the preliminary results are given.

JBJS classics: Treatment of scoliosis: Correction and internal fixation by spine instrumentation

This paper is a narrative review of normal cervical alignment, methods for quantifying alignment, and how alignment is associated with cervical deformity, myelopathy, and adjacent-segment disease (ASD), with discussions of health-related quality of life (HRQOL). Popular methods currently used to quantify cervical alignment are discussed including cervical lordosis, sagittal vertical axis, and horizontal gaze with the chin-brow to vertical angle. Cervical deformity is examined in detail as deformities localized to the cervical spine affect, and are affected by, other parameters of the spine in preserving global sagittal alignment. An evolving trend is defining cervical sagittal alignment. Evidence from a few recent studies suggests correlations between radiographic parameters in the cervical spine and HRQOL. Analysis of the cervical regional alignment with respect to overall spinal pelvic alignment is critical. The article details mechanisms by which cervical kyphotic deformity potentially leads to ASD and discusses previous studies that suggest how postoperative sagittal malalignment may promote ASD. Further clinical studies are needed to explore the relationship of cervical malalignment and the development of ASD. Sagittal alignment of the cervical spine may play a substantial role in the development of cervical myelopathy as cervical deformity can lead to spinal cord compression and cord tension. Surgical correction of cervical myelopathy should always take into consideration cervical sagittal alignment, as decompression alone may not decrease cord tension induced by kyphosis. Awareness of the development of postlaminectomy kyphosis is critical as it relates to cervical myelopathy. The future direction of cervical deformity correction should include a comprehensive approach in assessing global cervicalpelvic relationships. Just as understanding pelvic incidence as it relates to lumbar lordosis was crucial in building our knowledge of thoracolumbar deformities, T-1 incidence and cervical sagittal balance can further our understanding of cervical deformities. Other important parameters that account for the cervical-pelvic relationship are surveyed in detail, and it is recognized that all such parameters need to be validated in studies that correlate HRQOL outcomes following cervical deformity correction.

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Cervical spine alignment, sagittal deformity, and clinical implications: A review

Adjustments to McConville et al. and Young et al. body segment inertial parameters

The purpose of this study was to compare the main kinematic, kinetic, and dynamic parameters of elite and well-trained sprinters during the starting block phase and the 2 subsequent steps. Six elite sprinters (10.06-10.43 s/100 m) and 6 well-trained sprinters (11.01-11.80 s/100 m) equipped with 63 passive reflective markers performed 4 maximal 10 m sprint starts on an indoor track. An opto-electronic motion analysis system consisting of 12 digital cameras (250 Hz) was used to record 3D marker trajectories. At the times "on your marks," "set," "clearing the block," and "landing and toe-off of the first and second step," the horizontal position of the center of mass (CM), its velocity (XCM and VCM), and the horizontal position of the rear and front hand (X(Hand_rear) and X(Hand_front)) were calculated. During the pushing phase on the starting block and the 2 first steps, the rate of force development and the impulse (F(impulse)) were also calculated. The main results showed that at each time XCM and VCM were significantly greater in elite sprinters. Moreover, during the pushing phase on the block, the rate of force development and F(impulse) were significantly greater in elite sprinters (respectively, 15,505 +/- 5,397 N.s and 8,459 +/- 3,811 N.s for the rate of force development; 276.2 +/- 36.0 N.s and 215.4 +/- 28.5 N.s for F(impulse), p < or = 0.05). Finally, at the block clearing, elite sprinters showed a greater XHand_rear and X(Hand_front) than well-trained sprinters (respectively, 0.07+/- 0.12 m and -0.27 +/- 0.36 m for X(Hand_rear); 1.00 +/- 0.14 m and 0.52 +/- 0.27 m for X(Hand_front); p < or = 0.05). The muscular strength and arm coordination appear to characterize the efficiency of the sprint start. To improve speed capacities of their athletes, coaches must include in their habitual training sessions of resistance training.

Kinematic and kinetic comparisons of elite and well-trained sprinters during sprint start.

Analyzing standing posture requires a precise measure of the orientation of the various body segments with respect to the gravitational vector. We studied the posture variability of 34 healthy upright standing subjects. Using a force platform combined with a powerful stereoradiographic technique, we acquired the spine and pelvis three-dimensional (3D) geometry and located it with respect to the gravity line. For our data set, the mean 3D distance between the geometrical center of each vertebral body and the gravity line was 28 mm with a standard deviation of 5.6 mm. The vertebrae location variability, defined as plus or minus twice the mean standard deviation, was +/-40 mm in the sagittal plane and +/-25 mm in the frontal plane. The line connecting the middle of the external acoustic meatus (center of both acoustic meati: CAM) to the middle of the bi-coxo-femoral axis (hip axis: HA) was almost vertical. Its mean distance to the gravity line was 30 mm. Our data show a left lateralization, with respect to the gravity line, of the "Head-Spine-Pelvis" segments. The mean distance was 7.6 mm (SD 1.6 mm). This might be due to uneven partitioning of the body mass on each side of the sagittal plane.

Variability of the spine and pelvis location with respect to the gravity line: a three-dimensional stereoradiographic study using a force platform

In the literature, conventional 3D inverse dynamic models are limited in three aspects related to inverse dynamic notation, body segment parameters and kinematic formalism. First, conventional notation yields separate computations of the forces and moments with successive coordinate system transformations. Secondly, the way conventional body segment parameters are defined is based on the assumption that the inertia tensor is principal and the centre of mass is located between the proximal and distal ends. Thirdly, the conventional kinematic formalism uses Euler or Cardanic angles that are sequence-dependent and suffer from singularities. In order to overcome these limitations, this paper presents a new generic method for inverse dynamics. This generic method is based on wrench notation for inverse dynamics, a general definition of body segment parameters and quaternion algebra for the kinematic formalism.

A 3D Generic Inverse Dynamic Method using Wrench Notation and Quaternion Algebra

Study design A detorsion analysis of the scoliosis surgical correction by means of in situ contouring technique (ISC). Objective To describe the technique of ISC. To measure the vertebral and intervertebral axial rotation in thoracic and lumbar curves and their correction obtained by ISC. Summary and background data The vertebral and intervertebral axial rotation allows to evaluate the severity of the curves. However, the intervertebral axial rotation is barely studied and the vertebral axial rotation is a controversial point of the surgical correction. Methods Twenty patients with thoracic and lumbar scoliosis were operated on with ISC. Vertebral axial rotation at the apex and the sum of intervertebral axial rotations all along the curve were computed before and after surgery from the three-dimensional stereoradiographic reconstruction of the spine and the pelvis. All the measurements were made in the standing position. Results Correction of the axial rotation was obtained at the apex of both thoracic and lumbar curves of idiopathic and degenerative scoliosis. The mean values of correction (in terms of axial rotation) were 8 degrees to 19 degrees (62%-67%). The percentage of correction of the sum of intervertebral axial rotations all along the curve, proposed as a "detorsion index" (preoperative - postoperative/preoperative), was found at 57% to 92%. No significant differences were found for the correction (in terms of axial rotation and detorsion) between idiopathic and degenerative curves. Conclusions The axial rotation was measured in clinics on standing patients with scoliosis from three-dimensional stereoradiographic reconstruction and demonstrated a reliable detorsion obtained by ISC.

Raphaël Dumas

Papers

Adjustments to McConville et al. and Young et al. body segment inertial parameters

Kinematic and kinetic comparisons of elite and well-trained sprinters during sprint start.

Variability of the spine and pelvis location with respect to the gravity line: a three-dimensional stereoradiographic study using a force platform

A 3D Generic Inverse Dynamic Method using Wrench Notation and Quaternion Algebra

Surgical correction of scoliosis by in situ contouring: a detorsion analysis.