Impact of body weight on intervertebral disc: A finite element analysis of lumbar spine total disc replacement

Total disc replacement is a frequently performed surgical intervention for managing severe degenerative disc disease, aiming to maintain lumbar spine mobility. Nevertheless, long-term outcomes have highlighted concerns such as spinal instability and degeneration of adjacent segments. This study expl...

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Main Authors: Abd. Latif, Mohd Juzaila, Zahari, Siti Nurfaezah, Zakaria, Mohamad Shukri, Akiah, Masni Azian, Quang, Nguyen Ho, Abdul Kadir, Mohammed Rafiq
Format: Article
Language:en
Published: Universiti Teknologi MARA 2025
Online Access:http://eprints.utem.edu.my/id/eprint/29049/2/007691405202516411.pdf
http://eprints.utem.edu.my/id/eprint/29049/
https://jmeche.uitm.edu.my/wp-content/uploads/2025/05/8.JMECHE-2024-0070.pdf
https://doi.org/10.24191/jmeche.v22 i2.6180
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author Abd. Latif, Mohd Juzaila
Zahari, Siti Nurfaezah
Zakaria, Mohamad Shukri
Akiah, Masni Azian
Quang, Nguyen Ho
Abdul Kadir, Mohammed Rafiq
author_facet Abd. Latif, Mohd Juzaila
Zahari, Siti Nurfaezah
Zakaria, Mohamad Shukri
Akiah, Masni Azian
Quang, Nguyen Ho
Abdul Kadir, Mohammed Rafiq
author_sort Abd. Latif, Mohd Juzaila
building UTEM Library
collection Institutional Repository
content_provider Universiti Teknikal Malaysia Melaka
content_source UTEM Institutional Repository
continent Asia
country Malaysia
description Total disc replacement is a frequently performed surgical intervention for managing severe degenerative disc disease, aiming to maintain lumbar spine mobility. Nevertheless, long-term outcomes have highlighted concerns such as spinal instability and degeneration of adjacent segments. This study explores the biomechanical implications of body weight on adjacent vertebral segments in a lumbar spine implanted with a total disc replacement prosthesis through finite element analysis. Detailed three-dimensional lumbar spine finite element models were developed, including both an intact spine and a spine with the Maverick prosthesis implanted at the L4-L5 segment, with verification against existing literature. The models underwent follower compression loads of 500 N, 800 N, and 1200 N, representing normal, overweight, and obese conditions, combined with pure moments of 7.5 Nm applied in flexion and extension. The analysis presented that increased body weight and the rigid characteristics of the Maverick prosthesis at the L4- L5 significantly influenced segmental motion, nucleus pulposus pressure, and annulus fibrosus stress compared to intact lumbar spine. The increasing body weight affected lumbar spine segmental motion, with the implanted lumbar spine model showing altered intersegmental rotation by 57% during extension motion. Additionally, notable increases in nucleus pulposus pressure and annulus fibrosus stress were observed, reaching 155% and 124% respectively, at the L3-L4 segment during extension under obese conditions. These biomechanical changes may contribute to early intervertebral disc damage and annular tear at the disc rim.
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spelling my.utem.eprints-290492025-10-28T00:57:16Z http://eprints.utem.edu.my/id/eprint/29049/ Impact of body weight on intervertebral disc: A finite element analysis of lumbar spine total disc replacement Abd. Latif, Mohd Juzaila Zahari, Siti Nurfaezah Zakaria, Mohamad Shukri Akiah, Masni Azian Quang, Nguyen Ho Abdul Kadir, Mohammed Rafiq Total disc replacement is a frequently performed surgical intervention for managing severe degenerative disc disease, aiming to maintain lumbar spine mobility. Nevertheless, long-term outcomes have highlighted concerns such as spinal instability and degeneration of adjacent segments. This study explores the biomechanical implications of body weight on adjacent vertebral segments in a lumbar spine implanted with a total disc replacement prosthesis through finite element analysis. Detailed three-dimensional lumbar spine finite element models were developed, including both an intact spine and a spine with the Maverick prosthesis implanted at the L4-L5 segment, with verification against existing literature. The models underwent follower compression loads of 500 N, 800 N, and 1200 N, representing normal, overweight, and obese conditions, combined with pure moments of 7.5 Nm applied in flexion and extension. The analysis presented that increased body weight and the rigid characteristics of the Maverick prosthesis at the L4- L5 significantly influenced segmental motion, nucleus pulposus pressure, and annulus fibrosus stress compared to intact lumbar spine. The increasing body weight affected lumbar spine segmental motion, with the implanted lumbar spine model showing altered intersegmental rotation by 57% during extension motion. Additionally, notable increases in nucleus pulposus pressure and annulus fibrosus stress were observed, reaching 155% and 124% respectively, at the L3-L4 segment during extension under obese conditions. These biomechanical changes may contribute to early intervertebral disc damage and annular tear at the disc rim. Universiti Teknologi MARA 2025-05 Article PeerReviewed text en http://eprints.utem.edu.my/id/eprint/29049/2/007691405202516411.pdf Abd. Latif, Mohd Juzaila and Zahari, Siti Nurfaezah and Zakaria, Mohamad Shukri and Akiah, Masni Azian and Quang, Nguyen Ho and Abdul Kadir, Mohammed Rafiq (2025) Impact of body weight on intervertebral disc: A finite element analysis of lumbar spine total disc replacement. Journal of Mechanical Engineering, 22 (2). pp. 97-110. ISSN 1823-5514 https://jmeche.uitm.edu.my/wp-content/uploads/2025/05/8.JMECHE-2024-0070.pdf https://doi.org/10.24191/jmeche.v22 i2.6180
spellingShingle Abd. Latif, Mohd Juzaila
Zahari, Siti Nurfaezah
Zakaria, Mohamad Shukri
Akiah, Masni Azian
Quang, Nguyen Ho
Abdul Kadir, Mohammed Rafiq
Impact of body weight on intervertebral disc: A finite element analysis of lumbar spine total disc replacement
title Impact of body weight on intervertebral disc: A finite element analysis of lumbar spine total disc replacement
title_full Impact of body weight on intervertebral disc: A finite element analysis of lumbar spine total disc replacement
title_fullStr Impact of body weight on intervertebral disc: A finite element analysis of lumbar spine total disc replacement
title_full_unstemmed Impact of body weight on intervertebral disc: A finite element analysis of lumbar spine total disc replacement
title_short Impact of body weight on intervertebral disc: A finite element analysis of lumbar spine total disc replacement
title_sort impact of body weight on intervertebral disc: a finite element analysis of lumbar spine total disc replacement
url http://eprints.utem.edu.my/id/eprint/29049/2/007691405202516411.pdf
http://eprints.utem.edu.my/id/eprint/29049/
https://jmeche.uitm.edu.my/wp-content/uploads/2025/05/8.JMECHE-2024-0070.pdf
https://doi.org/10.24191/jmeche.v22 i2.6180
url_provider http://eprints.utem.edu.my/