MICROFRACTURE OF HUMAN THORACOLUMBAR VERTEBRAL BODY UNDER FATIGUE LOADING

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The purpose of this study was to investigate the relationship between lumbar vertebral microfracture and fatigue loading on young human spine under physiological cyclic compression loads. Thirty-three thoracolumbar vertebrae (T12 to L4) were obtained from 7 adult Chinese male cadavers. They were randomly divided into 5 groups. Cyclical compression was performed for 20,000 cycles with 2 Hz. Load magnitude was determined respectively as 10%, 20% and 30% of the ultimate compressive load. Four cylindrical sections were obtained from each vertebra and the cross-sectional slides were made. The histomorphometry was used to determine microfracture densitiy and distribution. No fracture was detected in the radiographs of groups III, IV and V after fatigue load. Microfracture density in the cyclic compression group increased from 0.46 #/mm2 in Group III to 0.66 #/mm2 (Group IV) and 0.94 #/mm2 (Group V) under different loading levels (). These results provide evidence for the existence of microfractures caused by fatigue loads that are undetectable by X-ray.