title: Dynamic response of the occipito-atlanto-axial (C0-C1-C2) complex in right axial rotation.
abstract: The torque-angular deformation in right axial rotation until failure of the ligamentous occipito-atlanto-axial complex subjected to variable loading rate (dynamic) axial torque was characterized using a biaxial MTS system. A special fixture and gear box that permitted right axial rotation of the specimen until failure without imposing any additional constraints were used to obtain the data. The specimens were divided into three groups and tested until failure at three different dynamic loading rates: 50, 100, and 400 degrees/s. A previous study by the authors provided data for quasi-static (4 degrees/s) loading conditions. The torque versus rotation curves can be divided into two straight regions and two transition zones. The plots clearly indicated that at loading rates higher than 4 degrees/s, the specimens became stiffer in the region of steadily increasing resistance prior to failure. The increase in stiffness was maximum at 100 degrees/s. The stiffness decreased somewhat at 400 degrees/s in comparison with 100 degrees/s, but this decrease was not significant. The resulting torque-right axial rotation curves were also examined to estimate the magnitude of maximum resistance (torque) and the corresponding angular rotation value. The average maximum resistance torque increased from 13.6 Nm at 4 degrees/s to 27.8 Nm at 100 degrees/s. The corresponding right angular rotation data (65-78 degrees), however, did not show any significant variation with loading rate. Posttest dissection of the specimens indicated that the type of injury observed was related to the rate of axial loading imposed on a specimen during testing.(ABSTRACT TRUNCATED AT 250 WORDS)
authors.affiliation: Department of Orthopaedic Surgery, St. Mary's Hospital, Catholic University Medical College, Seoul, Korea.
authors.forename: H
authors.initials: H
authors.lastname: Chang
authors.forename: L G
authors.initials: LG
authors.lastname: Gilbertson
authors.forename: V K
authors.initials: VK
authors.lastname: Goel
authors.forename: J M
authors.initials: JM
authors.lastname: Winterbottom
authors.forename: C R
authors.initials: CR
authors.lastname: Clark
authors.forename: A
authors.initials: A
authors.lastname: Patwardhan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001268:Atlanto-Axial Joint / Q000502:physiology*; D001269:Atlanto-Occipital Joint / Q000502:physiology*; D002574:Cervical Vertebrae / Q000502:physiology; D005260:Female; D006801:Humans; D008297:Male; D012399:Rotation; D013314:Stress, Mechanical