title: A new PMHS model for lumbar spine injuries during vertical acceleration.
abstract: Ejection from military aircraft exerts substantial loads on the lumbar spine. Fractures remain common, although the overall survivability of the event has considerably increased over recent decades. The present study was performed to develop and validate a biomechanically accurate experimental model for the high vertical acceleration loading to the lumbar spine that occurs during the catapult phase of aircraft ejection. The model consisted of a vertical drop tower with two horizontal platforms attached to a monorail using low friction linear bearings. A total of four human cadaveric spine specimens (T12-L5) were tested. Each lumbar column was attached to the lower platform through a load cell. Weights were added to the upper platform to match the thorax, head-neck, and upper extremity mass of a 50th percentile male. Both platforms were raised to the drop height and released in unison. Deceleration characteristics of the lower platform were modulated by foam at the bottom of the drop tower. The upper platform applied compressive inertial loads to the top of the specimen during deceleration. All specimens demonstrated complex bending during ejection simulations, with the pattern dependent upon the anterior-posterior location of load application. The model demonstrated adequate inter-specimen kinematic repeatability on a spinal level-by-level basis under different subfailure loading scenarios. One specimen was then exposed to additional tests of increasing acceleration to induce identifiable injury and validate the model as an injury-producing system. Multiple noncontiguous vertebral fractures were obtained at an acceleration of 21 g with 488 g/s rate of onset. This clinically relevant trauma consisted of burst fracture at L1 and wedge fracture at L4. Compression of the vertebral body approached 60% during the failure test, with -6,106 N axial force and 168 Nm flexion moment. Future applications of this model include developing a better understanding of the vertebral injury mechanism during pilot ejection and developing tolerance limits for injuries sustained under a variety of different vertical acceleration scenarios.
authors.affiliation: Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA. bstemper@mcw.edu
authors.forename: Brian D
authors.initials: BD
authors.lastname: Stemper
authors.forename: Steven G
authors.initials: SG
authors.lastname: Storvik
authors.forename: Narayan
authors.initials: N
authors.lastname: Yoganandan
authors.forename: Jamie L
authors.initials: JL
authors.lastname: Baisden
authors.forename: Ronald J
authors.initials: RJ
authors.lastname: Fijalkowski
authors.forename: Frank A
authors.initials: FA
authors.lastname: Pintar
authors.forename: Barry S
authors.initials: BS
authors.lastname: Shender
authors.forename: Glenn R
authors.initials: GR
authors.lastname: Paskoff
mesh_terms: D000054:Acceleration / Q000009:adverse effects*; D001696:Biomechanical Phenomena; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D008422:Materials Testing / Q000379:methods*; D014057:Tomography, X-Ray Computed