Load displacement behavior of the human lumbo-sacral joint.

The three-dimensional load displacement behavior of nine fresh adult L5-S1 spine motion segments was studied. Static test forces up to 160 N in anterior, posterior, and lateral shear, test forces up to 320 N in compression, and test moments up to 15.7 Nm in flexion, extension, lateral bending, and torsion were used. The six displacements of the center of the inferior L5 endplate were measured 15 and 60 s after the load was applied. Specimens were then retested after posterior element excision. The results show that at the maximum test force, intact specimen mean (SD) displacements ranged from 1.65 mm (0.63 mm) in lateral shear to 2.21 mm (0.87 mm) in posterior shear. Posterior element excision resulted in an average 1.66-fold increase in shear translations. At the maximum moment, rotations ranged from 3.38 degrees (1.03 degrees) in torsion to 7.19 degrees (1.77 degrees) in flexion. Posterior element excision resulted in an average 2.09-fold increase in bending rotations and a 2.74-fold increase in the average torsional rotation. In general, these L5-S1 joints were stiffer than more cranial lumbar segments in flexion, extension, and lateral bending and were less stiff in torsion tests.