Finite element models can reproduce the effect of nucleotomy on the multi-axial compliance of human intervertebral discs
Finite element (FE) models can unravel the link between intervertebral disc (IVD) degeneration and its mechanical behaviour. Nucleotomy may provide the data required for model verification. Three human IVDs were scanned with MRI and tested in multiple loading scenarios, prior and post nucleotomy. Th...
        Saved in:
      
    
          | Published in | Computer methods in biomechanics and biomedical engineering Vol. 23; no. 13; pp. 934 - 944 | 
|---|---|
| Main Authors | , , , , , , | 
| Format | Journal Article | 
| Language | English | 
| Published | 
        England
          Taylor & Francis
    
        02.10.2020
     Taylor & Francis Ltd  | 
| Subjects | |
| Online Access | Get full text | 
| ISSN | 1025-5842 1476-8259 1476-8259  | 
| DOI | 10.1080/10255842.2020.1773808 | 
Cover
| Abstract | Finite element (FE) models can unravel the link between intervertebral disc (IVD) degeneration and its mechanical behaviour. Nucleotomy may provide the data required for model verification. Three human IVDs were scanned with MRI and tested in multiple loading scenarios, prior and post nucleotomy. The resulting data was used to generate, calibrate, and verify the FE models. Nucleotomy increased the experimental range of motion by 26%, a result reproduced by the FE simulation within a 5% error. This work demonstrates the ability of FE models to reproduce the mechanical compliance of human IVDs prior and post nucleotomy. | 
    
|---|---|
| AbstractList | Finite element (FE) models can unravel the link between intervertebral disc (IVD) degeneration and its mechanical behaviour. Nucleotomy may provide the data required for model verification. Three human IVDs were scanned with MRI and tested in multiple loading scenarios, prior and post nucleotomy. The resulting data was used to generate, calibrate, and verify the FE models. Nucleotomy increased the experimental range of motion by 26%, a result reproduced by the FE simulation within a 5% error. This work demonstrates the ability of FE models to reproduce the mechanical compliance of human IVDs prior and post nucleotomy. Finite element (FE) models can unravel the link between intervertebral disc (IVD) degeneration and its mechanical behaviour. Nucleotomy may provide the data required for model verification. Three human IVDs were scanned with MRI and tested in multiple loading scenarios, prior and post nucleotomy. The resulting data was used to generate, calibrate, and verify the FE models. Nucleotomy increased the experimental range of motion by 26%, a result reproduced by the FE simulation within a 5% error. This work demonstrates the ability of FE models to reproduce the mechanical compliance of human IVDs prior and post nucleotomy.Finite element (FE) models can unravel the link between intervertebral disc (IVD) degeneration and its mechanical behaviour. Nucleotomy may provide the data required for model verification. Three human IVDs were scanned with MRI and tested in multiple loading scenarios, prior and post nucleotomy. The resulting data was used to generate, calibrate, and verify the FE models. Nucleotomy increased the experimental range of motion by 26%, a result reproduced by the FE simulation within a 5% error. This work demonstrates the ability of FE models to reproduce the mechanical compliance of human IVDs prior and post nucleotomy. Intervertebral disc (IVD) degeneration is a cell-mediated response to progressive structural failure that is associated with chronic back pain. Due to its high socio-economic impact, numerous models have been proposed to investigate disc degeneration. In particular, finite element (FE) models have gained a considerable interest for studying the relationship between IVD degeneration and its mechanical behaviour. Mechanical data from in vitro tests are required to calibrate or validate these FE models, but IVD degeneration cannot easily be reproduced in a laboratory. However, targeted procedures such as nucleotomy can induce controlled structural changes within an IVD and thus provide the necessary data. This study aimed to develop a subject-specific IVD FE model that can predict the effect of nucleotomy on the multi-axial behavior of human IVDs. Three human IVDs were imaged in a clinical magnetic resonance imaging scanner and corresponding FE models generated. Each disc was tested in multiple loading scenarios prior and post nucleotomy. The resulting data were used to calibrate the material constants and evaluate the models performance. The FE model reproduced the experimental range of motion with an average error of 4 % for the intact and 5 % for the denucleated case. The nucleotomy caused a mean increase of 26 % in the experimental range of motion, a result reproduced by the FE simulation within a 2 % error. This work demonstrates the ability of FE models to reproduce the compliance of intact human IVDs along various loading modes and to simulate the alterations resulting from nucleotomy.  | 
    
| Author | Stadelmann, Marc A. Zysset, Philippe K. Stocker, Roland Maquer, Ghislain Hoppe, Sven Vermathen, Peter Alkalay, Ron N.  | 
    
| AuthorAffiliation | a ARTORG Center for Biomedical Engineering Research, University of Bern, Freiburgstrasse 3, 3010 Bern, Switzerland c Department for BioMedical Research, University of Bern, Switzerland d Center for Advanced Orthopedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, USA b Department of Orthopedic Surgery, Bern University Hospital, Switzerland  | 
    
| AuthorAffiliation_xml | – name: b Department of Orthopedic Surgery, Bern University Hospital, Switzerland – name: d Center for Advanced Orthopedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, USA – name: a ARTORG Center for Biomedical Engineering Research, University of Bern, Freiburgstrasse 3, 3010 Bern, Switzerland – name: c Department for BioMedical Research, University of Bern, Switzerland  | 
    
| Author_xml | – sequence: 1 givenname: Marc A. surname: Stadelmann fullname: Stadelmann, Marc A. email: marc.stadelmann@artorg.unibe.ch organization: ARTORG Center for Biomedical Engineering Research, University of Bern – sequence: 2 givenname: Roland surname: Stocker fullname: Stocker, Roland organization: ARTORG Center for Biomedical Engineering Research, University of Bern – sequence: 3 givenname: Ghislain surname: Maquer fullname: Maquer, Ghislain organization: ARTORG Center for Biomedical Engineering Research, University of Bern – sequence: 4 givenname: Sven surname: Hoppe fullname: Hoppe, Sven organization: Department of Orthopedic Surgery, Bern University Hospital – sequence: 5 givenname: Peter surname: Vermathen fullname: Vermathen, Peter organization: Department for BioMedical Research, University of Bern – sequence: 6 givenname: Ron N. surname: Alkalay fullname: Alkalay, Ron N. organization: Center for Advanced Orthopedic Studies, Beth Israel Deaconess Medical Center and Harvard Medical School – sequence: 7 givenname: Philippe K. surname: Zysset fullname: Zysset, Philippe K. organization: Department of Orthopedic Surgery, Bern University Hospital  | 
    
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32543225$$D View this record in MEDLINE/PubMed | 
    
| BookMark | eNqNkkFvFSEUhYmpse3Tn6CZxI2bqTDADBMTo2msmjRxo2vCMBcfDQMjMG3fv5fxvTbahboBAt853HvgFB354AGh5wSfESzwa4IbzgVrzhrclK2uowKLR-iEsK6tRcP7o7IuTL1Cx-g0pSuMsSCCPUHHtOGMNg0_QbcX1tsMFTiYwOdqCiO4VGnlqwhzDOOiocrbAhgDOlfBVH7RDkIO064K_tfZtLhsa3Vrlat0mGZnlS-ywm6XqThZnyFeQ8wwxIKMNun0FD02yiV4dpg36NvFh6_nn-rLLx8_n7-_rDXr21x33OBWaKCmGwAExu3YUjYAVpq0uDccQFFqRK87PGgtOjJoQRUdGzNSJSjdoHbvu_hZ7W6Uc3KOdlJxJwmWa5TyLkq5RikPURbh271wXoYJRl3SKcXfi4Oy8s8Tb7fye7iWRc9ZGTbo1cEghh8LpCyn0jg4pzyEJcmGEYYx4f1618sH6FVYoi-5FIozLHpOSKFe_F7RfSl3r1kAvgd0DClFMP_d6psHOm2zyjasjVn3T_W7vdp6E-KkbkJ0o8xq50I0sfwEmyT9u8VP7FvaXg | 
    
| CitedBy_id | crossref_primary_10_3390_jfb12030043 crossref_primary_10_1115_1_4049915 crossref_primary_10_3390_app122311906 crossref_primary_10_1002_jor_25500 crossref_primary_10_31590_ejosat_1039335  | 
    
| Cites_doi | 10.1016/j.media.2018.11.001 10.1097/BRS.0b013e3182a59453 10.1007/s10439-005-9070-8 10.1097/00007632-199703150-00005 10.1109/TSMC.1979.4310076 10.1097/01.brs.0000231761.73859.2c 10.1016/j.jbiomech.2014.05.018 10.1007/s10237-004-0053-8 10.1097/00007632-200109010-00011 10.1016/j.actbio.2019.09.035 10.1006/nimg.2000.0567 10.1097/00007632-199602150-00006 10.1097/BRS.0b013e3180b9f429 10.1109/4235.985692 10.1016/j.jbiomech.2007.11.003 10.1016/j.jmbbm.2014.10.016 10.4184/asj.2013.7.4.322 10.1023/A:1010835316564 10.1615/CritRevBiomedEng.v23.i5-6.20 10.1097/00007632-198603000-00009 10.1016/S1297-319X(01)00332-3 10.1097/00007632-200003150-00003 10.1016/j.jbiomech.2013.07.014 10.1080/10255840108908005 10.1016/j.jbiomech.2008.03.023 10.1002/jor.1100070117 10.1016/j.jmbbm.2014.06.016 10.1097/00007632-198612000-00007 10.1016/j.jbiomech.2006.07.024 10.1097/00007632-200110010-00007 10.1097/00007632-199503150-00008 10.1002/jor.1100050402 10.1002/(SICI)1097-0185(199805)251:1<15::AID-AR4>3.0.CO;2-D 10.1115/1.2354210 10.1115/1.4027300 10.1016/S0268-0033(00)00075-9 10.1007/s00466-004-0563-3 10.1016/j.jmbbm.2018.05.005 10.1371/journal.pone.0187874 10.1007/s00132-001-0286-5 10.1016/j.jbiomech.2019.03.034 10.1002/ar.1092200402 10.1016/S0021-9290(99)00215-8 10.1007/s10237-018-1064-1 10.1016/j.jbiomech.2003.12.026 10.1097/01.brs.0000146101.53784.b1  | 
    
| ContentType | Journal Article | 
    
| Copyright | 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group 2020 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.  | 
    
| Copyright_xml | – notice: 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group 2020 – notice: 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.  | 
    
| DBID | 0YH AAYXX CITATION CGR CUY CVF ECM EIF NPM 7QO 8FD FR3 P64 7X8 5PM ADTOC UNPAY  | 
    
| DOI | 10.1080/10255842.2020.1773808 | 
    
| DatabaseName | Taylor & Francis - Revues - OpenAccess CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed Biotechnology Research Abstracts Technology Research Database Engineering Research Database Biotechnology and BioEngineering Abstracts MEDLINE - Academic PubMed Central (Full Participant titles) Unpaywall for CDI: Periodical Content Unpaywall  | 
    
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Engineering Research Database Biotechnology Research Abstracts Technology Research Database Biotechnology and BioEngineering Abstracts MEDLINE - Academic  | 
    
| DatabaseTitleList | MEDLINE MEDLINE - Academic Engineering Research Database  | 
    
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 3 dbid: 0YH name: Taylor & Francis Open Access url: https://www.tandfonline.com sourceTypes: Publisher – sequence: 4 dbid: UNPAY name: Unpaywall url: https://proxy.k.utb.cz/login?url=https://unpaywall.org/ sourceTypes: Open Access Repository  | 
    
| DeliveryMethod | fulltext_linktorsrc | 
    
| Discipline | Biology | 
    
| EISSN | 1476-8259 | 
    
| EndPage | 944 | 
    
| ExternalDocumentID | 10.1080/10255842.2020.1773808 PMC7735477 32543225 10_1080_10255842_2020_1773808 1773808  | 
    
| Genre | Article Journal Article  | 
    
| GrantInformation_xml | – fundername: National Institutes of Health grantid: R21AR066916 – fundername: NIAMS NIH HHS grantid: R01 AR075964 – fundername: NIAMS NIH HHS grantid: R21 AR066916  | 
    
| GroupedDBID | --- .7F .QJ 0BK 0R~ 0YH 29F 2DF 30N 36B 4.4 53G 5GY 5VS AAENE AAGDL AAHIA AAJMT AALDU AAMIU AAPUL AAQRR ABCCY ABFIM ABHAV ABJNI ABLIJ ABPAQ ABPEM ABTAI ABXUL ABXYU ACGEJ ACGFS ACIWK ACPRK ACTIO ADCVX ADGTB ADMLS ADXPE AEISY AENEX AEOZL AEPSL AEYOC AFKVX AFRAH AFRVT AGDLA AGMYJ AHDZW AIJEM AIYEW AJWEG AKBVH AKOOK ALMA_UNASSIGNED_HOLDINGS ALQZU AQRUH AQTUD AVBZW AWYRJ BLEHA CCCUG CE4 CS3 DGEBU DKSSO DU5 EBS EMOBN E~A E~B F5P GTTXZ H13 HF~ H~P IPNFZ J.P KYCEM LJTGL M4Z NA5 P2P RIG RNANH ROSJB RTWRZ S-T SNACF TASJS TBQAZ TDBHL TEN TFL TFT TFW TN5 TNC TTHFI TUROJ TWF UT5 UU3 ZGOLN ~S~ AAYXX CITATION 1TA ACTTO ADUMR ADYSH AFBWG AFION AGVKY AGWUF ALRRR BWMZZ CAG CGR COF CUY CVF CYRSC DAOYK ECM EIF EJD NPM OPCYK 7QO 8FD FR3 P64 7X8 5PM ADTOC AGBKS UNPAY  | 
    
| ID | FETCH-LOGICAL-c496t-75f068ce3f7bee8006d634be0ac1609f5eea33f89c70bcc871bc83a3d2fd3a833 | 
    
| IEDL.DBID | UNPAY | 
    
| ISSN | 1025-5842 1476-8259  | 
    
| IngestDate | Sun Oct 26 04:10:21 EDT 2025 Tue Sep 30 16:35:53 EDT 2025 Thu Sep 04 16:04:34 EDT 2025 Wed Aug 13 07:44:28 EDT 2025 Thu Apr 03 07:06:55 EDT 2025 Wed Oct 01 04:12:20 EDT 2025 Thu Apr 24 23:04:27 EDT 2025 Mon Oct 20 23:50:16 EDT 2025  | 
    
| IsDoiOpenAccess | true | 
    
| IsOpenAccess | true | 
    
| IsPeerReviewed | true | 
    
| IsScholarly | true | 
    
| Issue | 13 | 
    
| Keywords | finite element modeling magnetic resonance imaging in vitro testing Intervertebral disc nucleotomy  | 
    
| Language | English | 
    
| License | open-access: http://creativecommons.org/licenses/by-nc-nd/4.0/: This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. | 
    
| LinkModel | DirectLink | 
    
| MergedId | FETCHMERGED-LOGICAL-c496t-75f068ce3f7bee8006d634be0ac1609f5eea33f89c70bcc871bc83a3d2fd3a833 | 
    
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23  | 
    
| OpenAccessLink | https://proxy.k.utb.cz/login?url=https://www.tandfonline.com/doi/pdf/10.1080/10255842.2020.1773808?needAccess=true | 
    
| PMID | 32543225 | 
    
| PQID | 2454089511 | 
    
| PQPubID | 2045306 | 
    
| PageCount | 11 | 
    
| ParticipantIDs | pubmed_primary_32543225 proquest_miscellaneous_2414001598 informaworld_taylorfrancis_310_1080_10255842_2020_1773808 unpaywall_primary_10_1080_10255842_2020_1773808 crossref_citationtrail_10_1080_10255842_2020_1773808 proquest_journals_2454089511 crossref_primary_10_1080_10255842_2020_1773808 pubmedcentral_primary_oai_pubmedcentral_nih_gov_7735477  | 
    
| ProviderPackageCode | CITATION AAYXX  | 
    
| PublicationCentury | 2000 | 
    
| PublicationDate | 2020-10-02 | 
    
| PublicationDateYYYYMMDD | 2020-10-02 | 
    
| PublicationDate_xml | – month: 10 year: 2020 text: 2020-10-02 day: 02  | 
    
| PublicationDecade | 2020 | 
    
| PublicationPlace | England | 
    
| PublicationPlace_xml | – name: England – name: Abingdon  | 
    
| PublicationTitle | Computer methods in biomechanics and biomedical engineering | 
    
| PublicationTitleAlternate | Comput Methods Biomech Biomed Engin | 
    
| PublicationYear | 2020 | 
    
| Publisher | Taylor & Francis Taylor & Francis Ltd  | 
    
| Publisher_xml | – name: Taylor & Francis – name: Taylor & Francis Ltd  | 
    
| References | Yang H (CIT0052) 2015; 8 CIT0030 CIT0032 CIT0031 CIT0034 CIT0033 CIT0036 CIT0035 CIT0038 CIT0039 CIT0041 CIT0040 CIT0043 CIT0042 CIT0001 CIT0045 CIT0044 Vernon-Roberts B (CIT0046) 1980 CIT0003 CIT0047 CIT0002 CIT0005 CIT0049 CIT0004 CIT0048 CIT0007 CIT0009 CIT0008 CIT0050 Brisby H (CIT0006) 2006; 88 CIT0051 CIT0010 CIT0012 CIT0011 CIT0014 CIT0013 CIT0016 CIT0015 CIT0018 CIT0017 CIT0019 CIT0021 CIT0020 CIT0023 CIT0022 CIT0025 CIT0024 CIT0027 Pezowicz C (CIT0037) 2010; 48 CIT0026 CIT0029 CIT0028  | 
    
| References_xml | – ident: CIT0009 doi: 10.1016/j.media.2018.11.001 – ident: CIT0015 doi: 10.1097/BRS.0b013e3182a59453 – ident: CIT0027 doi: 10.1007/s10439-005-9070-8 – ident: CIT0048 – ident: CIT0007 doi: 10.1097/00007632-199703150-00005 – ident: CIT0036 doi: 10.1109/TSMC.1979.4310076 – ident: CIT0001 doi: 10.1097/01.brs.0000231761.73859.2c – volume: 8 start-page: 1634 issue: 2 year: 2015 ident: CIT0052 publication-title: Int J Clin Exp Med – ident: CIT0044 doi: 10.1016/j.jbiomech.2014.05.018 – ident: CIT0023 doi: 10.1007/s10237-004-0053-8 – ident: CIT0038 doi: 10.1097/00007632-200109010-00011 – ident: CIT0051 doi: 10.1016/j.actbio.2019.09.035 – ident: CIT0003 doi: 10.1006/nimg.2000.0567 – ident: CIT0002 doi: 10.1097/00007632-199602150-00006 – ident: CIT0030 doi: 10.1097/BRS.0b013e3180b9f429 – volume-title: The pathology and interrelation of intervertebral disc lesions, osteoarthrosis of the apophyseal joints, lumbar spondylosis and low back pain. The lumbar spine and backpain year: 1980 ident: CIT0046 – ident: CIT0012 doi: 10.1109/4235.985692 – ident: CIT0016 – ident: CIT0024 doi: 10.1016/j.jbiomech.2007.11.003 – ident: CIT0032 doi: 10.1016/j.jmbbm.2014.10.016 – ident: CIT0041 doi: 10.4184/asj.2013.7.4.322 – ident: CIT0022 doi: 10.1023/A:1010835316564 – ident: CIT0019 doi: 10.1615/CritRevBiomedEng.v23.i5-6.20 – ident: CIT0005 doi: 10.1097/00007632-198603000-00009 – ident: CIT0004 doi: 10.1016/S1297-319X(01)00332-3 – ident: CIT0039 doi: 10.1097/00007632-200003150-00003 – ident: CIT0042 doi: 10.1016/j.jbiomech.2013.07.014 – ident: CIT0014 doi: 10.1080/10255840108908005 – ident: CIT0021 doi: 10.1016/j.jbiomech.2008.03.023 – ident: CIT0043 doi: 10.1002/jor.1100070117 – volume: 88 start-page: 68 issue: 2 year: 2006 ident: CIT0006 publication-title: J Bone Joint Surg Am – ident: CIT0035 doi: 10.1016/j.jmbbm.2014.06.016 – ident: CIT0020 doi: 10.1097/00007632-198612000-00007 – ident: CIT0018 doi: 10.1016/j.jbiomech.2006.07.024 – ident: CIT0017 doi: 10.1097/00007632-200110010-00007 – ident: CIT0028 doi: 10.1097/00007632-199503150-00008 – ident: CIT0029 doi: 10.1002/jor.1100050402 – ident: CIT0049 doi: 10.1002/(SICI)1097-0185(199805)251:1<15::AID-AR4>3.0.CO;2-D – ident: CIT0047 doi: 10.1115/1.2354210 – ident: CIT0031 doi: 10.1115/1.4027300 – ident: CIT0034 doi: 10.1016/S0268-0033(00)00075-9 – ident: CIT0013 doi: 10.1007/s00466-004-0563-3 – volume: 48 start-page: 917 issue: 1954 year: 2010 ident: CIT0037 publication-title: J Theor Appl Mech – ident: CIT0045 doi: 10.1016/j.jmbbm.2018.05.005 – ident: CIT0010 doi: 10.1371/journal.pone.0187874 – ident: CIT0050 doi: 10.1007/s00132-001-0286-5 – ident: CIT0008 doi: 10.1016/j.jbiomech.2019.03.034 – ident: CIT0025 doi: 10.1002/ar.1092200402 – ident: CIT0033 doi: 10.1016/S0021-9290(99)00215-8 – ident: CIT0011 doi: 10.1007/s10237-018-1064-1 – ident: CIT0026 doi: 10.1016/j.jbiomech.2003.12.026 – ident: CIT0040 doi: 10.1097/01.brs.0000146101.53784.b1  | 
    
| SSID | ssj0008184 | 
    
| Score | 2.2615511 | 
    
| Snippet | Finite element (FE) models can unravel the link between intervertebral disc (IVD) degeneration and its mechanical behaviour. Nucleotomy may provide the data... Intervertebral disc (IVD) degeneration is a cell-mediated response to progressive structural failure that is associated with chronic back pain. Due to its high...  | 
    
| SourceID | unpaywall pubmedcentral proquest pubmed crossref informaworld  | 
    
| SourceType | Open Access Repository Aggregation Database Index Database Enrichment Source Publisher  | 
    
| StartPage | 934 | 
    
| SubjectTerms | Adult Calibration Computer Simulation Degeneration Female Finite Element Analysis Finite element method finite element modeling Humans Intervertebral disc Intervertebral Disc - diagnostic imaging Intervertebral Disc - physiopathology Intervertebral Disc - surgery Intervertebral discs in vitro testing Magnetic Resonance Imaging Mathematical models Mechanical properties nucleotomy Nucleus Pulposus - diagnostic imaging Nucleus Pulposus - surgery Range of Motion, Articular  | 
    
| SummonAdditionalLinks | – databaseName: Taylor & Francis - Revues - OpenAccess dbid: 0YH link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1BS-QwFA6LsrgXcVddq7NLFvZabZu0SY8iDsMe9rTC7qmkaYIDYyvTDjr_3veStjiojLCn0iYpad5L8qX58j1CfkqdRFUVJ6HV0obc5lkIqEiEeWJlrlQFI6Jj-f7OZjf81990YBO2Pa0S19DWC0W4sRo7tyrbgREHV8DBkuMxqgQeCcEkHvfdTUSco2NH_2bjYAzzkdtYxqitWGY4xPPWazampw3x0tcg6Esm5d6qvlfrB7VYPJumpgdkv8eX9NI7xGfywdRfyEcfcXJ9SB6ncwSZ1HjWOHWBcFoK7UtR3hLVXw0FTEg9z4M2ltaoeNx0zd2aNrVLcyTEUD2C61JPSUfXwbwu4h-dex7lssNN6QXFg7_tEbmZXv-5moV98IVQ8zzrQpHaKJPaMCtKYwBWZlXGeGkipeMsym1qjGIMDKpFVGoN665SS6ZYldiKKcnYMdmpm9qcEAomSAVOhFIxrgHNV0ZzyVBmBnd6dED40OaF7pXJMUDGooh7AdPBVAWaquhNFZDzsdi9l-bYViB_btCic_9ErA9gUrAtZSeD9Yu-l7dFgvKFEjBqHJAfYzL0T9x0UbVpVpgnxs9Mc3jFV-8sY20ZKhHAgBoQseFGYwbU_t5Mqee3TgMcapVyIQJyMTrc-xrh9D8a4Yx8wlvHZUwmZKdbrsw3wGRd-d31uidGOimt priority: 102 providerName: Taylor & Francis  | 
    
| Title | Finite element models can reproduce the effect of nucleotomy on the multi-axial compliance of human intervertebral discs | 
    
| URI | https://www.tandfonline.com/doi/abs/10.1080/10255842.2020.1773808 https://www.ncbi.nlm.nih.gov/pubmed/32543225 https://www.proquest.com/docview/2454089511 https://www.proquest.com/docview/2414001598 https://pubmed.ncbi.nlm.nih.gov/PMC7735477 https://www.tandfonline.com/doi/pdf/10.1080/10255842.2020.1773808?needAccess=true  | 
    
| UnpaywallVersion | publishedVersion | 
    
| Volume | 23 | 
    
| hasFullText | 1 | 
    
| inHoldings | 1 | 
    
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVEBS databaseName: Inspec with Full Text customDbUrl: eissn: 1476-8259 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0008184 issn: 1025-5842 databaseCode: ADMLS dateStart: 19970101 isFulltext: true titleUrlDefault: https://www.ebsco.com/products/research-databases/inspec-full-text providerName: EBSCOhost – providerCode: PRVLSH databaseName: aylor and Francis Online customDbUrl: mediaType: online eissn: 1476-8259 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0008184 issn: 1025-5842 databaseCode: AHDZW dateStart: 19970101 isFulltext: true providerName: Library Specific Holdings – providerCode: PRVAWR databaseName: Taylor & Francis Science and Technology Library-DRAA customDbUrl: eissn: 1476-8259 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0008184 issn: 1025-5842 databaseCode: 30N dateStart: 19970101 isFulltext: true titleUrlDefault: http://www.tandfonline.com/page/title-lists providerName: Taylor & Francis  | 
    
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lj9MwEB7ttkJw4f0oLCsjcU1J4yR2DghVQFVxWIFExS6XyHFsbUVJqjYVW349M3ZSbXloQeIUNbYjxxmPP9fffAPwXOooLMtRFFgtbRDbLA0QFYkgi6zMlCrRIzqW70k6ncXvTpPTA_jQxcIQrZL20NYLRThfTZN7WdqOEYdXxMEypjCqCG8JwWUoX1Xo7ccuyeDLZrUxh9BPE4TnPejPTt6Pz9ypZ5QE1NBFHAnsFWL_LqrnT8_dW6_21Ex_h0l_pVZe31RLtf2mFotL69bkFqy6N_Z0lS_DTVMM9fefxCD_65DchpstymVjb5Z34MBUd-Gaz3u5vQcXkzlBXWY8d525dDxrhl-ZkcgmadAahsiUebYJqy2rSHe5buqvW1ZXrsxRIQN1gROIeWI8GTDVdXkH2dyzOVcNHY0vGIUfr-_DbPL24-tp0KaACHScpU0gEhumUhtuRWEMgtu0THlcmFDpURpmNjFGcY5mpUVYaI27v0JLrngZ2ZIryfkD6FV1ZR4Bw61sImg5lorHGvcUpdGx5CR2Q-dNegBx96Fz3eqjU5qORT5qZVS7Qc5pkPN2kAcw3DVbeoGQqxpkl60ob9w_M9anUcn5FW2POpPLW1-zziMSUZSIlEcDeLYrRi9BRz-qMvWG6ozoNZMMH_HQW-iut5z0ENCtD0Ds2e6uAimQ75dU83OnRI69SmIhBvBiZ-V_NwiP_7nFE7hBPx2PMjqCHhn0U8SDTXEMh-HZ9Bj64-mbz5-O2_n-A5E9VSo | 
    
| linkProvider | Unpaywall | 
    
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Ra9UwFA5jIvNlOJ2uus0Ie622TdqkjyJernPb0wbbU0jTBC_ctWO3F3f_veckbbmXKRN8KjRJaXNOki_Nd75DyIk0WVLXaRY7I13MXVnEgIpEXGZOllrXMCN6lu9FMb3ip9f59VosDNIqcQ_tglCEn6txcOPP6IESB1cAwpJjHFUGt4RgEuN9n-UAFzF9Q3IzHWdjWJD8yTKmbcU2QxTP3x6zsT5tqJf-CYM-plLuLJs7vfql5_O1dWrykuz2AJN-CR6xR7Zs84o8DyknV6_Jw2SGKJPaQBunPhPOgkIHU9S3RPlXSwEU0kD0oK2jDUoet117u6Jt48s8CzHWD-C7NHDS0Xewrk_5R2eBSHnf4an0nGLk72KfXE2-XX6dxn32hdjwsuhikbukkMYyJyprAVcWdcF4ZRNt0iIpXW6tZgwsakRSGQMbr8pIplmduZppydgbst20jT0gFEyQC1wJpWbcAJyvreGSoc4MHvWYiPChz5XppckxQ8Zcpb2C6WAqhaZSvaki8mlsdhe0OZ5qUK4bVHX-p4gLGUwUe6Lt4WB91Q_zhcpQv1ACSE0j8nEshgGKpy66se0S66T4mXkJj3gbnGV8W4ZSBDCjRkRsuNFYAcW_N0ua2U8vAg5vlXMhIvJ5dLh_64R3_9EJH8jO9PL8TJ19v_jxnrzAIk9szA7Jdne_tEcA0Lrq2I_A3zUtLRA | 
    
| linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1La9wwEBYhoY9L6btuHlWhV7e2JVvyMaRZNmkJPTTQnoQsS2Rhay9ZL8n--8xItsnShhRyMliSsTUjzSfr0zeEfJImS-o6zWJnpIu5K4sYUJGIy8zJUusaZkTP8j0rpuf89Fc-sAmXPa0S19AuCEX4uRoH96J2AyMOroCDJcdjVBncEoJJPO67k0sIb-DSye_pOBlDPPIby5i1FdsMh3juesxGeNoQL_0XBP2bSflk1Sz0-krP57fC1OQ5edbjS3oYHOIF2bLNS_IoZJxcvyLXkxmCTGoDa5z6RDhLCv1LUd4S1V8tBUxIA8-Dto42qHjcdu2fNW0bX-ZJiLG-BtelgZKOroN1fcY_Ogs8yssON6XnFA_-Ll-T88nxz6Np3CdfiA0viy4WuUsKaSxzorIWYGVRF4xXNtEmLZLS5dZqxsCgRiSVMbDuqoxkmtWZq5mWjL0h203b2HeEgglygYFQasYNoPnaGi4ZyszgTo-JCB_6XJlemRwTZMxV2guYDqZSaCrVmyoin8dmiyDNcV-D8rZBVef_ibiQwESxe9ruDdZX_ShfqgzlCyVg1DQiH8diGJ-46aIb266wToqfmZfwiLfBWca3ZahEABNqRMSGG40VUPt7s6SZXXgNcHirnAsRkS-jw_1fJ7x_QCd8II9_fJ2o7ydn33bJUyzxtMZsj2x3lyu7D_Csqw78ALwBQ5UsQg | 
    
| linkToUnpaywall | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Nj9MwEB0tXSG48A1bWJCRuKYkcRI7B4QqRLXisAKJSsspchxbVFuSqk21W349M3YSbfnQgsQpamxHjjMeP9dv3gC8kjoOqyqKA6ulDRKbZwGiIhHksZW5UhV6RMfyPc1O5smHs_TsAD71sTBEq6Q9tPVCEc5X0-ReVbZnxOEVcbBMKIwqxltCcBnKtzV6-6lLMvimXW_NDTjMUoTnIzicn36cfnGnnnEaUEMXcSSwV4j9-6iePz13b73aUzP9HSb9lVp5a1uv1O5CLZdX1q3ZXVj3b-zpKueTbVtO9PefxCD_65DcgzsdymVTb5b34cDUD-Cmz3u5ewiXswVBXWY8d525dDwbhl-ZkcgmadAahsiUebYJayyrSXe5aZtvO9bUrsxRIQN1iROIeWI8GTDVdXkH2cKzOdctHY0vGYUfbx7BfPb-87uToEsBEegkz9pApDbMpDbcitIYBLdZlfGkNKHSURbmNjVGcY5mpUVYao27v1JLrngV24oryfljGNVNbY6A4VY2FbQcS8UTjXuKyuhEchK7ofMmPYak_9CF7vTRKU3Hsog6GdV-kAsa5KIb5DFMhmYrLxByXYP8qhUVrftnxvo0KgW_pu1xb3JF52s2RUwiihKRcjSGl0Mxegk6-lG1abZUJ6LXTHN8xBNvoUNvOekhoFsfg9iz3aECKZDvl9SLr06JHHuVJkKM4fVg5X83CE__ucUzuE0_HY8yPoYRGfRzxINt-aKb4T8AAKNSlw | 
    
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Finite+element+models+can+reproduce+the+effect+of+nucleotomy+on+the+multi-axial+compliance+of+human+intervertebral+discs&rft.jtitle=Computer+methods+in+biomechanics+and+biomedical+engineering&rft.au=Stadelmann%2C+Marc+A.&rft.au=Stocker%2C+Roland&rft.au=Maquer%2C+Ghislain&rft.au=Hoppe%2C+Sven&rft.date=2020-10-02&rft.issn=1025-5842&rft.eissn=1476-8259&rft.volume=23&rft.issue=13&rft.spage=934&rft.epage=944&rft_id=info:doi/10.1080%2F10255842.2020.1773808&rft.externalDBID=n%2Fa&rft.externalDocID=10_1080_10255842_2020_1773808 | 
    
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1025-5842&client=summon | 
    
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1025-5842&client=summon | 
    
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1025-5842&client=summon |