Development of a computer simulation tool for\ud application in adolescent spinal deformity surgery

Scoliosis is a three-dimensional spinal deformity which requires surgical correction in progressive cases. In order to optimize correction and avoid complications following scoliosis surgery, patient-specific finite element models (FEM) are being developed and validated by our group. In this paper, the modeling methodology is described and two clinically relevant load cases are simulated for a single patient. Firstly, a pre-operative patient flexibility assessment, the fulcrum bending radiograph, is simulated to assess the model's ability to represent spine flexibility. Secondly, intra-operative forces during single rod anterior correction are simulated. Clinically, the patient had an initial Cobb angle of 44 degrees, which reduced to 26 degrees during fulcrum bending. Surgically, the coronal deformity corrected to 14 degrees. The simulated initial Cobb angle was 40 degrees, which reduced to 23 degrees following the fulcrum bending load case. The simulated surgical procedure\ud corrected the coronal deformity to 14 degrees. The computed results for the patient-specific FEM are within the accepted clinical Cobb measuring error of 5 degrees, suggested that this modeling methodology is capable of capturing the biomechanical behaviour of a scoliotic human spine during anterior corrective surgery

Overview of identification methods of mechanical parameters based on full-field measurements

This article reviews recently developed methods for constitutive parameter identification based on kinematic full-field measurements, namely the finite element model updating method (FEMU), the constitutive equation gap method (CEGM), the virtual fields method (VFM), the equilibrium gap method (EGM) and the reciprocity gap method (RGM). Their formulation and underlying principles are presented and discussed. These identification techniques are then applied to full-field experimental data obtained on four different experiments, namely (i) a tensile test, (ii) the Brazilian test, (iii) a shear-flexural test, and (iv) a biaxial test. Test (iv) features a non-uniform damage field, and hence non-uniform equivalent elastic properties, while tests (i), (ii) and (iii) deal with the identification of uniform anisotropic elastic properties. Tests (ii), (iii) and (iv) involve non-uniform strain fields in the region of interes