10.7. Results and Discussion

The following figure show the bulging of the IVD, one of the primary deformation modes of an IVD under compression in clinical studies:

Figure 10.3: IVD Deformation

IVD Deformation

For IVD stresses, the annulus bulk takes more load than the nucleus since it has higher stiffness, as shown in this figure:

Figure 10.4: IVD von Mises Stresses

IVD von Mises Stresses

With the IVD modeled using coupled pore-pressure-thermal elements, vertical displacement gradually increases with time, as shown in this animation:

Figure 10.5: Lumbar Motion Segment Animation of Vertical Displacement Increasing with Time

Lumbar Motion Segment Animation of Vertical Displacement Increasing with Time

The animation also illustrates the difference between solid elements and coupled pore-pressure-thermal elements. With the same loading and boundary conditions, the upper vertebral body modeled with coupled pore-pressure-thermal elements drops gradually under compression, as compared to the constant displacement of solid elements. For soft-tissue modeling, coupled pore-pressure-thermal elements provide a more realistic simulation.

As vertical displacement increases with time, pore pressure dissipates:

Figure 10.6: Displacements of Vertebral Body Over Time

Displacements of Vertebral Body Over Time

The creep response of the lumbar motion segment is due to fluid flowing out of the IVD, as shown:

Figure 10.7: Lumbar Motion Segment Creep Response

Lumbar Motion Segment Creep Response

When the fluid is exhausted, the final displacement is equal to that of an IVD modeled by solid elements only:

Figure 10.8: IVD Pore-Pressure Dissipation

IVD Pore-Pressure Dissipation

The creep response under compression demonstrates the diffusive interaction between the solid matrix and the interstitial fluid in soft tissues.