Tensile Test of Human Lumbar Ligamentum Flavum: Age-Related Changes of Stiffness

The most common cause of lumbar spinal canal stenosis is age-related degenerative changes. The ligamentum flavum is said to become thicker and stiffer with age, based on several histological and cadaver studies. However, there are no studies determining the age-related changes of the mechanical prop...

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Bibliographic Details
Main Authors: Atsushi Mihara, Norihiro Nishida, Fei Jiang, Junji Ohgi, Yasuaki Imajo, Hidenori Suzuki, Masahiro Funaba, Hiroki Yamagata, Xian Chen, Takashi Sakai
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/11/8/3337
Description
Summary:The most common cause of lumbar spinal canal stenosis is age-related degenerative changes. The ligamentum flavum is said to become thicker and stiffer with age, based on several histological and cadaver studies. However, there are no studies determining the age-related changes of the mechanical properties of the ligamentum flavum in live patients. We examined the mechanical properties of the ligamentum flavum of live patients and evaluated the age-related changes. A total of 44 patients undergoing decompression surgery due to lumbar disease at our institute were included. The ligamentum flavum was harvested from the decompression site as a part of a necessary procedure for decompression. The tensile test was performed for the harvested ligamentum flavum within 24 h of harvest. Age-related changes in the stiffness of the ligamentum flavum were evaluated. Age was the only factor that showed a significant correlation with stiffness on multiple regression analysis. We demonstrated that the mechanical properties of the ligamentum flavum change with age.
ISSN:2076-3417