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A Complete and Coherent Musculo-Skeletal Dataset

of the Human Spine

Riza Bayoglu, MSc

1

; Leo Geeraedts

2

; Karlijn Groenen, MSc

2

; Nico Verdonschot, PhD

1,2

Bart Koopman, PhD

1

; Jasper Homminga, PhD

1

1

University of Twente,

2

Radboud university medical center

Riza Bayoglu

University of Twente

Email: r.bayoglu@hotmail.com Phone: +31 (0) 53-4896477

Contact

 Musculo-skeletal models of the spine can help in clinical practice. For example, the effect of

thoracic kyphosis on spinal loads and trunk muscle forces can be studied.

 However, due to the lack of a coherent dataset, such models require combining musculo-skeletal data from different cadavers.

 As a result, models may contain musculo-skeletal systems that are not anatomically realistic [1].

Background

Objective

 In total, we measured 321 muscle-tendon elements over 49 muscles (Fig. 2).

 For every element, we obtained its coordinates of attachments at the origin, insertion, via

points, wrapping surfaces, and the morphological parameters.

 The range of values for some of the

morphological parameters is shown in Table 1.

Results

Discussion & Conclusions

 The aim of this work is to obtain a complete and coherent anatomical dataset for

musculo-skeletal modeling of the entire human spine.

Figure 1. Experimental set-up.

Materials and Methods

 We experimented on an embalmed body of an adult male (79 years old, height: 154 cm, mass: 51 kg).

 We measured muscles of the spine from the right side of the cadaver.

 For measuring muscle attachment sites, we inserted tube-screw connectors in the bones. These connectors were used to construct local reference frames in the bones (Fig. 1a, 1b).

 Prior to dissection, muscles were divided into a number of muscle-tendon elements to represent their function more accurately.

 We dissected the elements and digitized their attachments by using NDI Hybrid Polaris spectra tracking system.

 Subsequently, we measured morphological muscle parameters for each element [2,3]:

• fiber length

• optimal-fiber length (OFL), • tendon length (TL),

• physiological cross-sectional area (PCSA), • mass,

• and pennation angle.

 An average sarcomere length (SL) for every muscle was calculated by using the laser diffraction method (Fig. 1c) [3].

 Furthermore, we graphically estimated wrapping surfaces from the geometry of the spine and

measured point clouds over the structures that muscles wrap.

 Full spinal CT images were segmented into STL geometry files.

 Finally, iterative closest point algorithm was used to register muscle attachments with the CT

images. After registration, attachment sites

measured with respect to local reference frames were transformed to the global reference frame defined by the CT scanner (Fig. 1d).

 We obtained a complete and coherent

anatomical dataset for the entire human spine.  This dataset includes segmented bone surfaces,

three-dimensional coordinates of muscle

attachment sites, and the morphological muscle parameters from a single male cadaver.

 An apparent difference in muscle architecture was noted in the transversospinal muscles. They had their tendons running from their origin to insertion where their fibers either spanned the full length of the tendon (Fig. 3c) or partially spanned (Fig. 3b).

 Anatomical variability was found in terms of muscle attachments with the bones.

 Results were consistent with other anatomical studies and included new data for several

muscles.

Figure 2. Muscles measured in the musculo-skeletal system.

* The complete musculo-skeletal data was recently published in these articles:

1) Twente spine model: A complete and coherent dataset for musculo-skeletal modeling of the lumbar region of the human spine, J Biomech, 53:111-119, 2017.

2) Twente spine model: A complete and coherent dataset for musculoskeletal modeling of the thoracic and cervical regions of the human spine, J Biomech, 58:52-63, 2017.

References

1. Carbone et al, J Biomech, 48:734-741, 2015. 2. Breteler et al, J Biomech, 32:1191-1197, 1999. 3. Cross et al, Meat Sci, 5:261-266, 1981.

Table 1. Range of values in measured morphological parameters. Minimum Maximum

PCSA (cm2) 0.09 (sternothyroid) 18.5 (longissimus thoracis) SL (µm) 2.1 (sternothyroid) 3.91 (semispinalis cervicis) OFL (cm) 0.6 (rectus capitis lateralis) 25.1 (rectus abdominis)

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