A Novel Optimized Finite Element Model of Lenke 1 Adolescent Idiopathic Scoliosis Based on Dynamic Flexibility in Vivo

Bacground: It is of great significance to optimize the finite element model by spinal flexibility of adolescent idiopathic scoliosis (AIS) patients. The elastic modulus of the intervertebral disc is of critical importance in determining the overall flexibility of the spine. The aim of the present study was to optimize the finite element model of Lenke 1 AIS based on the dynamic flexibility in vivo by matching the optimal elastic modulus of the intervertebral disc. Methods: : The Cobb angles under different longitudinal traction loads of one patient with Lenke 1 AIS were dynamically measured by using a spine morphometer with a posture sensor to plot the Cobb angle-longitudinal traction load characteristic curve. A 3D finite element model of the patient was established. The patient’s Cobb angle-longitudinal traction load characteristic curve was used as the dynamic flexibility in vivo to determine the optimal intervertebral disc elastic modulus of the model. Results: : The dynamic flexibility curve in vivo of one Lenke 1 AIS patient was successfully obtained, and the patient’s optimal elastic modulus of the intervertebral disc for the finite element model was 5 MPa according to the dynamic flexibility curve in vivo. Conclusions: : The use of dynamic flexibility in vivo to optimize the finite element model can provide a new perspective and approach for model optimization, which can reproduce the biomechanical characteristics in vivo of AIS patients.