How does the way a weight is carried affect spinal loads?

Abstract

People often have to carry a weight which increases the spinal load. Few in vivo measured spinal loading data exist for carrying a weight. The aim of this study was to measure the force increase on a vertebral body replacement (VBR) caused by carrying weights in different ways. A telemeterised VBR allowing the measurement of six load components was implanted in five patients suffering from lumbar vertebral body fractures. The patients carried different weights laterally in one or both hands, in front of the body and in a backpack. The force increase with respect to standing was more than twice as high for carrying a weight in front of the body compared with carrying it laterally. A weight of 10 kg in a backpack led to an average force increase of only 35 N. The position of the carried weight relative to the spine strongly affected the spinal load.

Abstract

Practitioner Summary: Carrying weights increases spinal loads. The loads on a telemeterised VBR were measured in five patients carrying weights in different ways. Holding a weight in front of the body strongly increased the force, while carrying it in a backpack led to only a minor load increase.

Keywords::

• spine loads
• carrying
• telemetry
• load measurement
• implant

Acknowledgements

The authors greatly appreciate the friendly cooperation of their patients. We thank Dr A. Bender, J. Dymke and S. Mahmoud for technical support.

Notes

^1. Email: [email protected]

^2. Email: [email protected]

^3. Email: [email protected]

^4. Email: [email protected]

Additional information

Funding

Funding for this study was obtained from the Deutsche Forschungsgemeinschaft [Ro 581/18-1] and the Deutsche Arthrose-Hilfe, Frankfurt.The authors have no conflict of interest.