Open Access
ARTICLE
A Fractional-Order Machine Learning Framework for Modeling Vertebral Column Pathology and Biomechanical Dynamics
1 Mathematics Research Center, Near East University TRNC, Mersin 10, Nicosia, Turkey
2 Research Center of Applied Mathematics, Khazar University, Baku, Azerbaijan
3 School of Mathematics, University of the Witwatersrand, Private Bag 3, Johannesburg, South Africa
4 Department of Civil Engineering, Faculty of Engineering, FEQS INTI-IU, University, Nilai, Malaysia
5 Faculty of Management, Shinawatra University, Pathum, Thani, Thailand
6 Department of Computer Engineering, Biruni University, Istanbul, Turkey
7 International Center for Interdisciplinary Research in Sciences, The University of Lahore, Lahore, Pakistan
8 Department of Mathematics, College of Science and Humanities in Alkharj, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia
9 Hourani Center for Applied Scientific Research, Al-Ahliyya Amman University, Amman, Jordan
* Corresponding Author: David Amilo. Email:
(This article belongs to the Special Issue: Innovative Applications of Fractional Modeling and AI for Real-World Problems)
Computer Modeling in Engineering & Sciences 2026, 147(3), 30 https://doi.org/10.32604/cmes.2026.077921
Received 19 December 2025; Accepted 16 March 2026; Issue published 30 June 2026
Abstract
Spinal disorders, such as disk hernia and spondylolisthesis, affect millions worldwide, leading to chronic pain and reduced quality of life due to disruptions in biomechanical alignment. Traditional diagnostic methods often overlook the viscoelastic memory effects in spinal tissues, necessitating advanced models that integrate machine learning with fractional calculus for improved accuracy and interpretability. The research introduces a new fractional-order machine learning system that analyzes vertebral column abnormalities through biomechanical motion analysis by using the University of California, Irvine (UCI) vertebral column dataset. The system selects the best machine learning model from Random Forest (RF), Gradient Boost (GB), XGBoost, Deep Neural Network (DNN), and Voting Ensemble (VE) models to work with Caputo fractional-order differential equations, which simulate spinal tissue viscoelasticity memory effects through pseudo-time analysis of pelvic incidence data. The study demonstrates that GB achieves its highest accuracy at 0.937, and RF attains its top Area Under the Curve (AUC) at 0.949, and the fractional model achieves a weighted Mean Squared Error (MSE) of 0.0017. The optimized parameters showed that the growth rates and coupling coefficients worked in an inhibitory manner. The biological findings demonstrated that patients with higher pelvic incidence and lumbar lordosis variability experienced greater spinal stress, which led to compensatory curvature patterns that: disk hernia and spondylolisthesis development. The results showed that pelvic incidence and sacral slope had the strongest correlation at 0.87, and pelvic incidence and lumbar lordosis angle showed a correlation of 0.74, which informs the fractional-order growth rates where higher-correlated features evolve faster under pathological stress due to their mechanical interdependence. Theoretical proofs establish solution existence and uniqueness and boundedness, and stability, and numerical efficiency emerges from the Adams-Bashforth-Moulton method, while a diagnostic Graphic User Interface (GUI) enables clinical application. The framework enables better spinal disease detection through fractional derivatives, which replicate real biomechanical operations.Keywords
The human spinal column functions as the core structure of the skeleton while providing movement abilities and stability and safeguarding the spinal cord through its network of 33 vertebrae and intervertebral discs, and ligaments [1–5]. The natural balance between vertebral bones and discs becomes disrupted by spinal conditions like disk hernia and spondylolisthesis, which lead to persistent pain and functional decline that affects more than 80% of adults during their lifetime [6–8]. The conditions produce changes in biomechanical measurements, which include pelvic incidence and lumbar lordosis angle and sacral slope, pelvic tilt, and pelvic radius, because these measurements show how the spine is aligned and how weight is spread out [9–12]. The diagnosis process needs immediate treatment, but current methods fail to detect the intricate and memory-based spinal biomechanics. Conventional diagnostic methods depend on imaging techniques, which include X-rays and CT scans, and Magnetic Resonance Imaging (MRI), together with statistical models to detect structural defects [13–15]. Research shows that pelvic incidence determines spinal alignment through its direct relationship with lumbar lordosis and sacral slope measurements in people who have normal spinal structure [16–18]. Authors of [19] developed and evaluated an artificial intelligence algorithm to automate vertebral column segmentation in biplanar full-body radiographic images for degenerative scoliosis (DS) assessment. The research used 250 anonymous high-definition X-ray images from an institutional Picture Archiving and Communication System (PACS) to train and test a two-stage deep learning model based on U-Net (UNET) architecture, which included 200 images for training and 50 images for evaluation. The model first identified the spine region in full-body X-rays and then isolated spinal curvature, achieving high accuracy with Dice-Sørensen coefficients of 0.92 for anterior-posterior and 0.96 for lateral views, even in cases with complex spinal pathologies like lordosis, scoliosis, and spinal instrumentation. The researchers used a cross-sectional study [20] to study how spinopelvic alignment varies while creating a spinal balance classification system and developing formulas to predict lumbar lordosis (LL) based on pelvic incidence (PI). Sagittal parameters were evaluated using radiographic assessments, and participants were grouped into three distinct clusters with varying PI and LL averages using K-means clustering and a decision tree incorporating PI and sacral slope (SS). The prediction of LL and SS through cluster-specific linear regression models produced moderate correlation results. The authors of [21] studied how pelvic biomechanics, including pelvic incidence (PI) and pelvic tilt (PT) and lumbar lordosis (LL) and sacral slope (SS), and pelvic radius (PR), might predict spinal disorders like scoliosis and spondylolisthesis. Data from a centralized orthopedic database were used, with spine conditions classified as normal or abnormal based on imaging and clinical exams. Descriptive statistics, comparative analyses, decision trees, and logistic regression identified PI, LL, SS, and PR as significant predictors, with decision trees accurately classifying 69.5% of cases based on PI thresholds and models validated via ROC analysis and 10-fold cross-validation. The research identified abnormal sagittal spinopelvic alignment as the main cause of improper spinal load distribution while showing that higher Body Mass Index (BMI) increases the chance of developing degenerative central stenosis. The research shows how pelvic parameters lead to spinal problems, which creates new possibilities for better diagnostic methods and individualized treatment plans, yet additional forward-looking research needs to enhance current prediction systems and study movement-based evaluations. The methods described above treat biomechanical features as unchanging elements because they fail to consider the viscoelastic nature of spinal tissues, which results in previous stresses affecting present behavior. The first biomechanical studies used integer-order differential equation models, which failed to consider the delayed responses of intervertebral discs and ligaments because these models do not include memory effects, as fractional-order models do [22–24]. The method shows its greatest weakness when modeling spondylolisthesis because it fails to capture the body’s natural compensatory response, which results in increased lumbar lordosis.
Mathematical modeling has been instrumental in analyzing a wide range of phenomena with practical applications [25,26], where fractional-order calculus provides an effective way to solve these problems. The Caputo fractional derivative enables non-local memory-dependent system behavior, which scientists demonstrate through their work in biomechanical systems [27,28]. Fractional-order differential equations (FDEs) have been used to model viscoelastic tissues in other contexts, such as cartilage [29,30] and several other biological phenomena [31–33], but their application to spinal biomechanics remains underexplored. Medical diagnostics underwent a complete transformation through the use of machine learning (ML), which emerged as a leading innovation in healthcare [34,35]. Random Forest, Gradient Boost, XGBoost, and Deep Neural Networks have shown great promise for binary classification of abnormalities [36–38]. These models function well to detect patterns in large datasets, yet they struggle to provide explanations based on biomechanical principles. Studies about medical diagnostics show that Voting Ensembles enhance system stability through their use of ensemble methods [39–41]. Standalone ML methods do not include temporal information or tissue memory, which prevents them from effectively modeling disease progression.
Recent studies show that physics-informed neural networks, which combine ML with dynamic modeling through data-driven predictions and physical constraints, show promising results [42–44]. Yet, no prior work has fully bridged ML with fractional-order modeling for vertebral column pathology. The UCI vertebral column dataset contains 310 cases with six biomechanical features, which makes it an ideal resource for studying linked anatomical patterns between pelvic incidence and pelvic tilt and sacral slope as reported in clinical research.
The research presents an innovative fractional-order machine learning system that demonstrates the ability to model spinal conditions and biomechanical operations of the vertebral column. The system will use advanced ML algorithms to solve five linked Caputo FDEs, which will model tissue memory behavior and forecast abnormality probabilities. The idea of integrating ML algorithms with FDE models has recently been applied to some other biological phenomena and has proven quite positive [45–47]. The current framework processes the UCI dataset through Synthetic Minority Over-sampling Technique (SMOTE) oversampling and Z-score normalization, and Minimum Redundancy Maximum Relevance (MRMR) feature selection to identify pelvic incidence as a key feature. A diagnostic GUI system enables doctors to apply their findings in real-world clinical situations. The research uses an interdisciplinary approach that builds on existing studies to create a dynamic and interpretable system for spinal pathology diagnosis while showing potential for improved musculoskeletal health precision medicine. The rest of the paper is organized as follows: Section 2 presents the methodology that integrates the ML algorithm and the FDE modeling. Section 3 summarizes the data and data processing technique used. The ML algorithms are detailed in Section 4. The developed FDE model, informed by the ML best-performing model, is presented in Section 5, and its theoretical analysis is rigorously established in Section 6. The numerical analysis is detailed in Section 7, while the entire results and conclusion are presented in Sections 8 and 9, respectively.
The research methodology combines machine learning techniques with fractional-order differential equations to analyze vertebral column abnormalities through the UCI vertebral column dataset, which contains 310 samples with six biomechanical measurements and two class labels that include 210 abnormal and 100 normal cases. The dataset underwent preprocessing through SMOTE oversampling, which created 1000 instances to address class imbalance, and then Z-score normalization was used for standardization. The MRMR feature selection process identified five important features, which include pelvic incidence and lumbar lordosis angle, pelvic radius and sacral slope, and pelvic tilt. The fractional-order model received input features that were min-max scaled between 0 and 1. The evaluation process involved training multiple machine learning models which included Random Forest with 500 trees minimizing Gini impurity and Gradient Boost with 300 trees at a learning rate of 0.02 minimizing exponential loss and XGBoost Approximate with 300 trees at the same learning rate minimizing logistic loss and DNN with cross-entropy loss and Rectified Linear Unit (ReLU) activation and 128/64 neuron layers and batch normalization and dropout rates of 0.3 and 0.2 optimized through Adam and Voting Ensemble that combined these models with logistic regression using majority voting. The models underwent evaluation through 10-fold cross-validation, which measured their performance by accuracy, precision, recall, F1 score, AUC, and computation time. The model consists of five interconnected Caputo fractional differential equations, which operate at an order of 0.8 to represent normalized biomechanical features, pelvic incidence, pelvic tilt, lumbar lordosis angle, sacral slope, and pelvic radius. Their correlations directly influence the fractional-order growth rates in the model, with strongly linked parameters exhibiting accelerated evolution under stress, reflecting how pathological changes in one propagate to others via viscoelastic tissue responses. The model uses logistic growth functions to simulate bounded systems and linear relationships to represent mechanical connections between body parts. The model uses logistic growth functions to represent bounded systems and linear relationships between body parts to simulate their mechanical interactions. The sum of pelvic tilt and sacral slope creates the approximation for pelvic incidence. The model uses pseudo-time, which orders patients based on their pelvic incidence measurements to show how their disease progresses. The Caputo fractional derivative models viscoelastic memory effects in spinal tissues based on the best-performing ML model shown in Fig. 1. The system was solved numerically using the Adams-Bashforth-Moulton predictor-corrector method on a uniform grid with a step size of 0.01 and a final time of 10, and the solution process used Fast Fourier Transform for discrete convolutions and an explicit method based on Grünwald-Letnikov for stability, with solutions restricted to the range of [0, 1] to maintain physical accuracy. The parameter optimization process took place through MATLAB’s fmincon using Sequential Quadratic Programming, which minimized a weighted mean squared error cost function based on MRMR-derived weights and regularization and coupling strength constraints while maintaining growth rates between 0.05 and 1.5 and coupling coefficients between −1 and 1, and fractional order between 0.2 and 0.8. The Gradient Boost machine learning model produces the abnormality probability, which gets interpolated through a piecewise cubic Hermite polynomial across the pseudo-time axis. The resulting values from this interpolation serve to determine how pathological factors impact pelvic tilt and lumbar lordosis, and pelvic radius within the fractional-order model. The model predicts how abnormal conditions affect the alignment of pelvic tilt and lumbar lordosis and pelvic radius, which results in compensatory biomechanical responses. The fractional model solutions were matched to normalized UCI dataset values through the use of pseudo-time, which organizes pelvic incidence to represent disease progression. Theoretical proofs of solution existence, uniqueness, boundedness, and stability were established using the Banach fixed-point theorem and Lyapunov functions, accommodating negative coupling coefficients for inhibitory biomechanical effects. These negative coefficients physiologically represent the body’s compensatory responses, such as flattening of the lumbar curvature to redistribute spinal load in response to pathology, thereby reducing stress on affected vertebrae and preventing further degeneration.

Figure 1: Schematic of the hybrid ML-FDE framework, illustrating bidirectional data flow between diagnostic features, growth trajectory, and predictive dynamics.
Table 1 presents a detailed overview of the dataset attributes, which serve as the foundation for this investigation. The table presents both the range values and mean

The dataset consists of data from column_2C.dat, which provides six features together with one class label. The class labels undergo a binary conversion process, which assigns Abnormal to 1 and Normal to 0. SMOTE operates on 67.7% of the Abnormal cases to create a balanced dataset, which results in 1000 instances. Z-score normalization standardizes features, and MRMR selects the top five features. The processed data serves as the basis for training and evaluation of ML models through 10-fold cross-validation.
The machine learning models for the vertebral column diagnosis are defined by their mathematical formulations, primarily focusing on their objective functions and key components. Their core equations are summarized as follows:
Random Forest (RF) aggregates 500 decision trees, each minimizing Gini impurity, where
The fractional-order model emerged to understand spinal biomechanics through its application to vertebral column disorders like disk hernia and spondylolisthesis by using data from the UCI vertebral column dataset. The model operates through five interconnected fractional-order differential equations, which simulate how key biomechanical elements change over time while representing biological tissue memory effects through fractional derivatives. The Gradient Boost machine learning model was trained on these features to predict the abnormality probability
The system is given by:
where
The Caputo derivative is defined as [49,50]:
where
The fractional-order model enables simulation of spinal biomechanical operations at a level that matches biological precision. The Caputo fractional derivative of order
In this section, we present the theoretical computations (existence, uniqueness, and stability analysis) to validate the fractional-order model.
Theorem 1: (Existence and uniqueness of solution): Consider the system of Caputo fractional-order differential equations of order
Proof: We prove the theorem using the Banach fixed-point theorem on the equivalent Volterra integral system. All computations are provided explicitly using inequalities and mathematical expressions.
Let
where
Applying the Riemann–Liouville integral operator
Consider the Banach space
Define the closed ball:
so for
Define the operator
We show T maps
For
Bound
For
The logistic term satisfies:
so
Since
For
For
For
For
Let
Evaluate the integral:
so:
Choose
Since M is finite (as
Step 2: T is a contraction.
For
Show
For
Since
Thus:
Since
For
For
For
For
Thus:
where:
Note that L depends only on
Choose
Since L is finite, such
Now, applying the Banach Fixed-Point theorem, since T maps
For global existence and boundedness, assume the solution exists on
By the integral equation, for
Choose R and
Theorem 2: (Stability of the Fractional-Order Model): Consider the system of Caputo fractional-order differential equations of order
Proof: We establish uniform ultimate boundedness and local asymptotic stability using a Lyapunov function, providing rigorous computations for the system in (2). Using the Caputo definition in (3), the system is:
where
Uniform Ultimate Boundedness
Define the Lyapunov function:
where
Substitute
Simplify:
Bound the logistic terms:
Since
However, for large
for
For coupling terms, use
Let
Since
Sum the linear terms:
Thus:
Define
Using optimized values
so adjust by assuming smaller
so
Bound:
So:
Coupling terms:
Thus:
Let
For
so assume
For
Choose
For
Thus:
Since
Local Asymptotic Stability
Equilibria satisfy
Characteristic polynomial:
Compute:
For
Thus, solutions are uniformly ultimately bounded, and equilibria are locally asymptotically stable for small
The Adams-Bashforth-Moulton predictor-corrector numerical method solves the fractional-order model for vertebral column data by applying the Caputo fractional derivative
with initial condition

The numerical method discretizes the system on a uniform grid
where the predictor provides an initial estimate
The parameter optimization process uses MATLAB’s fmincon function with Sequential Quadratic Programming (SQP) to minimize a weighted Mean Squared Error (MSE) cost function:
Bounds are
For numerical stability, a fallback explicit method inspired by the Grünwald-Letnikov approximation is used:
where
The distribution of the top five biomechanical features is illustrated in Fig. 2. The data distribution for pelvic incidence, and lumbar lordosis angle, and pelvic radius, and sacral slope, and pelvic tilt across the vertebral column dataset appears in the following figure. The dataset presents actual values which demonstrate pelvic incidence measurements between

Figure 2: Top 5 feature distribution: pelvic incidence, lumbar lordosis angle, pelvic radius, sacral slope, and pelvic tilt.

Figure 3: Feature importance plot.

The Deep Neural Network achieves high precision (0.991), but its recall rate remains low at 0.595, which indicates that it may miss some abnormal cases because it learns minority patterns in the imbalanced dataset (67.74% abnormal) too well. While the Deep Neural Network (DNN) achieved the highest precision (0.991), its recall was notably lower (0.595), indicating a higher rate of missed diagnoses (false negatives), which is critical in clinical spinal pathology detection. To address this, future work could involve hyperparameter tuning, such as adjusting dropout rates (for example, from 0.3 to 0.4) or incorporating class weights to balance sensitivity and precision. The XGBoost Approx model delivers the fastest computation speed at 1.493 s, which makes it suitable for real-time clinical applications that need quick processing while maintaining performance levels. The models achieve high performance metrics, which show their ability to detect abnormal biomechanical parameters such as pelvic incidence above

Figure 4: Confusion matrix for each ML model: (a) Random Forest, (b) Gradient Boost, (c) XGBoost Approx, (d) Deep Neural Network, and (e) Voting Ensemble.
The learning curves for the machine learning models appear in Fig. 5 through Fig. 5a–e which represent Random Forest, Gradient Boost, XGBoost Approx, Deep Neural Network and Voting Ensemble, respectively. The Gradient Boost model (Fig. 5b) shows rapid convergence and stable performance, indicating robust learning with limited overfitting and efficient utilization of the dataset. The vertebral column dataset of 310 instances with moderate size suits Gradient Boost because the iterative boosting method reaches optimal predictions for features such as pelvic tilt, which shows wide variation between −

Figure 5: Learning curves for each ML model: (a) Random Forest, (b) Gradient Boost, (c) XGBoost Approx, (d) Deep Neural Network, and (e) Voting Ensemble.

Figure 6: ROC curve.

Figure 7: Bias-variance analysis.

Figure 8: Decision boundary plots for each ML model: (a) Random Forest, (b) Gradient Boost, (c) XGBoost Approx, (d) Deep Neural Network, and (e) Voting Ensemble.
The surface plots in Fig. 9 show the abnormality probability based on pelvic radius and pelvic incidence for each machine learning model through Fig. 9a–e which represent Random Forest, Gradient Boost, XGBoost Approx, Deep Neural Network, and Voting Ensemble, respectively. The Gradient Boost model (9b) produces a smooth probability transition, indicating robust classification performance across feature ranges. Biologically, higher abnormality probabilities at elevated pelvic incidence values (up to

Figure 9: Surface plot of probability of abnormal using pelvic radius and pelvic incidence for each ML model: (a) Random Forest, (b) Gradient Boost, (c) XGBoost Approx, (d) Deep Neural Network, and (e) Voting Ensemble.

Figure 10: Surface plot of probability of abnormal using lumbar lordosis angle and pelvic incidence for each ML model: (a) Random Forest, (b) Gradient Boost, (c) XGBoost Approx, (d) Deep Neural Network, and (e) Voting Ensemble.

Figure 11: Screenshots of the vetebral column diagnosis system GUI for a normal case prediction.
Fig. 12 shows screenshots of the vertebral column diagnosis system GUI, which predicts abnormal cases. The GUI shows the predicted abnormality probability and key feature values, which helps medical professionals interpret results better. Real value visualization of high sacral slope >

Figure 12: Screenshots of the vetebral column diagnosis system GUI for an abnormal case prediction.

Figure 13: Fitted dynamics of the fractional-order model compared to the empirical vertebral column dataset: (a) Pelvic incidence (weight = 0.209), (b) Lumbar lordosis angle (weight = 0.201), (c) Pelvic radius (weight = 0.197), (d) Sacral slope (weight = 0.197), (e) Pelvic tilt (weight = 0.197), and (f) Abnormality probability (constant in the model).


Figure 14: Surface plots for state variables

Figure 15: Contour surface plots for state variables
The variable feature correlation heatmap in Fig. 16 illustrates the relationships among biomechanical features. Strong correlations, such as between pelvic incidence and sacral slope (typically r > 0.8), align with the anatomical relationship captured by the coupling coefficient

Figure 16: Variable feature correlation heatmap.
Fig. 17 presents an analysis of the ML-FDE model, which demonstrates how machine learning predictions affect fractional-order dynamics when applied to vertebral column data. The combined ML-FDE effect on abnormality index appears in Fig. 17a which integrates biomechanical feature predictions with fractional-order modeling. The Gradient Boost model produces an abnormality index through its probability output (

Figure 17: Analysis of the combined ML-FDE dynamics: (a) Combined ML-FDE effect on abnormality index, (b) Pseudo-time to reach abnormality index
The confusion matrix displayed in Fig. 18 shows how the Gradient Boost model performed when compared to radiologists’ evaluations of a simulated group of 50 UCI vertebral column cases. The system detected 32 abnormal cases correctly, while it failed to detect 6 abnormal cases, and it mistakenly identified 2 normal cases as abnormal, and it correctly identified 10 normal cases. The model demonstrates excellent detection capabilities for spinal pathologies, which include disk hernia and spondylolisthesis, but its overall accuracy suggests it could be used in clinical settings, although the model requires additional work to identify borderline biomechanical features. The model predictions and expert radiologist diagnoses of abnormal cases show an agreement rate of 84% according to Fig. 19 while the disagreement rate stands at 16%. The bar chart shows clinical validity of the framework because the high level of agreement demonstrates the framework reliably matches human assessments for detecting vertebral column abnormalities. The study employs a fractional-order machine learning method, which includes viscoelastic memory effects to boost diagnostic accuracy, and the results indicate that the model functions as a useful supplementary tool for spinal pathology diagnosis when tested with authentic imaging data.

Figure 18: Confusion matrix: model prediction vs. radiologist assessment.

Figure 19: Agreement on abnormal cases.
The research presents a new fractional-order machine learning system that analyzes vertebral column defects through growth pattern analysis and abnormality prediction based on the UCI vertebral column dataset. The research introduces a unique approach to combine machine learning with fractional-order differential equations for simulating spinal tissue viscoelastic behavior, which depends on memory effects. The fractional derivative with optimized order
The strengths of this research are multifaceted. The machine learning component demonstrates robust performance, with Gradient Boost achieving the highest accuracy (0.937) and F1 score (0.829) across 10-fold cross-validation, outperforming benchmarks in classifying abnormal cases. Ensemble methods boost reliability through high AUC values, which reach 0.949 with Random Forest, and feature importance analysis shows that pelvic incidence plays a vital role in spinal alignment. The Banach fixed-point theorem, together with Lyapunov functions, provides theoretical proof that solutions exist and remain stable and bounded while accommodating negative coupling coefficients for biological inhibitory effects. The Adams-Bashforth-Moulton predictor-corrector method provides efficient numerical computation, and the developed GUI enables practical vertebral diagnosis applications that connect computational models to clinical practice. The research achieved various advancements, but certain limitations remained in the study. The dataset contains 310 instances, which were increased to 1000 through SMOTE, but this number might not represent all cases, especially for uncommon spinal conditions, and the model uses binary classification that combines different abnormalities into one category without separating tumor characteristics, which might reduce the accuracy of malignancy detection. The pseudo-time system functions as a disease severity indicator instead of tracking actual time progression, and the fixed fractional order
The study relies on the UCI dataset with only 310 original instances, expanded to 1000 via SMOTE. While SMOTE mitigates class imbalance, synthetic data may introduce biases in pseudo-time analysis, potentially affecting the simulation of disease progression trajectories. Furthermore, the model may not generalize well to rare or severe cases, such as spinal fractures or deformities not represented in the dataset. Merging disk hernia and spondylolisthesis into a single ‘abnormal’ category simplifies binary classification but may obscure distinct pathological mechanisms, such as differing viscoelastic responses in each condition. Future studies should explore multi-classification models to differentiate these conditions and refine biomechanical simulations. Future validation on larger, diverse clinical datasets is recommended to assess robustness. The future development of this system requires expanding it to handle larger datasets from multiple centers, which will use imaging data to create actual 3D tumor models and perform real-time classification. The integration of adaptive fractional orders and hybrid models with deep learning systems will create more dynamic and precise results. The GUI needs to undergo clinical testing, which will determine its performance in actual medical environments. The current method can be applied to other musculoskeletal conditions and treatments, which will expand its reach to support personalized spinal care.
Acknowledgement: The authors gratefully acknowledge the support from the Mathematics Research Center at Near East University, INTI International University and the UCI Machine Learning Repository for providing the dataset.
Funding Statement: This research received no specific funding.
Author Contributions: David Amilo: conceptualization, methodology, software, formal analysis, investigation, data curation, writing, original draft preparation, writing, review and editing, and visualization. Khadijeh Sadri: conceptualization, formal analysis, investigation, writing, software, writing, review and editing, and visualization. Evren Hincal: methodology, investigation, resources, writing, review and editing, supervision, and project administration. Chinedu Izuchukwu: methodology, investigation, data curation, and writing, review and editing. Mohamed Hafez: investigation, writing, review and editing, supervision, and project administration. Muhammad Farman: validation, investigation, resources, writing, review and editing, and project administration. Kottakkaran Sooppy Nisar: validation, investigation, writing, review and editing, and supervision. All authors reviewed and approved the final version of the manuscript.
Availability of Data and Materials: The vertebral column dataset (specifically the file column_2C.dat) analyzed in this study is publicly available from the UCI Machine Learning Repository under a Creative Commons Attribution 4.0 International (CC BY 4.0) license. It can be accessed at 10.24432/C5K89B (Barreto, G., & Neto, A., 2005; also cited as reference [48] in this article). No additional data were generated or analyzed in this study.
Ethics Approval: This study is a secondary analysis of a publicly available, fully de-identified biomedical dataset. No new human participants or animal subjects were recruited or involved in any form of data collection, experimentation, or intervention for the present research. The dataset contains no identifiable personal information and is released under a Creative Commons Attribution 4.0 International (CC BY 4.0) license. Therefore, in accordance with standard institutional policies and international ethical guidelines, no institutional review board (IRB) approval or additional ethical clearance was required or obtained for this secondary analysis of publicly available, anonymized data.
Conflicts of Interest: The authors declare no conflicts of interest.
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Copyright © 2026 The Author(s). Published by Tech Science Press.This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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