Multidirectional instability of the thoracic spine due to iatrogenic pedicle injuries during transpedicular fixation: A biomechanical investigation

Spine

Volumn 22, Issue 16, 1997, Pages 1836-1842

  Kothe, Ralph ^a   Panjabi, Manohar M ^b   Liu, Wen ^b  

^a HEINRICH HEINE UNIVERSITY   (Germany)

^b YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Biomechanics; Burst fracture; Pedicle fracture; Pedicle screw; Spinal fixation; Thoracic spine

Indexed keywords

ARTICLE; BIOMECHANICS; BONE SCREW; CADAVER; HUMAN; HUMAN CELL; HUMAN TISSUE; JOINT MOBILITY; PRIORITY JOURNAL; SPINE STABILIZATION; SPINE SURGERY; SURGICAL ANATOMY; SURGICAL RISK; THORACIC SPINE; THREE DIMENSIONAL IMAGING;

ADOLESCENT; ADULT; AGED; BIOMECHANICS; BONE SCREWS; FEMALE; FRACTURE FIXATION, INTERNAL; HUMANS; IATROGENIC DISEASE; JOINT INSTABILITY; MALE; MIDDLE AGED; PLIABILITY; RANGE OF MOTION, ARTICULAR; SPINAL FRACTURES; THORACIC VERTEBRAE;

EID: 0031426455     PISSN: 03622436     EISSN: None     Source Type: Journal    
DOI: 10.1097/00007632-199708150-00008     Document Type: Article

References (22)

1. Amiot LP, Labelle H, DeGuise JA, Sati M, Brodeur P, Rivard C-H. Computer-assisted pedicle screw fixation: A feasibility study. Spine 1995;20:1208-12.
2. Andriacchi T, Schultz A, Belytschko T, Galante J. A model for studies of mechanical interactions between the human spine and rib cage. J Biomech 1974;7:497-07.
3. Denis F. The three column spine and its significance on the classification of acute thoracolumbar spinal injuries. Spine 1983;8:817-31.
4. Esses SI, Sachs BL, Dreyzin V. Complications associated with the technique of pedicle screw fixation: A selected survey of ABS members. Spine 1993;18:2231-9.
5. George DC, Krag MH, Johnson CC, Van Hal ME, Haugh LD, Grobler LJ. Hole preparation techniques for transpedicle screws: Effect on pull-out strength from human cadaveric vertebrae. Spine 1991;16:181-4.
6. Gertzbein SD, Robbins SE. Accuracy of pedicular screw placement in vivo. Spine 1990;15:11-4.
7. Kifune M, Panjabi MM, Arand M, Liu W. Fracture pattern and instability of thoracolumbar injuries. Eur Spine J 1995;4: 98-03.
8. Kothe R, O'Holleran JD, Liu W, Panjabi MM. Internal architecture of the thoracic pedicle: An anatomical study. Spine 1996;21:264-70.
9. Krag MH, Beynnon BD, Pope MH, DeCoster TA. Depth of insertion of transpedicular vertebral screws into human vertebra interface strength. J Spinal Disord 1989;1:287-94.
10. Magerl F, Aebi M, Gertzbein SD, Harms J, Nazarian S. A comprehensive classification of thoracic and lumbar injuries. Eur Spine J 1994;3:184-01.
11. Misenhimer GR, Peek RD, Wiltse LL, Rothman SLG, Widell EH. Anatomic analysis of pedicle cortical and cancellous diameter as related to screw size. Spine 1989;14:367-372.
12. Nolte LP, Zamorano LJ, Jiang Z, Wang Q, Langlotz F, Berlemann U. Image-guided insertion of transpedicular screws: A laboratory set-up. Spine 1995;20:497-500.
13. Oxland TR, Panjabi MM. The onset and progression of spinal injury: A demonstration of neutral zone sensitivity. J Biomech 1992;25:1165-72.
14. Panjabi MM. Biomechanical evaluation of spinal fixation devices: 1. A conceptual framework. Spine 1988;13:1129-34.
15. Panjabi MM, Takata K, Goel V, Federico D, Oxland T, Duranceau J, Krag M. Thoracic human vertebrae: Quantitative three-dimensional anatomy. Spine 1991;16:888-01.
16. Panjabi MM, Oxland TR, Lin RM, McGowen TW. Thoracolumbar burst fracture: A biomechanical investigation of its multidirectional flexibility. Spine 1994;19:578-85.
17. Panjabi MM, O'Holleran J, Crisco JJ, Kothe R. Complexity of the thoracic spine pedicle anatomy. Eur Spine J 1997;6: 19-24.
18. Sim E. Location of transpedicular screws for fixation of the lower thoracic and lumbar spine: Computed tomography of 45 fracture cases. Acta Orthop Scand 1993;64:28-32.
19. Sjöström L, Jacobsson O, Karlström G, Pech P, Rauschning W. CT analysis of pedicles and screw tracts after implant removal in thoracolumbar fractures. J Spinal Disord 1993;6:225-31.
20. Steinmann JC, Herkowitz HN, El-Kommos H, Wesolowski P. Spinal pedicle fixation: Confirmation of an image-based technique for screw placement. Spine 1993;18:1856-61.
21. Vaccaro AR, Rizzolo SJ, Balderston RA, et al. Placement of pedicle screws in the thoracic spine: Part 2. An anatomical and radiographic assessment. J Bone Joint Surg [Am] 1995;77: 200-6.
22. Yuan HA, Garfin SR, Dickman CA, Mardjetko SM. A historical cohort study of pedicle screw fixation in thoracic, lumbar, and sacral spinal fusions. Spine 1994;19:2279S-96S.