Intraoperative insertion torque of lumbar pedicle screw and postoperative radiographic evaluation: Short-term observation

Journal of Orthopaedic Science

Volumn 10, Issue 2, 2005, Pages 137-144

  Mizuno, Koichi ^a   Shinomiya, Kenichi ^a   Nakai, Osamu ^b   Shindo, Shigeo ^b   Otani, Kazuyuki ^a  

^a TOKYO MEDICAL AND DENTAL UNIVERSITY   (Japan)

^b Kudanzaka Hospital   (Japan)

Author keywords

Bone mineral density; Insertion torque; Intraoperative measurement; Pedicle screw; Quantitative CT (QCT)

Indexed keywords

ARTICLE; BONE DENSITY; BONE MINERAL; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; CORRELATION ANALYSIS; CORTICAL BONE; FEMALE; FOLLOW UP; HUMAN; INTRAOPERATIVE PERIOD; JOINT STABILITY; LUMBAR SPINE; MALE; PEDICLE SCREW; POSTOPERATIVE PERIOD; SPINE RADIOGRAPHY; TORQUE;

EID: 17644399773     PISSN: 09492658     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00776-004-0873-5     Document Type: Article

References (19)

1. Bühler DW, Berlemann U, Oxland TR, et al. Moments and forces during pedicle screw insertion: in vitro and in vivo measurements. Spine 1998;23:1220-8.
2. Christensen FB, Dalstra M, Sejling F, et al. Titanium-alloy enhances bone-pedicle screw fixation: mechanical and histomorphometrical results of titanium-alloy versus stainless steel. Eur Spine J 2000;9:97-103.
3. Daftari TK, Horton WC, Hutton WC. Correlations between screw hole preparation, torque of insertion, and pullout strength for spinal screws. J Spinal Disord 1994;7:139-45.
4. Hanai K. Dynamic measurement of intraosseous pressures in lumbar spinal vertebrae with reference to spinal canal stenosis. Spine 1980;5:568-74.
5. Kuklo TR, Lehman RA Jr. Effect of various tapping diameters on insertion of thoracic pedicle screws: a biomechanical analysis. Spine 2003;28:2066-71.
6. Kwok AWL, Finkelstein JA, Woodside T, et al. Insertional torque and pull-out strengths of conical and cylindrical pedicle screws in cadaveric bone. Spine 1996;21:2429-34.
7. Law M, Tencer AF, Anderson PA. Caudo-cephalad loading of pedicle screws: mechanisms of loosening and methods of augmentation. Spine 1993;18:2438-43.
8. Lu WW, Zhu Q, Holmes AD, et al. Loosening of sacral screw fixation under in vitro fatigue loading. J Orthop Res 2000;18:808-14.
9. Mummaneni PV, Haddock SM, Liebschner MAK, et al. Biomechanical evaluation of a double-threaded pedicle screw in elderly vertebrae. J Spinal Disord Techniques 2002;15:64-8.
10. Myers BS, Belmont PJ Jr, Richardson WJ, et al. The role of imaging and in situ biomechanical testing in assessing pedicle screw pull-out strength. Spine 1996;21:1962-8.
11. Ohlin A, Karlsson M, Düppe H, et al. Complications after transpedicular stabilization of the spine: a survivorship analysis of 163 cases. Spine 1994;19:2774-9.
12. Öktenoglu BT, Ferrara LA, Andalkar N, et al. Effects of hole preparation on screw pullout resistance and insertional torque: a biomechanical study. J Neurosurg 2001;94:91-6.
13. Okuyama K, Abe E, Suzuki T, et al. Can insertional torque predict screw loosening and related failures? An in vivo study of pedicle screw fixation augmenting posterior lumbar interbody fusion. Spine 2000;25:858-64.
14. Ono A, Brown MD, Latta LL, et al. Triangulated pedicle screw construct technique and pull-out strength of conical and cylindrical screws. J Spinal Disord 2001;14:323-9.
15. Sandén B, Olerud C, Johansson C, et al. Improved extraction torque of hydroxyapatite-coated pedicle screws. Eur Spine J 2000;9:534-7.
16. Shimamoto N, Kotani Y, Shono Y, et al. Biomechanical evaluation of anterior spinal instrumentation systems for scoliosis: in vitro fatigue simulation. Spine 2001;26:2701-8.
17. Zdeblick TA, Kunz DN, Cooke ME, et al. Pedicle screw pullout strength: correlation with insertional torque. Spine 1993;18:1673-6.
18. Zheng Y, Lu WW, Zhu Q, et al. Variation in bone mineral density of the sacrum in young adults and its significance for sacral fixation. Spine 2000;25:353-7.
19. Zhu Q, Lu WW, Holmes AD, et al. The effects of cyclic loading on pull-out strength of sacral screw fixation: an in vitro biomechanical study. Spine 2000;25:1065-9.