Influence of screw positioning in a new anterior spine fixator on implant loosening in osteoporotic vertebrae

Spine

Volumn 31, Issue 4, 2006, Pages 406-413

  Reinhold, Maximilian ^a   Schwieger, Karsten ^b   Goldhahn, Joerg ^c   Linke, Berend ^b   Knop, Christian ^a   Blauth, Michael ^a  

^a INNSBRUCK MEDICAL UNIVERSITY   (Austria)

^b AO RESEARCH INSTITUTE   (Switzerland)

^c SCHULTHESS CLINIC   (Switzerland)

Author keywords

Biomechanics; Fracture; Implant performance; Osteoporosis; Spinal fusion

Indexed keywords

ADULT; AGED; ARTICLE; BONE DENSITY; BONE SCREW; COMPRESSIVE STRENGTH; CORTICAL BONE; DEVICE; FEMALE; FRACTURE; HUMAN; HUMAN TISSUE; IMPLANT; LOADING TEST; LUMBAR VERTEBRA; MALE; MEASUREMENT; MODULAR ANTERIOR CONSTRUCT SYSTEM; OSTEOPOROSIS; PRIORITY JOURNAL; PROPORTIONAL HAZARDS MODEL; SPINE FUSION; SPINE STABILIZATION; STATISTICAL ANALYSIS; SURVIVAL; VERTEBRA BODY;

AGED; AGED, 80 AND OVER; BONE DENSITY; BONE SCREWS; FEMALE; FRACTURE FIXATION, INTERNAL; HUMANS; LUMBAR VERTEBRAE; MALE; MATERIALS TESTING; OSTEOPOROSIS; PROSTHESIS FAILURE; SPINAL FUSION; WEIGHT-BEARING;

EID: 33644841640     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/01.brs.0000199894.63450.70     Document Type: Article

References (68)

1. Lips P, Cooper C, Agnusdei D, et al. Quality of life in patients with vertebral fractures: validation of the Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO). Working Party for Quality of Life of the European Foundation for Osteoporosis. Osteoporos Int 1999;10:150-60.
2. Roy DK, O'Neill TW, Finn JD, et al. Determinants of incident vertebral fracture in men and women: results from the European Prospective Osteoporosis Study (EPOS). Osteoporos Int 2003;14:19-26.
3. Cummings SR, Melton LJ. Epidemiology and outcomes of osteoporotic fractures. Lancet 2002;359:1761-7.
4. Dunn HK. Anterior stabilization of thoracolumbar injuries. Clin Orthop 1984;189:116-24.
5. Bauer R, Mostegl A, Eichenauer M. An analysis of the results of Dwyer and Zielke instrumentations in the treatment of scoliosis. Arch Orthop Trauma Surg 1986;105:302-9.
6. Bayley JC, Yuan HA, Fredrickson BE. The Syracuse I-plate. Spine 1991;16:120-4.
7. Ferguson SJ, Winkler F, Nolte LP. Anterior fixation in the osteoporotic spine: cut-out and pullout characteristics of implants. Eur Spine J 2002;11:527-34.
8. Schawalder P, Stich H, Oetliker M, et al. Clinical use of hollow cylinder screw implants for various indications: 20 year experience. Schweiz Arch Tierheilkd 2000;142:279-88.
9. Suh PB, Kostuik JP, Esses SI. Anterior cervical plate fixation with the titanium hollow screw plate system: a preliminary report. Spine 1990;15:1079-81.
10. Sutter F, Schroeder A, Straumann F. Technical and constructive aspects of ITI-hollow cylinder implants. ZWR 1981;90:50-9.
11. Chapman JR, Harrington RM, Lee KM, et al. Factors affecting the pullout strength of cancellous bone screws. J Biomech Eng 1996;118:391-8.
12. DeCoster TA, Heetderks DB, Downey DJ, et al. Optimizing bone screw pullout force. J Orthop Trauma 1990;4:169-74.
13. Skinner R, Maybee J, Transfeldt E, et al. Experimental pullout testing and comparison of variables in transpedicular screw fixation: a biomechanical study. Spine 1990;15:195-201.
14. Breeze SW, Doherty BJ, Noble PS, et al. A biomechanical study of anterior thoracolumbar screw fixation. Spine 1998;23:1829-31.
15. Haug RH, Street CC, Goltz M. Does plate adaptation affect stability? A biomechanical comparison of locking and nonlocking plates. J Oral Maxillofac Surg 2002;60:1319-26.
16. Linke B, Butscher A, Schneider R, et al. Holding strength of conventional and locking head screws. Folia Traumatol Lovaniensia 2003;68-79.
17. Spivak JM, Chen D, Kummer FJ. The effect of locking fixation screws on the stability of anterior cervical plating. Spine 1999;24:334-8.
18. Thalgott JS, Kabins MB, Timlin M, et al. Four year experience with the AO Anterior Thoracolumbar Locking Plate. Spinal Cord 1997;35:286-91.
19. Huang TJ, Hsu RW, Tai CL, et al. A biomechanical analysis of triangulation of anterior vertebral double-screw fixation. Clin Biomech 2003;18:40-5.
20. Beisse R, Potulski M, Bühren V. Thorakoskopisch gesteuerte ventrale Plattenspondylodese bei Frakturen der Brust- und Lendenwirbelsäule. Operat Orthop Traumatol 1999;11:54-69.
21. Beisse R, Potulski M, Beger J, et al. Development and clinical application of a thoracoscopy implantable plate frame for treatment of thoracolumbar fractures and instabilities. Orthopade 2002;31:413-22.
22. Schultheiss M, Wilke HJ, Claes L, et al. MACS-TL twin screw. A new thoracoscopic implantable stabilization system for treatment of vertebral fractures: implant design, implantation technique and in vitro testing. Orthopade 2002;31:362-7.
23. An HS, Lim TH, You JW, et al. Biomechanical evaluation of anterior thoracolumbar spinal instrumentation. Spine 1995;20:1979-83.
24. Kaneda K, Abumi K, Fujiya M. Burst fractures with neurologic deficits of the thoracolumbar-lumbar spine: results of anterior decompression and stabilization with anterior instrumentation. Spine 1984;9:788-95.
25. Riska EB, Myllynen P, Bostman O. Anterolateral decompression for neural involvement in thoracolumbar fractures: a review of 78 cases. J Bone Joint Surg Br 1987;69:704-8.
26. Abumi K, Panjabi MM, Duranceau J. Biomechanical evaluation of spinal fixation devices: III. Stability provided by six spinal fixation devices and interbody bone graft. Spine 1989;14:1249-55.
27. White AA III, Panjabi MM. Clinical Biomechanics of the Spine, 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 1990.
28. Schramm M, Krummbein S, Kraus H, et al. Die MACS-HMA Hohltonne: Eine alternative Möglichkeit der stabilen Implantatverankerung im Wirbelkörper auch für langstreckige Fusionen. Orthopade 2002;31:494-502.
29. Schultheiss M, Kinzl L, Claes L, et al. Minimally invasive ventral spondylodesis for thoracolumbar fracture treatment: surgical technique and first clinical outcome. Eur Spine J 2003;12:618-24.
30. European Prospective Osteoporosis Study (EPOS) Group. Incidence of vertebral fracture in Europe: results from the European Prospective Osteoporosis Study (EPOS). J Bone Miner Res 2002;17:716-24.
31. Grupp TM, Beisse R, Potulski M, et al. Mechanical testing of implant properties of thoracoscopic implantation of ventral spinal stabilizing systems: comparative study with the ISO/DIS 12189-2 corpectomy model and an improved synthetic model. Orthopade 2002;31:406-12.
32. Dwyer AF. Anterior instrumentation for scoliosis. Isr J Med Sci 1973;9:805-12.
33. Zielke K. Ventrale Derotationsspondylodese: Behandlungsergebnisse bei ideopathischen Lumbaiskoliosen. Z Orthop Ihre Grenzgeb 1982;120:320-9.
34. Black RC, Gardner VO, Armstrong GW, et al. A contoured anterior spinal fixation plate. Clin Orthop 1988;227:135-42.
35. Brodke DS, Gollogly S, Bachus KN, et al. Anterior thoracolumbar instrumentation: stiffness and load sharing characteristics of plate and rod systems. Spine 2003;28:1794-801.
36. Dick JC, Brodke DS, Zdeblick TA, et al. Anterior instrumentation of the thoracolumbar spine: a biomechanical comparison. Spine 1997;22:744-50.
37. Kotani Y, Cunningham BW, Parker LM, et al. Static and fatigue biomechanical properties of anterior thoracolumbar instrumentation systems: a synthetic testing model. Spine 1999;24:1406-13.
38. McCloskey EV, Spector TD, Eyres KS, et al. The assessment of vertebral deformity: a method for use in population studies and clinical trials. Osteoporos Int 1993;3:138-47.
39. Ryan MD, Taylor TK, Sherwood AA. Bolt-plate fixation for anterior spinal fusion. Clin Orthop 1986;203:196-202.
40. Liu CL, Chen HH, Cheng CK, et al. Biomechanical evaluation of a new anterior spinal implant. Clin Biomech 1998;13:40-5.
41. Gilbert SG, Johns PC, Chow DC, et al. Relation of vertebral bone screw axial pullout strength to quantitative computed tomographic trabecular bone mineral content. J Spinal Disord 1993;6:513-21.
42. Ashman RB, Bechtold JE, Edwards WT, et al. In vitro spinal arthrodesis implant mechanical testing protocols. J Spinal Disord 1989;2:274-81.
43. Rohlmann A, Claes LE, Bergmannt G, et al. Comparison of intradiscal pressures and spinal fixator loads for different body positions and exercises. Ergonomics 2001;44:781-94.
44. Andersson GB, Örtengren R, Nachemson A. Intradiscal pressure, intraabdominal pressure and myoelectric back muscle activity related to posture and loading. Clin Orthop 1977;129:156-64.
45. Nachemson AL. Disc pressure measurements. Spine 1981;6:93-7.
46. Schultz AB, Andersson GB, Örtengren R, et al. Loads on the lumbar spine: validation of a biomechanical analysis by measurements of intradiscal pressure and myoelectric signals. J Bone Joint Surg Am 1982;64:713-20.
47. Wilke HJ, Neef P, Caimi M, et al. New in vivo measurements of pressures in the intervertebral disc in daily life. Spine 1999;24:755-62.
48. Sato K, Kikuchi S, Yonezawa T. In vivo intradiscal pressure measurement in healthy individuals and in patients with ongoing back problems. Spine 1999;24:2468-74.
49. Goel VK, Wilder DG, Pope MH, et al. Biomechanical testing of the spine: load-controlled versus displacement-controlled analysis. Spine 1995;20:2354-7.
50. Panjabi MM. Biomechanical evaluation of spinal fixation devices: I. A conceptual framework. Spine 1988;13:1129-34.
51. Wilke HJ, Wenger K, Claes L. Testing criteria for spinal implants: recommendations for the standardization of in vitro stability testing of spinal implants. Eur Spine J 1998;7:148-54.
52. Horton WC, Blackstock SF, Norman JT, et al. Strength of fixation of anterior vertebral body screws. Spine 1996;21:439-44.
53. Halvorson TL, Kelley LA, Thomas KA, et al. Effects of bone mineral density on pedicle screw fixation. Spine 1994;19:2415-20.
54. Lim TH, An HS, Evanich C, et al. Strength of anterior vertebral screw fixation in relationship to bone mineral density. J Spinal Disord 1995;8:121-5.
55. Okuyama K, Sato K, Abe E, et al. Stability of transpedicle screwing for the osteoporotic spine: an in vitro study of the mechanical stability. Spine 1993;18:2240-5.
56. Lieberman IH, Khazim R, Woodside T. Anterior vertebral body screw pullout testing: a comparison of Zeilke, Kaneda, Universal Spine System, and Universal Spine System with pullout-resistant nut. Spine 1998;23:908-10.
57. Zindrick MR, Wiltse LL, Widell EH, et al. A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine. Clin Orthop 1986;203:99-112.
58. Daum WJ, Tencer AF, Cartwright TJ, et al. Pull-out strengths of bone screws at various sites about the pelvis: a preliminary study. J Orthop Trauma 1988;2:229-33.
59. Zink PM. Performance of ventral spondylodesis screws in cervical vertebrae of varying bone mineral density. Spine 1996;21:45-52.
60. Kumano K, Hirabayashi S, Ogawa Y, et al. Pedicle screws and bone mineral density. Spine 1994;19:1157-61.
61. Ruland CM, McAfee PC, Warden KE, et al. Triangulation of pedicular instrumentation: a biomechanical analysis. Spine 1991;16:270-6.
62. Soshi S, Shiba R, Kondo H, et al. An experimental study on transpedicular screw fixation in relation to osteoporosis of the lumbar spine. Spine 1991;16:1335-41.
63. Sarzier JS, Evans AJ, Cahill DW. Increased pedicle screw pullout strength with vertebroplasty augmentation in osteoporotic spines. J Neurosurg 2002;96:309-12.
64. Zdeblick TA, Kunz DN, Cooke ME, et al. Pedicle screw pullout strength: correlation with insertional torque. Spine 1993;18:1673-6.
65. Suzuki T, Abe E, Okuyama K, et al. Improving the pullout strength of pedicle screws by screw coupling. J Spinal Disord 2001;14:399-403.
66. Ogon M, Haid C, Krismer M, et al. Comparison between single-screw and triangulated, double-screw fixation in anterior spine surgery: a biomechanical test. Spine 1996;21:2728-34.
67. Hsieh PH, Chen WJ, Chen LH, et al. An unusual complication of anterior spinal instrumentation: hemothorax contralateral to the side of the incision: a case report. J Bone Joint Surg Am 1999;81:998-1001.
68. Matsuzaki H, Tokuhashi Y, Wakabayashi K, et al. Penetration of a screw into the thoracic aorta in anterior spinal instrumentation: a case report. Spine 1993;18:2327-31.