Biomechanical comparison of three fixation techniques for unstable thoracolumbar burst fractures: Laboratory investigation

Journal of Neurosurgery: Spine

Volumn 8, Issue 4, 2008, Pages 341-346

  Acosta Jr , Frank L ^a   Buckley, Jenni M ^a   Xu, Zheng ^a   Lotz, Jeffrey C ^a   Ames, Christopher P ^a,b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UCSF Medical Center at Parnassus   (United States)

Author keywords

Biomechanical study; Burst fracture; Cadaver; Fixation fusion; Instrumentation; Lumbar spine; Spinal stability

Indexed keywords

ADULT; AGED; ANTERIOR SPINE FUSION; ARTICLE; BIOMECHANICS; FEMALE; HUMAN; INTERMETHOD COMPARISON; LIGAMENT INJURY; MALE; RANGE OF MOTION; SPINAL CORD DECOMPRESSION; SPINE FRACTURE; SPINE FUSION; SPINE MOBILITY; SPINE STABILIZATION; STATISTICAL SIGNIFICANCE; SURGICAL TECHNIQUE; THORACOLUMBAR SPINE; THORACOLUMBAR SPINE FRACTURE; THREE DIMENSIONAL IMAGING; TREATMENT OUTCOME;

AGED; BIOMECHANICS; CADAVER; DECOMPRESSION, SURGICAL; FEMALE; FRACTURE FIXATION, INTERNAL; HUMANS; INTERNAL FIXATORS; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; SPINAL CORD COMPRESSION; SPINAL FRACTURES; THORACIC VERTEBRAE;

EID: 41749105795     PISSN: 15475654     EISSN: 15475646     Source Type: Journal    
DOI: 10.3171/SPI/2008/8/4/341     Document Type: Article

References (37)

1. Bozkus H, Chamberlain RH, Perez Garza LE, Crawford NR, Dickman CA: Biomechanical comparison of anterolateral plate, lateral plate, and pedicle screws-rods for enhancing anterolateral lumbar interbody cage stabilization. Spine 29:635-641, 2004
2. Carl AL, Tranmer BI, Sachs BL: Anterolateral dynamized instrumentation and fusion for unstable thoracolumbar and lumbar burst fractures. Spine 22:686-690, 1997
3. Chen HH, Wang WK, Li KC, Chen TH: Biomechanical effects of the body augmenter for reconstruction of the vertebral body. Spine 29:E382-E387, 2004
4. Cloutier LP, Aubin CE, Grimard G: Biomechanical study of anterior spinal instrumentation configurations. Eur Spine J 16:1039-1045, 2007
5. Crawford NR, Brantley AG, Dickman CA, Koeneman EJ: An apparatus for applying pure nonconstraining moments to spine segments in vitro. Spine 20:2097-2100, 1995
6. Eichholz KM, Hitchon PW, From A, Rubenbauer P, Nakamura S, Lim TH, et al: Biomechanical testing of anterior and posterior thoracolumbar instrumentation in the cadaveric spine. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004. J Neurosurg Spine 1:116-121, 2004
7. Esses SI, Botsford DJ, Kostuik JP: Evaluation of surgical treatment for burst fractures. Spine 15:667-673, 1990
8. Fricka KB, Mahar AT, Newton PO: Biomechanical analysis of anterior scoliosis instrumentation: differences between single and dual rod systems with and without interbody structural support. Spine 27:702-706, 2002
9. Gerber M, Crawford NR, Chamberlain RH, Fifield MS, LeHuec JC, Dickman CA: Biomechanical assessment of anterior lumbar interbody fusion with an anterior lumbosacral fixation screwplate: comparison to stand-alone anterior lumbar interbody fusion and anterior lumbar interbody fusion with pedicle screws in an unstable human cadaver model. Spine 31:762-768, 2006
10. Glazer PA, Colliou O, Klisch SM, Bradfore DS, Bueff HU, Lotz JC: Biomechanical analysis of multilevel fixation methods in the lumbar spine. Spine 22:171-182, 1997
11. Gurwitz GS, Dawson JM, McNamara MJ, Federspiel CF, Spengler DM: Biomechanical analysis of three surgical approaches for lumbar burst fractures using short-segment instrumentation. Spine 18:977-982, 1993
12. Harris BM, Hilibrand AS, Savas PE, Pellegrino A, Vaccaro AR, Siegler S, et al: Transforaminal lumbar interbody fusion: the effect of various instrumentation techniques on the flexibility of the lumbar spine. Spine 29:E65-70, 2004
13. Kanayama M, Ng JT, Cunningham BW, Abumi K, Kaneda K, McAfee PC: Biomechanical analysis of anterior versus circumferential spinal reconstruction for various anatomic stages of tumor lesions. Spine 24:445-450, 1999
14. Kandziora F, Schleicher P, Scholz M, Pflugmacher R, Eindorf T, Haas NP, et al: Biomechanical testing of the lumbar facet interference screw. Spine 30:E34-E39, 2005
15. Kaneda K, Shono Y, Satoh S, Abumi K: Anterior correction of thoracic scoliosis with Kaneda anterior spinal system. A preliminary report. Spine 22:1358-1368, 1997
16. Kaneda K, Shono Y, Satoh S, Abumi K: New anterior instrumentation for the management of thoracolumbar and lumbar scoliosis. Application of the Kaneda two-rod system. Spine 21:1250-1262, 1996
17. Kaneda K, Taneichi H, Abumi K, Hashimoto T, Satoh S, Fujiya M: Anterior decompression and stabilization with the Kaneda device for thoracolumbar burst fractures associated with neurological deficits. J Bone Joint Surg Am 79:69-83, 1997
18. Kostuik JP: Anterior fixation for burst fractures of the thoracic and lumbar spine with or without neurological involvement. Spine 13:286-293, 1988
19. Kostuik JP: Anterior fixation for fractures of the thoracic and lumbar spine with or without neurologic involvement. Clin Orthop Relat Res 189:103-115, 1984
20. Lim TH, An HS, Hong JH, Ahn JY, You JW, Eck J, et al: Biomechanical evaluation of anterior and posterior fixations in an unstable calf spine model. Spine 22:261-266, 1997
21. Lowe TG, Betz R, Lenke L, Clements D, Harms J, Newton P, et al: Anterior single-rod instrumentation of the thoracic and lumbar spine: saving levels. Spine 28:S208-S216, 2003
22. Lowe TG, Enguidanos ST, Smith DA, Hashim S, Eule JM, O'Brien MF, et al: Single-rod versus dual-rod anterior instrumentation for idiopathic scoliosis: a biomechanical study. Spine 30:311-317, 2005
23. Lund T, Oxland TR, Jost B, Cripton P, Grassmann S, Etter C, et al: Interbody cage stabilisation in the lumbar spine: biomechanical evaluation of cage design, posterior instrumentation and bone density. J Bone Joint Surg Br 80:351-359, 1998
24. Maletsky LP, Sun J, Morton NA: Accuracy of an optical active-marker system to track the relative motion of rigid bodies. J Biomech 40:682-685, 2007
25. McAfee PC, Yuan HA, Lasda NA: The unstable burst fracture. Spine 7:365-373, 1982
26. Mick CA, Carl A, Sachs B, Hresko MT, Pfeifer BA: Burst fractures of the fifth lumbar vertebra. Spine 18:1878-1884, 1993
27. Oda I, Cunningham BW, Lee GA, Abumi K, Kaneda K, McAfee PC: Biomechanical properties of anterior thoracolumbar multisegmental fixation: an analysis of construct stiffness and screwrod strain. Spine 25:2303-2311, 2000
28. Panjabi MM, Oxland TR, Yamamoto I, Crisco JJ: Mechanical behavior of the human lumbar and lumbosacral spine as shown by three-dimensional load-displacement curves. J Bone Joint Surg Am 76:413-424, 1994
29. Phillips FM, Cunningham B, Carandang G, Ghanayem AJ, Voronov L, Havey RM, et al: Effect of supplemental translaminar facet screw fixation on the stability of stand-alone anterior lumbar interbody fusion cages under physiologic compressive preloads. Spine 29:1731-1736, 2004
30. Rathonyi GC, Oxland TR, Gerich U, Grassmann S, Nolte LP: The role of supplemental translaminar screws in anterior lumbar interbody fixation: a biomechanical study. Eur Spine J 7:400-407, 1998
31. Rohlmann A, Neller S, Claes L, Bergmann G, Wilke HJ: Influence of a follower load on intradiscal pressure and intersegmental rotation of the lumbar spine. Spine 26:E557-E561, 2001
32. Schreiber U, Bence T, Grupp T, Steinhauser E, Mückley T, Mittelmeier W, et al: Is a single anterolateral screw-plate fixation sufficient for the treatment of spinal fractures in the thoracolumbar junction? A biomechanical in vitro investigation. Eur Spine J 14:197-204, 2005
33. Shen WJ, Liu TJ, Shen YS: Nonoperative treatment versus posterior fixation for thoracolumbar junction burst fractures without neurologic deficit. Spine 26:1038-1045, 2001
34. Shimamoto N, Kotani Y, Shono Y, Kadoya K, Abumi K, Kaneda K, et al: Biomechanical evaluation of anterior spinal instrumentation systems for scoliosis: in vitro fatigue simulation. Spine 26:2701-2708, 2001
35. Shono Y, McAfee PC, Cunningham BW: Experimental study of thoracolumbar burst fractures. A radiographic and biomechanical analysis of anterior and posterior instrumentation systems. Spine 19:1711-1722, 1994
36. Sweet FA, Lenke LG, Bridwell KH, Blanke KM, Whorton J: Prospective radiographic and clinical outcomes and complications of single solid rod instrumented anterior spinal fusion in adolescent idiopathic scoliosis. Spine 26:1956-1965, 2001
37. Wiggins GC, Rauzzino MJ, Shaffrey CI, Nockels RP, Whitehill R, Alden TD, et al: A new technique for the surgical management of unstable thoracolumbar burst fractures: a modification of the anterior approach and an outcome comparison to traditional methods. Neurosurg Focus 7(1):E3, 1999