A parametric study of cylindrical pedicle screw design implications on the pullout performance using an experimentally validated finite-element model

Medical Engineering and Physics

Volumn 32, Issue 2, 2010, Pages 145-154

  Chatzistergos, Panagiotis E ^a   Magnissalis, Evangelos A ^b   Kourkoulis, Stavros K ^a  

^a Department of Mechanics   (Greece)

^b UNIVERSITY OF ATHENS   (Greece)

Author keywords

Bone screws; Cohesive zone; Finite element analysis; Pullout force; Synthetic bone

Indexed keywords

BONE SCREW; COHESIVE ZONES; FINITE ELEMENT ANALYSIS; PULL-OUT FORCE; SYNTHETIC BONE;

BONE; COMPUTER SIMULATION; SCREWS;

FINITE ELEMENT METHOD;

ACCURACY; ARTICLE; CALIBRATION; CONTROLLED STUDY; DEVICE REMOVAL; EXPERIMENTAL STUDY; FINITE ELEMENT ANALYSIS; FORCE; MATHEMATICAL MODEL; MECHANICAL STRESS; PARAMETRIC TEST; PEDICLE SCREW; PRIORITY JOURNAL; SIMULATION; VALIDATION PROCESS;

BIOMIMETIC MATERIALS; BONE SCREWS; CALIBRATION; EQUIPMENT DESIGN; FINITE ELEMENT ANALYSIS; MECHANICAL PROCESSES; OSTEOPOROSIS; REPRODUCIBILITY OF RESULTS;

EID: 75749134043     PISSN: 13504533     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.medengphy.2009.11.003     Document Type: Article

References (33)

1. Essens S., Sachs B., and Dreyzin V. Complications associated with the technique of pedicle screw fixation. A selected survey of ABS members. Spine 18 (1993) 2231-2239
2. Okuda S., Miyauchi A., Oda T., Haku T., Yamamoto T., and Iwasaki M. Surgical complications of posterior lumbar interbody fusion with total facetectomy in 251 patients. J Neurosurg (Spine) 4 (2006) 304-309
3. Katonis P., Christoforakis J., Aligizakis A.C., Papadopoulos C., Sapkas G., and Hadjipavlou A. Complications and problems related to pedicle screw fixation of the spine. Clin Orthop Relat Res 411 (2003) 86-94
4. Rohlmann A., Graichen F., Kayser R., Bender A., and Bergmann G. Loads on a telemeterized vertebral body replacement measured in two patients. Spine 33 (2008) 1170-1179
5. Benzel E.C. Implant-bone interface. Biomechanics of spine stabilization (2001), Thieme p. 160-161
6. Lyon W.F., Cochran J.R., and Smith L. Actual holding power of various screws in bone. Ann Surg 114 (1941) 376-384
7. Chapman J., Harrington R., Lee K., Anderson P., Tencer A., and Kowalski D. Factors affecting the pullout strength of cancellous bone screws. J Biomech Eng 118 (1996) 391-398
8. Asnis S., Ernberg J., Bostrom M., Wright T., Harrington R., Tencer A., et al. Cancellous bone screw thread design and holding power. J Orthop Trauma 10 (1996) 462-469
9. Conrad B., Cordista A., Horodyski M., and Rechtine G.R. Biomechanical evaluation of the pullout strength of cervical screws. J Spinal Disord Tech 18 (2005) 506-510
10. Ansell H., and Scales J. A study of some factors which affect the strength of screws and their insertion and holding power in bone. J Biomechanics 1 (1968) 279-302
11. DeCoster T.A., Heetderks D.B., Downey D.J., Ferries J.S., and Jones W. Optimizing bone screw pullout force. J Orthop Trauma 4 2 (1990) 169-174
12. Koranyi E., Bowman C., Knecht C., and Janssen M. Holding power of orthopedic screws in bone. Clin Orthop Relat Res 72 (1970) 283-286
13. Thompson J., Benjamin J., and Szivek J. Pullout strength of cannulated and noncannulated cancellous bone screws. Clin Orthop Relat Res 341 (1997) 241-249
14. Hughes A.N., and Jordan B.A. The mechanical properties of surgical bone screws and some aspects of insertion practice. Injury 4 (1972) 25-38
15. Zindrick M., Wiltse L., Widell E., Thomas J., Holland R., Field T., et al. Biomechanical study of intrapedicular screw fixation in the lumbosacral spine. Clin Orthop Relat Res 203 (1986) 99-112
16. Leggon R., Lindsey R.W., Doherty B.J., Alexander J., and Noble P. The holding strength of cannulated screws compared with solid screws in cortical and cancelous bone. J Orthop Trauma 7 (1993) 450-457
17. Gausepohl T., Möhring R., Pennig D., and Koebke J. Fine thread versus coarse thread. A comparison of the maximum holding power Injury. Int J Care Injured 32 (2001) SD1-SD7
18. Krenn M., Piotrowski W., Penzkofer R., and Augat P. Influence of thread design on pedicle screw fixation: laboratory investigation. J Neurosurg (Spine) 9 (2008) 90-95
19. Zhang Q.H., Tan S.H., and Chou S.M. Investigation of fixation screw pull-out strength on human spine. J Biomechanics 37 (2004) 479-485
20. Zhang Q.H., Tan S.H., and Chou S.M. Effects of bone materials on the screw pull-out strength in human spine. Med Eng Phys 28 (2006) 795-801
21. Gefen A. Optimizing the biomechanical compatibility of orthopaedic screws for bone fracture fixation. Med Eng Phys 24 (2002) 337-347
22. Hsu C.C., Chao C.K., Wang J.L., Hou S.M., Tsai Y.T., and Lin J. Increase of pullout strength of spinal pedicle screws with conical core: biomechanical tests and finite element analyses. J Orthop Res 23 (2005) 788-794
23. Chao C.K., Hsu C.C., Wang J.L., and Lin J. Increasing bending strength and pullout strength in conical pedicle screws: biomechanical tests and finite element analyses. J Spinal Disord Tech 21 (2008) 130-138
24. Kourkoulis S.K., and Chatzistergos E.P. The influence of the "penetration-" and the "filling-ratios" on the pull-out strength of transpedicular screws. J Mechanics Med Biol 9 (2009) 283-300
25. Long M., and Rack H.J. Titanium alloys in total joint replacement-a materials science perspective. Biomaterials 19 (1998) 1621-1639
26. Dimar J., Glassman S., Puno R., Campbell M., and Johnson J. Posterior lumbar spine: CD Horizon Legacy 5.5 Spinal System. In: Fessler R., Kim D., and Vaccaro A. (Eds). Spinal instrumentation: surgical techniques (2005), Thieme Medical Publishers Inc., NY 850-855
27. Alfano G., and Crisfield M.A. Finite element interface models for the delamination analysis of laminated composites: mechanical and computational issues. Int J Numer Meth Eng 50 (2001) 1701-1736
28. ANSYS, ANSYS Release 11.0 Documentation. Canonsburg, PA, USA: ANSYS Inc.
29. Oberg E., Jones F.D., and Horton H.L. Working strength of bolts. In: Ryffel H.H. (Ed). Machinery's handbook (2004), Industrial Press, New York 1509-1511
30. Tafrreshi A., and Dover W.D. Stress analysis of drillstring threaded connections using the finite element method. Int J Fatigue 15 (1993) 429-438
31. Kourkoulis S.K., Papanicolopulos S.A., Marinelli A., and Vayas I. Restaurierung antiker Tempel: Experimentelle Untersuchungen zum Ausziehverhalten von Verankerungen im Marmor. Bautechnik 85 (2008) 109-119
32. Chatzistergos EP, Sapkas G, Kourkoulis SK. The influence of the insertion technique on the pullout force of pedicle screws: an experimental study. Spine; in press.
33. Schoenfeld A., Battula S., Sahai V., Vrabec G., Corman S., Burton L., et al. Pullout strength and load to failure properties of self-tapping cortical screws in synthetic and cadaveric environments representative of healthy and osteoporotic bone. J Trauma 64 (2008) 1302-1307