The effect of spinal instrumentation on kinematics at the cervicothoracic junction: Emphasis on soft-tissue response in an in vitro human cadaveric model. Laboratory investigation

Journal of Neurosurgery: Spine

Volumn 13, Issue 4, 2010, Pages 435-442

  Kretzer, Ryan M ^a,b   Hu, Nianbin ^b   Umekoji, Hidemasa ^b   Sciubba, Daniel M ^a   Jallo, George I ^a   McAfee, Paul C ^c   Tortolani, P Justin ^c   Cunningham, Bryan W ^b  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b Orthopaedic Spinal Research Laboratory   (United States)

^c St Joseph Medical Center   (United States)

Author keywords

Adjacent segment degeneration; Biomechanical study; Cervicothoracic junction; Pedicle screw; Scoliosis

Indexed keywords

AGED; ARTICLE; CADAVER; CERVICAL SPINE; FEMALE; FLEXOR REFLEX; HUMAN; IN VITRO STUDY; JOINT MOBILITY; KINEMATICS; MALE; PEDICLE SCREW; RANGE OF MOTION; SOFT TISSUE; SPINE SURGERY; THORACIC SPINE; BIOMECHANICS; BONE SCREW; FLUOROSCOPY; JOINT CHARACTERISTICS AND FUNCTIONS; ORTHOPEDIC SURGERY; PATHOPHYSIOLOGY; POSTOPERATIVE PERIOD; RADIOGRAPHY; ROTATION; SPINE; SURGERY; VERTEBRA; VERY ELDERLY;

AGED; AGED, 80 AND OVER; BIOMECHANICAL PHENOMENA; BONE SCREWS; CADAVER; CERVICAL VERTEBRAE; FLUOROSCOPY; HUMANS; IN VITRO TECHNIQUES; ORTHOPEDIC PROCEDURES; POSTOPERATIVE PERIOD; RANGE OF MOTION, ARTICULAR; ROTATION; SPINE; THORACIC VERTEBRAE;

EID: 77957966093     PISSN: 15475654     EISSN: 15475646     Source Type: Journal    
DOI: 10.3171/2010.4.SPINE09995     Document Type: Article

References (27)

1. Ames CP, Bozkus MH, Chamberlain RH, Acosta FL Jr, Papadopoulos SM, Sonntag VK, et al: Biomechanics of stabilization after cervicothoracic compression-flexion injury. Spine 30:1505-1512, 2005
2. Anderson AL, McIff TE, Asher MA, Burton DC, Glattes RC: The effect of posterior thoracic spine anatomical structures on motion segment flexion stiffness. Spine 34:441-446, 2009
3. Bergeson RK, Schwend RM, DeLucia T, Silva SR, Smith JE, Avilucea FR: How accurately do novice surgeons place thoracic pedicle screws with the free hand technique? Spine 33:E501-E507, 2008
4. Cardoso MJ, Dmitriev AE, Helgeson M, Lehman RA, Kuklo TR, Rosner MK: Does superior-segment facet violation or laminectomy destabilize the adjacent level in lumbar transpedicular fixation? An in vitro human cadaveric assessment. Spine 33:2868-2873, 2008
5. Chapman JR, Anderson PA, Pepin C, Toomey S, Newell DW, Grady MS: Posterior instrumentation of the unstable cervicothoracic spine. J Neurosurg 84:552-558, 1996 (Pubitemid 26104221)
6. Daffner SD, Vaccaro AR: Managing disorders of the cervicothoracic junction. Am J Orthop 31:323-327, 2002
7. Daubs MD, Kim YJ, Lenke LG: Pedicle screw fixation (T1, T2, and T3). Instr Course Lect 56:247-255, 2007
8. Glattes RC, Bridwell KH, Lenke LG, Kim YJ, Rinella A, Edwards C II: Proximal junctional kyphosis in adult spinal deformity following long instrumented posterior spinal fusion: incidence, outcomes, and risk factor analysis. Spine 30:1643-1649, 2005 (Pubitemid 41022428)
9. Heller JG, Shuster JK, Hutton WC: Pedicle and transverse process screws of the upper thoracic spine. Biomechanical comparison of loads to failure. Spine 24:654-658, 1999
10. Hilibrand AS, Robbins M: Adjacent segment degeneration and adjacent segment disease: the consequences of spinal fusion? Spine J 4 (6 Suppl):190S-194S, 2004
11. Hollenbeck SM, Glattes RC, Asher MA, Lai SM, Burton DC: The prevalence of increased proximal junctional flexion following posterior instrumentation and arthrodesis for adolescent idiopathic scoliosis. Spine 33:1675-1681, 2008
12. Kim YJ, Lenke LG, Bridwell KH, Kim J, Cho SK, Cheh G, et al: Proximal junctional kyphosis in adolescent idiopathic scoliosis after 3 different types of posterior segmental spinal instrumentation and fusions: incidence and risk factor analysis of 410 cases. Spine 32:2731-2738, 2007 (Pubitemid 350135388)
13. Kim YW, Lenke LG, Kim YJ, Bridwell KH, Kim YB, Watanabe K, et al: Free-hand pedicle screw placement during revision spinal surgery: analysis of 552 screws. Spine 33:1141-1148, 2008 (Pubitemid 351630226)
14. Kreshak JL, Kim DH, Lindsey DP, Kam AC, Panjabi MM, Yerby SA: Posterior stabilization at the cervicothoracic junction: a biomechanical study. Spine 27:2763-2770, 2002 (Pubitemid 36008570)
15. Lai PL, Chen LH, Niu CC, Fu TS, Chen WJ: Relation between laminectomy and development of adjacent segment instability after lumbar fusion with pedicle fixation. Spine 29:2527-2532, 2004 (Pubitemid 40353274)
16. Lapsiwala S, Benzel E: Surgical management of cervical myelopathy dealing with the cervical-thoracic junction. Spine J 6 (6 Suppl):268S-273S, 2006
17. Lee GA, Betz RR, Clements DH III, Huss GK: Proximal kyphosis after posterior spinal fusion in patients with idiopathic scoliosis. Spine 24:795-799, 1999 (Pubitemid 29181533)
18. Lekovic GP, Potts EA, Karahalios DG, Hall G: A comparison of two techniques in image-guided thoracic pedicle screw placement: a retrospective study of 37 patients and 277 pedicle screws. J Neurosurg Spine 7:393-398, 2007
19. Mazel C, Hoffmann E, Antonietti P, Grunenwald D, Henry M, Williams J: Posterior cervicothoracic instrumentation in spine tumors. Spine 29:1246-1253, 2004 (Pubitemid 38691986)
20. Oda I, Abumi K, Cunningham BW, Kaneda K, McAfee PC: An in vitro human cadaveric study investigating the biomechanical properties of the thoracic spine. Spine 27:E64-E70, 2002
21. Panjabi MM: Biomechanical evaluation of spinal fixation devices: I. A conceptual framework. Spine 13:1129-1134, 1988
22. Panjabi MM, Hausfeld JN, White AA III: A biomechanical study of the ligamentous stability of the thoracic spine in man. Acta Orthop Scand 52:315-326, 1981
23. Simon S, Davis M, Odhner D, Udupa J, Winkelstein B: CT imaging techniques for describing motions of the cervicothoracic junction and cervical spine during flexion, extension, and cervical traction. Spine 31:44-50, 2006 (Pubitemid 43348193)
24. Steinmetz MP, Miller J, Warbel A, Krishnaney AA, Bingaman W, Benzel EC: Regional instability following cervicothoracic junction surgery. J Neurosurg Spine 4:278-284, 2006 (Pubitemid 47325456)
25. White AA III, Hirsch C: The significance of the vertebral posterior elements in the mechanics of the thoracic spine. Clin Orthop Relat Res 81:2-14, 1971
26. Yoganandan N, Kumaresan S, Pintar FA: Geometric and mechanical properties of human cervical spine ligaments. J Biomech Eng 122:623-629, 2000 (Pubitemid 32047026)
27. Yue JJ, Sossan A, Selgrath C, Deutsch LS, Wilkens K, Testaiuti M, et al: The treatment of unstable thoracic spine fractures with transpedicular screw instrumentation: a 3-year consecutive series. Spine 27:2782-2787, 2002 (Pubitemid 36013430)