Evaluation of pullout strength and failure mechanism of posterior instrumentation in normal and osteopenic thoracic vertebrae: Laboratory investigation

Journal of Neurosurgery: Spine

Volumn 13, Issue 4, 2010, Pages 469-476

  Paxinos, Odysseas ^a   Tsitsopoulos, Parmenion P ^b,c   Zindrick, Michael R ^d   Voronov, Leonard I ^b,c   Lorenz, Mark A ^d   Havey, Robert M ^b,c   Patwardhan, Avinash G ^b,c  

^a Hellenic Air Force Hospital   (Greece)

^b HINES VA HOSPITAL   (United States)

^c LOYOLA UNIVERSITY MEDICAL CENTER   (United States)

^d Adventist Hinsdale Hospital   (United States)

Author keywords

Laminar hook; Pedicle screw; Pullout strength; Thoracic spine; Wires

Indexed keywords

ADULT; AGED; ARTICLE; BONE DENSITY; BONE STRENGTH; CADAVER; COMPUTER ASSISTED TOMOGRAPHY; FEMALE; FIXATION DEVICE; HUMAN; MALE; OSTEOPENIA; PEDICLE SCREW; SPINE STABILIZATION; THORACIC SPINE; TREATMENT FAILURE; BIOMECHANICS; BONE DISEASES, METABOLIC; BONE NAIL; BONE PLATE; BONE SCREW; BONE WIRE; COMPARATIVE STUDY; DEVICE FAILURE; DEVICES; EQUIPMENT DESIGN; EVALUATION STUDY; IN VITRO STUDY; MATERIALS TESTING; ORTHOPEDIC FIXATION DEVICE; ORTHOPEDIC SURGERY; PATHOLOGY; RADIOGRAPHY; SPINAL FRACTURES; VERTEBRA;

TITANIUM;

BIOMECHANICAL PHENOMENA; BONE DENSITY; BONE DISEASES, METABOLIC; BONE NAILS; BONE PLATES; BONE SCREWS; BONE WIRES; EQUIPMENT DESIGN; EQUIPMENT FAILURE; HUMANS; IN VITRO TECHNIQUES; MATERIALS TESTING; ORTHOPEDIC FIXATION DEVICES; ORTHOPEDIC PROCEDURES; SPINAL FRACTURES; THORACIC VERTEBRAE; TITANIUM;

EID: 77957971127     PISSN: 15475654     EISSN: 15475646     Source Type: Journal    
DOI: 10.3171/2010.4.SPINE09764     Document Type: Article

References (45)

1. Balabaud L, Gallard E, Skalli W, Dupas B, Roger R, Lavaste F, et al: Biomechanical evaluation of a bipedicular spinal fixation device: three different strength tests. Eur Spine J 12:480-486, 2003 (Pubitemid 37409946)
2. Becker S, Chavanne A, Spitaler R, Kropik K, Aigner N, Ogon M, et al: Assessment of different screw augmentation techniques and screw designs in osteoporotic spines. Eur Spine J 17:1462-1469, 2008
3. Berlemann U, Cripton P, Nolte LP, Lippuner K, Schläpfer F: New means in spinal pedicle hook fixation. A biomechanical evaluation. Eur Spine J 4:114-122, 1995
4. Burval DJ, McLain RF, Milks R, Inceoglu S: Primary pedicle screw augmentation in osteoporotic lumbar vertebrae: biomechanical analysis of pedicle fixation strength. Spine 32:1077-1083, 2007 (Pubitemid 46685984)
5. Carl AL, Tromanhauser SG, Roger DJ: Pedicle screw instrumentation for thoracolumbar burst fractures and fracture-dislocations. Spine 17 (8 Suppl):S317-S324, 1992
6. Coe JD, Warden KE, Herzig MA, McAfee PC: Influence of bone mineral density on the fixation of thoracolumbar implants. A comparative study of transpedicular screws, laminar hooks, and spinous process wires. Spine 15:902-907, 1990
7. Cordista A, Conrad B, Horodyski M, Walters S, Rechtine G: Biomechanical evaluation of pedicle screws versus pedicle and laminar hooks in the thoracic spine. Spine J 6:444-449, 2006 (Pubitemid 43960783)
8. Crafts NFR: The Human Development Index and changes in standards of living: some historical comparisons. Eur Rev Econ Hist 1:299-322, 1997
9. Cunningham BW, Sefter JC, Shono Y, McAfee PC: Static and cyclical biomechanical analysis of pedicle screw spinal constructs. Spine 18:1677-1688, 1993 (Pubitemid 23280317)
10. Deviren V, Acaroglu E, Lee J, Fujita M, Hu S, Lenke LG, et al: Pedicle screw fixation of the thoracic spine: an in vitro biomechanical study on different configurations. Spine 30:2530-2537, 2005 (Pubitemid 41669089)
11. Dhawan A, Klemme WR, Polly DW, Jr.: Thoracic pedicle screws: comparison of start points and trajectories. Spine 33:2675-2681, 2008
12. Dvorak M, MacDonald S, Gurr KR, Bailey SI, Haddad RG: An anatomic, radiographic, and biomechanical assessment of extrapedicular screw fixation in the thoracic spine. Spine 18:1689-1694, 1993 (Pubitemid 23280318)
13. Gayet LE, Pries P, Hamcha H, Clarac JP, Texereau J: Biomechanical study and digital modeling of traction resistance in posterior thoracic implants. Spine 27:707-714, 2002 (Pubitemid 34259937)
14. Genant HK, Ettinger B, Harris ST, Block JE, Stieger P: Quantitative computed tomography in assessment of osteoporosis, in Riggs BL, Melton LJ (eds): Osteoporosis: Etiology, Diagnosis, and Management. New York: Raven Press, 1988, pp 221-250
15. Glassman SD, Alegre GM: Adult spinal deformity in the osteoporotic spine: options and pitfalls. Instr Course Lect 52:579-588, 2003
16. Hackenberg L, Link T, Liljenqvist U: Axial and tangential fixation strength of pedicle screws versus hooks in the thoracic spine in relation to bone mineral density. Spine 27:937-942, 2002 (Pubitemid 34506666)
17. Hadjipavlou AG, Katonis PG, Tzermiadianos MN, Tsoukas GM, Sapkas G: Principles of management of osteometabolic disorders affecting the aging spine. Eur Spine J 12 (Suppl 2):S113-S131, 2003
18. Halvorson TL, Kelley LA, Thomas KA, Whitecloud TS III, Cook SD: Effects of bone mineral density on pedicle screw fixation. Spine 19:2415-2420, 1994 (Pubitemid 24347176)
19. 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
20. Herrera-Soto JA, Lewis R, Nosir HR, Crawford AH: The use of multiple anchors for the treatment of idiopathic scoliosis. Spine 32:E517-E522, 2007 (Pubitemid 47301017)
21. Hitchon PW, Brenton MD, Black AG, From A, Harrod JS, Barry C, et al: In vitro biomechanical comparison of pedicle screws, sublaminar hooks, and sublaminar cables. J Neurosurg 99 (1 Suppl):104-109, 2003 (Pubitemid 36750445)
22. Hu SS: Internal fixation in the osteoporotic spine. Spine 22 (24 Suppl):43S-48S, 1997
23. Jacob AT, Ingalhalikar AV, Morgan JH, Channon S, Lim TH, Torner JC, et al: Biomechanical comparison of single- and dual-lead pedicle screws in cadaveric spine. J Neurosurg Spine 8:52-57, 2008
24. Kanis JA, Pitt FA: Epidemiology of osteoporosis. Bone 13 (Suppl 1):S7-S15, 1992
25. Kuklo TR, Potter BK, Lenke LG, Polly DW Jr, Sides B, Bridwell KH: Surgical revision rates of hooks versus hybrid versus screws versus combined anteroposterior spinal fusion for adolescent idiopathic scoliosis. Spine 32:2258-2264, 2007 (Pubitemid 47415110)
26. Lehman RA Jr, Polly DW Jr, Kuklo TR, Cunningham B, Kirk KL, Belmont PJ Jr: Straight-forward versus anatomic trajectory technique of thoracic pedicle screw fixation: a biomechanical analysis. Spine 28:2058-2065, 2003 (Pubitemid 37140192)
27. Liljenqvist U, Hackenberg L, Link T, Halm H: Pullout strength of pedicle screws versus pedicle and laminar hooks in the thoracic spine. Acta Orthop Belg 67:157-163, 2001 (Pubitemid 32428566)
28. Masala S, Tarantino U, Marinetti A, Aiello N, Fiori R, Sorge RP, et al: DXA vs QCT: in vitro and in vivo studies. Acta Diabetol 40 (Suppl 1):S86-S88, 2003 (Pubitemid 37322726)
29. McLain RF, Burkus JK, Benson DR: Segmental instrumentation for thoracic and thoracolumbar fractures: prospective analysis of construct survival and five-year follow-up. Spine J 1:310-323, 2001
30. Melton LJ III, Riggs BL, Keaveny TM, Achenbach SJ, Hoffmann PF, Camp JJ, et al: Structural determinants of vertebral fracture risk. J Bone Miner Res 22:1885-1892, 2007
31. Pfeiffer FM, Abernathie DL, Smith DE: A comparison of pullout strength for pedicle screws of different designs: a study using tapped and untapped pilot holes. Spine 31:E867-E870, 2006
32. Pfeiffer M, Gilbertson LG, Goel VK, Griss P, Keller JC, Ryken TC, et al: Effect of specimen fixation method on pullout tests of pedicle screws. Spine 21:1037-1044, 1996 (Pubitemid 26148159)
33. Puno RM, Grossfeld SL, Johnson JR, Holt RT: Cotrel-Dubousset instrumentation in idiopathic scoliosis. Spine 17 (8 Suppl):S258-262, 1992
34. Ruland CM, McAfee PC, Warden KE, Cunningham BW: Triangulation of pedicular instrumentation. A biomechanical analysis. Spine 16 (6 Suppl):S270-276, 1991
35. Sawada K, Morishige K, Ohmichi M, Nishio Y, Yamamoto T, Hayakawa J, et al: Peripheral quantitative computed tomography (pQCT) is useful for monitoring bone mineral density of the patients who receive hormone replacement therapy. Maturitas 56:343-349, 2007 (Pubitemid 46401101)
36. Skinner R, Maybee J, Transfeldt E, Venter R, Chalmers W: Experimental pullout testing and comparison of variables in transpedicular screw fixation. A biomechanical study. Spine 15:195-201, 1990 (Pubitemid 20160307)
37. Soshi S, Shiba R, Kondo H, Murota K: An experimental study on transpedicular screw fixation in relation to osteoporosis of the lumbar spine. Spine 16:1335-1341, 1991
38. Stambough JL, Simeone FA: Neurologic complications in spine surgery, in Herkowitz H, Garfin SR, Balderston RA, et al (eds) Rothman-Simeone The Spine, ed 4. Philadelphia: WB Saunders, 1999, vol 2, pp 1724-1732
39. Sterba W, Kim DG, Fyhrie DP, Yeni YN, Vaidya R: Biomechanical analysis of differing pedicle screw insertion angles. Clin Biomech (Bristol, Avon) 22:385-391, 2007 (Pubitemid 46498358)
40. Sun E, Alkalay R, Vader D, Snyder BD: Preventing distal pullout of posterior spine instrumentation in thoracic hyperkyphosis: a biomechanical analysis. J Spinal Disord Tech 22:270-277, 2009
41. WHO Study Group: Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. World Health Organ Tech Rep Ser 843:1-129, 1994
42. Wilber RG, Thompson GH, Shaffer JW, Brown RH, Nash CL Jr: Postoperative neurological deficits in segmental spinal instrumentation. A study using spinal cord monitoring. J Bone Joint Surg Am 66:1178-1187, 1984
43. Yamagata M, Kitahara H, Minami S, Takahashi K, Isobe K, Moriya H, et al: Mechanical stability of the pedicle screw fixation systems for the lumbar spine. Spine 17 (3 Suppl):S51-S54, 1992
44. Zindrick MR, Wiltse LL, Doornik A, Widell EH, Knight GW, Patwardhan AG, et al: Analysis of the morphometric characteristics of the thoracic and lumbar pedicles. Spine 12:160-166, 1987 (Pubitemid 17064563)
45. Zindrick MR, Wiltse LL, Widell EH, Thomas JC, Holland WR, Field BT, et al: A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine. Clin Orthop Relat Res (203):99-112, 1986 (Pubitemid 16115318)