Biomechanical evaluation of fixation strength of conventional and expansive pedicle screws with or without calcium based cement augmentation

Clinical Biomechanics

Volumn 26, Issue 3, 2011, Pages 238-244

  Gao, Mingxuan ^a   Lei, Wei ^a   Wu, Zixiang ^a   Liu, Da ^a   Shi, Lei ^a  

^a FOURTH MILITARY MEDICAL UNIVERSITY   (China)

Author keywords

Augmentation; Biomechanics; Calcium based cement; Expansive pedicle screw; Osteoporosis; Pullout test

Indexed keywords

AUGMENTATION; BIOMECHANICAL EVALUATION; FIXATION STRENGTH; HUMAN CADAVER; OSTEOPENIA; OSTEOPOROSIS; OSTEOPOROTIC; PEDICLE SCREWS; PULL-OUT STRENGTH; PULL-OUT TEST; SCREW PULLOUT TEST;

BIOMECHANICS; BONE; BONE CEMENT; CALCIUM; CEMENTS;

SCREWS;

BONE CEMENT;

ADULT; ARTICLE; BIOMECHANICS; CADAVER; CLINICAL PROTOCOL; DISEASE SEVERITY; FEMALE; FIXATION DEVICE; HUMAN; MALE; OSTEOPENIA; OSTEOPOROSIS; PEDICLE SCREW; PRIORITY JOURNAL; STATISTICAL SIGNIFICANCE; STRENGTH; SURGICAL APPROACH; SURGICAL TECHNIQUE;

BONE CEMENTS; BONE SCREWS; CADAVER; CEMENTATION; EQUIPMENT FAILURE ANALYSIS; FEMALE; FRACTURE FIXATION, INTERNAL; FRICTION; HUMANS; MALE; MIDDLE AGED; OSTEOPOROSIS; PROSTHESIS DESIGN; SPINE; TENSILE STRENGTH; TREATMENT OUTCOME;

EID: 79952693996     PISSN: 02680033     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.clinbiomech.2010.10.008     Document Type: Article

References (29)

1. Battula, S., Schoenfeld, A., Vrabec, G., Njus, G.O., 2006. Experimental evaluation of the holding power/stiffness of the self-tapping bone screws in normal and osteoporotic bone material. Clin Biomech 21 (5), 533-537.
2. Becker, S., Chavanne, A., Spitaler, R., Kropik, K., Aigner, N., Ogon, M., et al., 2008. Assessment of different screw augmentation techniques and screw designs in osteoporotic spines. Eur. Spine J. 17 (11), 1462-1469.
3. Chang, M.C., Liu, C.L., Chen, T.H., 2008. Polymethylmethacrylate augmentation of pedicle screw for osteoporotic spinal surgery: a novel technique. Spine 33 (10), E317-E324.
4. Chen, L.H., Tai, C.L., Lai, P.L., Lee, D.M., Tsai, T.T., Fu, T.S., et al., 2009. Pullout strength for cannulated pedicle screws with bone cement augmentation in severely osteoporotic bone: influences of radial hole and pilot hole tapping. Clin Biomech 24 (8), 613-618.
5. Collinge, C., Merk, B., Lautenschlager, E.P., 2007. Mechanical evaluation of fracture fixation augmented with tricalcium phosphate bone cement in a porous osteoporotic cancellous bone model. J. Orthop. Trauma 21 (2), 124-128. (Pubitemid 46279901)
6. Cook, S.D., Salkeld, S.L., Whitecloud III, T.S., Barbera, J., 2000. Biomechanical evaluation and preliminary clinical experience with an expansive pedicle screw design. J. Spinal Disord. 13 (3), 230-236. (Pubitemid 32201548)
7. Cook, S.D., Barbera, J., Rubi, M., Salkeld, S.L., Whitecloud III, T.S., 2001. Lumbosacral fixation using expandable pedicle screws. an alternative in reoperation and osteoporosis. Spine J. 1 (2), 109-114.
8. Cook, S.D., Salkeld, S.L., Stanley, T., Faciane, A., Miller, S.D., 2004. Biomechanical study of pedicle screw fixation in severely osteoporotic bone. Spine J. 4 (4), 402-408. (Pubitemid 38986981)
9. Derincek, A., Wu, C., Mehbod, A., Transfeldt, E.E., 2006. Biomechanical comparison of anatomic trajectory pedicle screw versus injectable calcium sulfate graft-augmented pedicle screw for salvage in cadaveric thoracic bone. J. Spinal Disord. Tech. 19 (4), 286-291.
10. Deviren, V., Acaroglu, E., Lee, J., Fujita, M., Hu, S., Lenke, L.G., et al., 2005. Pedicle screw fixation of the thoracic spine: an in vitro biomechanical study on different configurations. Spine 30 (22), 2530-2537. (Pubitemid 41669089)
11. Evans, S.L., Hunt, C.M., Ahuja, S., 2002. Bone cement or bone substitute augmentation of pedicle screws improves pullout strength in posterior spinal fixation. J. Mater. Sci. Mater. Med. 13 (12), 1143-1145.
12. Fernandez, E., Vlad, M.D., Gel, M.M., Lopez, J., Torres, R., Cauich, J.V., et al., 2005. Modulation of porosity in apatitic cements by the use of alpha-tricalcium phosphate-calcium sulphate dihydrate mixtures. Biomaterials 26 (17), 3395-3404. (Pubitemid 40044724)
13. Fransen, P., 2007. Increasing pedicle screw anchoring in the osteoporotic spine by cement injection through the implant. Technical note and report of three cases. J. Neurosurg. Spine 7 (3), 366-369.
14. Gao, M., Liu, X., Zhen, P., Xue, Y., Tian, Q., 2009. Lumbar spondylolisthesis management using expandable pedicle screw and interbody fusion cage. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 23 (8), 904-908.
15. Halvorson, T.L., Kelley, L.A., Thomas, K.A., Whitecloud III, T.S., Cook, S.D., 1994. Effects of bone mineral density on pedicle screw fixation. Spine 19 (21), 2415-2420. (Pubitemid 24347176)
16. Hsu, C.C., Chao, C.K., Wang, J.L., Hou, S.M., Tsai, Y.T., Lin, J., 2005. Increase of pullout strength of spinal pedicle screws with conical core, biomechanical tests and finite element analyses. J. Orthop. Res. 23 (4), 788-794.
17. Jamali, A., Hilpert, A., Debes, J., Afshar, P., Rahban, S., Holmes, R., 2002. Hydroxyapatite/calcium carbonate (HA/CC) vs. plaster of Paris: a histomorphometric and radiographic study in a rabbit tibial defect model. Calcif. Tissue Int. 71 (2), 172-178.
18. Kanis, J.A., Johnell, O., De Laet, C., Johansson, H., Oden, A., Delmas, P., et al., 2004. A meta-analysis of previous fracture and subsequent fracture risk. Bone 35 (2), 375-382. (Pubitemid 38953182)
19. Kettler, A., Schmoelz, W., Shezifi, Y., Ohana, N., Ben-Arye, A., Claes, L., et al., 2006. Biomechanical performance of the new BeadEx implant in the treatment of osteoporotic vertebral body compression fractures: restoration and maintenance of height and stability. Clin Biomech 21 (7), 676-682. (Pubitemid 43963196)
20. Kiner, D.W., Wybo, C.D., Sterba, W., Yeni, Y.N., Bartol, S.W., Vaidya, R., 2008. Biomechanical analysis of different techniques in revision spinal instrumentation: larger diameter screws versus cement augmentation. Spine 33 (24), 2618-2622.
21. Lei, W., Wu, Z., 2006. Biomechanical evaluation of an expansive pedicle screw in calf vertebrae. Eur. Spine J. 15 (3), 321-326.
22. Ngu, B.B., Belkoff, S.M., Gelb, D.E., Ludwig, S.C., 2006. A biomechanical comparison of sacral pedicle screw salvage techniques. Spine 31 (6), E166-E168.
23. Nilsson, M., Wielanek, L., Wang, J.S., Tanner, K.E., Lidgren, L., 2003. Factors influencing the compressive strength of an injectable calcium sulfate-hydroxyapatite cement. J. Mater. Sci. Mater. Med. 14 (5), 399-404.
24. Pfeiffer, F.M., Abernathie, D.L., Smith, D.E., 2006. A comparison of pullout strength for pedicle screws of different designs, a study using tapped and untapped pilot holes. Spine 31 (23), E867-E870. (Pubitemid 44673366)
25. Roy-Camille, R., Saillant, G., Mazel, C., 1986. Internal fixation of the lumbar spine with pedicle screw plating. Clin. Orthop. Relat. Res. 203, 7-17.
26. Tan, J.S., Kwon, B.K., Dvorak, M.F., Fisher, C.G., Oxland, T.R., 2004. Pedicle screw motion in the osteoporotic spine after augmentation with laminar hooks, sublaminar wires, or calcium phosphate cement: a comparative analysis. Spine 29 (16), 1723-1730. (Pubitemid 39079913)
27. Wittenberg, R.H., Lee, K.S., Shea, M., White III, A.A., Hayes, W.C., 1993. Effect of screw diameter, insertion technique, and bone cement augmentation of pedicular screw fixation strength. Clin. Orthop. Relat Res. 296, 278-287.
28. Yazu, M., Kin, A., Kosaka, R., Kinoshita, M., Abe, M., 2005. Efficacy of novel-concept pedicle screw fixation augmented with calcium phosphate cement in the osteoporotic spine. J. Orthop. Sci. 10 (1), 56-61.
29. Yi, X., Wang, Y., Lu, H., Li, C., Zhu, T., 2008. Augmentation of pedicle screw fixation strength using an injectable calcium sulfate cement, an in vivo study. Spine 33 (23), 2503-2509.