Polymethylmethacrylate augmentation of the pedicle screw: The cement distribution in the vertebral body

European Spine Journal

Volumn 20, Issue 8, 2011, Pages 1281-1288

  Hu, Ming Hsien ^c   Wu, Hung Ta H ^a   Chang, Ming Chau ^a,b   Yu, Wing Kuang ^a   Wang, Shih Tien ^a   Liu, Chien Lin ^a  

^a TAIPEI VETERANS GENERAL HOSPITAL   (Taiwan)

^b NATIONAL YANG MING UNIVERSITY   (Taiwan)

^c SHOW CHWAN MEMORIAL HOSPITAL   (Taiwan)

Author keywords

Cannulated pedicle screw; Cement augmentation; Osteoporosis; Polymethylmethacrylate

Indexed keywords

BONE CEMENT; POLY(METHYL METHACRYLATE);

ADULT; AGED; ARTICLE; BIOPSY TECHNIQUE; BONE DENSITY; CEMENT LEAKAGE; COMPUTER ASSISTED TOMOGRAPHY; FEMALE; HUMAN; MALE; OSTEOPOROSIS; PEDICLE SCREW; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; SPINE SURGERY; VERTEBRA BODY;

AGED; AGED, 80 AND OVER; BONE CEMENTS; BONE SCREWS; FEMALE; FOREIGN-BODY MIGRATION; HUMANS; MALE; MIDDLE AGED; OSTEOPOROTIC FRACTURES; POLYMETHYL METHACRYLATE; RETROSPECTIVE STUDIES; SPINAL FRACTURES; SPINAL FUSION; SPINE; TOMOGRAPHY, X-RAY COMPUTED;

EID: 83255187860     PISSN: 09406719     EISSN: 14320932     Source Type: Journal    
DOI: 10.1007/s00586-011-1824-4     Document Type: Article

References (26)

1. Becker S, Chavanne A, Spitaler R et al (2008) Assessment of different screw augmentation techniques and screw designs in osteoporotic spines. Eur Spine J 17:1462-1469
2. Burval DJ, McLain RF, Milks R et al (2007) Primary pedicle screw augmentation in osteoporotic lumbar vertebrae: biomechanical analysis of pedicle fixation strength. Spine 32:1077-1083 (Pubitemid 46685984)
3. Chang MC, Liu CL, Chen TH et al (2008) Polymethylmethacrylate augmentation of pedicle screw for osteoporotic spinal surgery: a novel technique. Spine 33:E317-E324
4. Chen LH, Tai CL, Lai PL 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 (Bristol, Avon) 24:613-618
5. Coe JD, Warden KE, Engr M et al (1990) 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 (Pubitemid 20358387)
6. Cook SD, Salkeld SL, Stanley T et al (2004) Biomechanical study of pedicle screw fixation in severely osteoporotic bone. Spine 4:402-408 (Pubitemid 38986981)
7. Halvorson TL, Kelly LA, Thomas KA et al (1994) Effects of bone mineral density on pedicle screw fixation. Spine 19:2415-2420 (Pubitemid 24347176)
8. Hirano T, Hasegawa K, Takahashi HE et al (1997) Structural characteristics of the pedicle and its role in screw stability. Spine 22:2504-2509
9. Inceoglu S, Burghardt A, Akbay A et al (2005) Trabecular architecture of lumbar vertebral pedicle. Spine 30:1485-1490 (Pubitemid 40979737)
10. Kim YJ, Bridwell KH, Lenke LG et al (2006) Pseudarthrosis in long adult spinal deformity instrumentation and fusion to the sacrum: prevalence and risk factor analysis of 144 cases. Spine 31:2329-2336 (Pubitemid 44423532)
11. Kumano K, Hirabayashi S, Ogawa Y et al (1994) Pedicle screws and bone mineral density. Spine 19:1157-1161 (Pubitemid 24153097)
12. Lebwohl NH, Cunningham BW, Dmitriev A et al (2002) Biomechanical comparison of lumbosacral fixation techniques in a calf spine model. Spine 27:2312-2320 (Pubitemid 35266217)
13. Lotz JC, Hu SS, Chieu DF et al (1997) Carbonated apatite cement augmentation of pedicle screw fixation in the lumbar spine. Spine 22:2716-2723 (Pubitemid 28100361)
14. McLain RF, McKinley TO, Yerby SA et al (1997) The effect of bone quality on pedicle screw loading in axial instability: a synthetic model. Spine 22:1454-1460 (Pubitemid 28073997)
15. Moon BJ, Cho BY, Choi EY et al (2009) Polymethylmethacrylate- augmented screw fixation for stabilization of the osteoporotic spine: a three-year follow-up of 37 patients. J Korean Neurosurg Soc 46:305-311
16. Moore DC, Maitra RS, Farjo LA et al (1997) Restoration of pedicle screw fixation with an in situ setting calcium phosphate cement. Spine 22:1696-1705 (Pubitemid 28076400)
17. Okuyama K, Sato K, Abe E et al (1993) Stability of transpedicle screwing for the osteoporotic spine: an in vitro study of mechanical stability. Spine 18:2240-2245 (Pubitemid 23336060)
18. Pfeifer BA, Krag MH, Johnson C (1994) Repair of failed transpedicle screw fixation: a biomechanical study comparing polymethylmethacrylate, milled bone, and matchstick bone reconstruction. Spine 19:350-353 (Pubitemid 24071120)
19. Renner SM, Lim TH, Kim WJ et al (2004) Augmentation of pedicle screw fixation strength using an injectable calcium phosphate cement as a function of injection timing and method. Spine 29:E212-E216
20. Soshi S, Shiba R, Kondo H et al (1991) An experimental study on transpedicular screw fixation in relation to osteoporosis of the lumbar spine. Spine 16:1335-1341
21. Waits C, Burton D, McIff T (2009) Cement augmentation of pedicle screw fixation using novel cannulated cement insertion device. Spine 34:E478-E483
22. Wittenberg RH, Shea M, Swartz DE et al (1991) Importance of bone mineral density in instrumented spine fusion. Spine 16:647-652
23. Yamagata M, Kitahara H, Minami S et al (1992) Mechanical stability of the pedicle screw fixation systems for the lumbar spine. Spine 17(suppl 3):S51-S54
24. Yerby SA, Toh E, McLain RF (1998) Revision of failed pedicle screws using hydroxyapatite cement: a biomechanical analysis. Spine 23:1657-1661 (Pubitemid 28433864)
25. Zhuang XM, Yu BS, Zheng ZM, et al (2010) Effect of the degree of osteoporosis on the biomechanical anchoring strength of the sacral pedicle screws: an in vitro comparison between unaugmented bicortical screws and polymethylmethacrylate augmented unicortical screws. Spine [Epub ahead of print]
26. Zindrick MR, Wiltse LL, Widell EH et al (1986) A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine. Clin Orthop Relat Res 203:99-112 (Pubitemid 16115318)