Pedicle screw design and cement augmentation in osteoporotic vertebrae: Effects of fenestrations and cement viscosity on fixation and extraction

Spine

Volumn 37, Issue 26, 2012, Pages

  Choma, Theodore J ^a   Pfeiffer, Ferris M ^b   Swope, Ryan W ^a   Hirner, Jesse P ^a  

^a University of Missouri   (United States)

^b UNIVERSITY OF MISSOURI   (United States)

Author keywords

Cement augmentation; Osteoporosis; Pedicle screw fixation

Indexed keywords

BONE CEMENT; POLY(METHYL METHACRYLATE);

ARTICLE; FENESTRATION; FULLY CANNULATED FENESTRATED SCREW; HUMAN; OSTEOPOROSIS; PARTIALLY CANNULATED FENESTRATED SCREW; PEDICLE SCREW; PRIORITY JOURNAL; SPINE; VISCOSITY;

BIOMECHANICS; BONE CEMENTS; BONE SCREWS; HUMANS; INTERNAL FIXATORS; LUMBAR VERTEBRAE; MATERIALS TESTING; OSTEOPOROSIS; POLYMETHYL METHACRYLATE; THORACIC VERTEBRAE;

EID: 84872385504     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/BRS.0b013e3182740e56     Document Type: Article

References (38)

1. Soshi S, Shiba R, Kondo H, et al. An experimental study on transpedicular screw fi xation in relation to osteoporosis of the lumbar spine . Spine (Phila Pa 1976) 1991 ; 16 : 1335-41
2. Renner SM, Lim TH, Kim WJ, et al. Augmentation of pedicle screw fi xation strength using an injectable calcium phosphate cement as a function of injection timing and method . Spine (Phila Pa 1976) 2004; 29 : E212-6
3. Halvorson TL, Kelley LA, Thomas KA, et al. Effects of bone mineral density on pedicle screw fi xation . Spine (Phila Pa 1976) 1994 ; 19 : 2415-20 (Pubitemid 24347176)
4. Dawson JM, Boschert P, Macenski MM, et al . Clinical relevance of pull-out strength testing of pedicle screws . In: Melkerson MN, Kirkpatrick JS, Griffi th SL, eds. Spinal Implants: Are We Evaluating Them Appropriately? Bridgeport, NJ : ASTM International; 2003 : 68-77
5. Chapman JR, Harrington RM, Lee KM, et al. Factors affecting the pullout strength of cancellous bone screws . J Biomech Eng 1996; 118 : 391-8 (Pubitemid 26292899)
6. Esses SI, Sachs BL, Dreyzin V . Complications associated with the technique of pedicle screw fi xation. A selected survey of ABS members . Spine (Phila Pa 1976) 1993; 18 : 2231-8; discussion 2238-9
7. Heggeness MH, Esses SI, Mody DR . A histologic study of lumbar pseudarthrosis . Spine (Phila Pa 1976) 1993 ; 18 : 1016-20 (Pubitemid 23201489)
8. Kumano K, Hirabayashi S, Ogawa Y, et al. Pedicle screws and bone mineral density . Spine (Phila Pa 1976) 1994 ; 19 : 1157-61 (Pubitemid 24153097)
9. Kwok AW, Finkelstein JA, Woodside T, et al. Insertional torque and pull-out strengths of conical and cylindrical pedicle screws in cadaveric bone . Spine (Phila Pa 1976) 1996 ; 21 : 2429-34 (Pubitemid 26403456)
10. Lagrone MO, Bradford DS, Moe JH, et al. Treatment of symptomatic fl atback after spinal fusion . J Bone Joint Surg Am 1988; 70 : 569-80
11. Okuyama K, Abe E, Suzuki T, et al. Can insertional torque predict screw loosening and related failures? An in vivo study of pedicle screw fi xation augmenting posterior lumbar interbody fusion . Spine (Phila Pa 1976) 2000 ; 25 : 858-64 (Pubitemid 30214974)
12. Pfeifer BA, Krag MH, Johnson C . Repair of failed transpedicle screw fi xation. A biomechanical study comparing polymethylmethacrylate, milled bone, and matchstick bone reconstruction . Spine (Phila Pa 1976) 1994 ; 19 : 350-3 (Pubitemid 24071120)
13. Polikeit A, Nolte LP, Ferguson SJ . The effect of cement augmentation on the load transfer in an osteoporotic functional spinal unit: Fi nite-Element analysis . Spine (Phila Pa 1976) 2003 ; 28 : 991-6 (Pubitemid 36583327)
14. Polly DW, Jr, Orchowski JR, Ellenbogen RG . Revision pedicle screws. Bigger, longer shims-what is best? Spine (Phila Pa 1976) 1998 ; 23 : 1374-9 (Pubitemid 28298322)
15. Bennett GJ, Serhan HA, Sorini PM, et al. An experimental study of lumbar destabilization. Restabilization and bone density . Spine (Phila Pa 1976) 1997 ; 22 : 1448-53 (Pubitemid 28073996)
16. Coe JD, Warden KE, Herzig MA, et al. Infl uence of bone mineral density on the fi xation of thoracolumbar implants. A comparative study of transpedicular screws, laminar hooks, and spinous process wires . Spine (Phila Pa 1976) 1990 ; 15 : 902-7 (Pubitemid 20358387)
17. Hirano T, Hasegawa K, Takahashi HE, et al. Structural characteristics of the pedicle and its role in screw stability . Spine (Phila Pa 1976) 1997; 22 : 2504-9; discussion 2510
18. Okuyama K, Sato K, Abe E, et al. Stability of transpedicle screwing for the osteoporotic spine. An in vitro study of the mechanical stability . Spine (Phila Pa 1976) 1993 ; 18 : 2240-5 (Pubitemid 23336060)
19. Wuisman PI, Van Dijk M, Staal H, et al. Augmentation of (pedicle) screws with calcium apatite cement in patients with severe progressive osteoporotic spinal deformities: An innovative technique . Eur Spine J 2000; 9 : 528-33 (Pubitemid 32005657)
20. Yamagata M, Kitahara H, Minami S, et al. Mechanical stability of the pedicle screw fi xation systems for the lumbar spine . Spine (Phila Pa 1976) 1992; 17 : S51-4
21. Zindrick MR, Wiltse LL, Widell EH, et al. A biomechanical study of intrapeduncular screw fi xation in the lumbosacral spine . Clin Orthop Relat Res 1986; (203) : 99-112 (Pubitemid 16115318)
22. Burval DJ, McLain RF, Milks R, et al. Primary pedicle screw augmentation in osteoporotic lumbar vertebrae: Biomechanical analysis of pedicle fi xation strength . Spine (Phila Pa 1976) 2007 ; 32 : 1077-83 (Pubitemid 46685984)
23. Cook SD, Salkeld SL, Stanley T, et al. Biomechanical study of pedicle screw fi xation in severely osteoporotic bone . Spine J 2004; 4 : 402-8 (Pubitemid 38986981)
24. Yazu M, Kin A, Kosaka R, et al. Effi cacy of novel-concept pedicle screw fi xation augmented with calcium phosphate cement in the osteoporotic spine . J Orthop Sci 2005; 10 : 56-61 (Pubitemid 40193009)
25. Cook SD, Barbera J, Rubi M, et al. Lumbosacral fi xation using expandable pedicle screws. An alternative in reoperation and osteoporosis . Spine J 2001; 1 : 109-14 (Pubitemid 33628833)
26. Konno S, Olmarker K, Byrod G, et al. The European Spine Society AcroMed Prize 1994. Acute thermal nerve root injury . Eur Spine J 1994; 3 : 299-302
27. Wilkes RA, Mackinnon JG, Thomas WG . Neurological deterioration after cement injection into a vertebral body . J Bone Joint Surg Br 1994; 76 : 155 (Pubitemid 24029280)
28. Hamasaki T, Tanaka N, Kim J, et al. Pedicle screw augmentation with polyethylene tape: A biomechanical study in the osteoporotic thoracolumbar spine . J Spinal Disord Tech 2010; 23 : 127-32
29. Becker S, Chavanne A, Spitaler R, et al. Assessment of different screw augmentation techniques and screw designs in osteoporotic spines . Eur Spine J 2008; 17 : 1462-9
30. Chang MC, Liu CL, Chen TH . Polymethylmethacrylate augmentation of pedicle screw for osteoporotic spinal surgery: A novel technique . Spine (Phila Pa 1976) 2008; 33 : E317-24
31. Frankel BM, D'Agostino S, Wang C. A biomechanical cadaveric analysis of polymethylmethacrylate-augmented pedicle screw fi xation . J Neurosurg Spine 2007; 7 : 47-53 (Pubitemid 47071757)
32. Sarzier JS, Evans AJ, Cahill DW. Increased pedicle screw pullout strength with vertebroplasty augmentation in osteoporotic spines . J Neurosurg 2002; 96 : 309-12 (Pubitemid 34245653)
33. Choma TJ, Frevert WF, Carson WL, et al. Biomechanical analysis of pedicle screws in osteoporotic bone with bioactive cement augmentation using simulated in vivo multicomponent loading . Spine (Phila Pa 1976) 2011 ; 36 : 454-62
34. Hu MH, Wu HT, Chang MC, et al. Polymethylmethacrylate augmentation of the pedicle screw: The cement distribution in the vertebral body . Eur Spine J 2011; 20 : 1281-8
35. Blattert TR, Glasmacher S, Riesner HJ, et al. Revision characteristics of cement-augmented, cannulated-fenestrated pedicle screws in the osteoporotic vertebral body: A biomechanical in vitro investigation. Technical note . J Neurosurg Spine 2009; 11 : 23-7
36. Bullmann V, Schmoelz W, Richter M, et al. Revision of cannulated and perforated cement-augmented pedicle screws: A biomechanical study in human cadavers . Spine (Phila Pa 1976) 2010; 35 : E932-9
37. Cho W, Wu C, Zheng X, et al. Is it safe to back out pedicle screws after augmentation with polymethyl methacrylate or calcium phosphate cement? A biomechanical study . J Spinal Disord Tech 2011; 24 : 276-9
38. Paré PE, Chappuis JL, Rampersaud R, et al. Biomechanical evaluation of a novel fenestrated pedicle screw augmented with bone cement in osteoporotic spines . Spine (Phila Pa 1976) 2011; 36 : E1210-4