Tapping insertional torque allows prediction for better pedicle screw fixation and optimal screw size selection

Spine Journal

Volumn 13, Issue 8, 2013, Pages 957-965

  Helgeson, Melvin D ^a   Kang, Daniel G ^a   Lehman Jr , Ronald A ^a,b   Dmitriev, Anton E ^b   Luhmann, Scott J ^c  

^a WALTER REED ARMY MEDICAL CENTER   (United States)

^b Uniformed Services University of the Health Sciences and the Walter Reed National Military Medical Center   (United States)

^c WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Biomechanics; Insertional torque; Pedicle screw size; Pullout strength; Tapping insertional torque

Indexed keywords

ARTICLE; BONE DENSITY; CADAVER; COMPUTER ASSISTED TOMOGRAPHY; DIGITAL CALIPER; DUAL ENERGY X RAY ABSORPTIOMETRY; FRACTURE FIXATION; HUMAN; IN VITRO STUDY; INSTITUTIONAL REVIEW; OUTCOME ASSESSMENT; PEDICLE SCREW; PILOT STUDY; PREDICTION; PRIORITY JOURNAL;

BIOMECHANICS; INSERTIONAL TORQUE; PEDICLE SCREW SIZE; PULLOUT STRENGTH; TAPPING INSERTIONAL TORQUE;

BIOMECHANICAL PHENOMENA; BONE DENSITY; BONE SCREWS; HUMANS; OSTEOPOROSIS; SPINAL FUSION; THORACIC VERTEBRAE; TORQUE;

EID: 84881178554     PISSN: 15299430     EISSN: 18781632     Source Type: Journal    
DOI: 10.1016/j.spinee.2013.03.012     Document Type: Article

References (34)

1. T.L. Halvorson, L.A. Kelley, and K.A. Thomas Effects of bone mineral density on pedicle screw fixation Spine 19 1994 2415 2420
2. J.D. Coe, K.E. Warden, M.A. Herzig, and P.C. McAfee 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 1990 902 907
3. S.D. Cook, S.L. Salkeld, and T. Stanley Biomechanical study of pedicle screw fixation in severely osteoporotic bone Spine J 4 2004 402 408
4. O. Paxinos, P.P. Tsitsopoulos, and M.R. Zindrick Evaluation of pullout strength and failure mechanism of posterior instrumentation in normal and osteopenic thoracic vertebrae J Neurosurg Spine 13 2010 469 476
5. K. Okuyama, K. Sato, and E. Abe Stability of transpedicle screwing for the osteoporotic spine. An in vitro study of the mechanical stability Spine 18 1993 2240 2245
6. S. Soshi, R. Shiba, H. Kondo, and K. Murota An experimental study on transpedicular screw fixation in relation to osteoporosis of the lumbar spine Spine 16 1991 1335 1341
7. T.E. Butler Jr., M.A. Asher, and G. Jayaraman The strength and stiffness of thoracic implant anchors in osteoporotic spines Spine 19 1994 1956 1962
8. Y.J. Kim, L.G. Lenke, and K.H. Bridwell Free hand pedicle screw placement in the thoracic spine: is it safe? Spine 29 2004 333 342 discussion 342
9. T. Hirano, K. Hasegawa, and H.E. Takahashi Structural characteristics of the pedicle and its role in screw stability Spine 22 1997 2504 2509 discussion 2510
10. B.B. Abshire, R.F. McLain, A. Valdevit, and H.E. Kambic Characteristics of pullout failure in conical and cylindrical pedicle screws after full insertion and back-out Spine J 1 2001 408 414
11. C.A. Lill, U. Schlegel, D. Wahl, and E. Schneider Comparison of the in vitro holding strengths of conical and cylindrical pedicle screws in a fully inserted setting and backed out 180 degrees J Spinal Disord 13 2000 259 266
12. F.M. Pfeiffer, D.L. Abernathie, and D.E. Smith A comparison of pullout strength for pedicle screws of different designs: a study using tapped and untapped pilot holes Spine 31 2006 E867 E870
13. D.W. Polly Jr., J.R. Orchowski, and R.G. Ellenbogen Revision pedicle screws. Bigger, longer shims - what is best? Spine 23 1998 1374 1379
14. T. Suzuki, E. Abe, K. Okuyama, and K. Sato Improving the pullout strength of pedicle screws by screw coupling J Spinal Disord 14 2001 399 403
15. P.E. Chatzistergos, G. Sapkas, and S.K. Kourkoulis The influence of the insertion technique on the pullout force of pedicle screws: an experimental study Spine 35 2010 E332 E337
16. R.A. Lehman Jr., and T.R. Kuklo Use of the anatomic trajectory for thoracic pedicle screw salvage after failure/violation using the straight-forward technique: a biomechanical analysis Spine 28 2003 2072 2077
17. R.A. Lehman Jr., D.W. Polly Jr., and T.R. Kuklo Straight-forward versus anatomic trajectory technique of thoracic pedicle screw fixation: a biomechanical analysis Spine 28 2003 2058 2065
18. H.L. Defino, R.C. Rosa, and P. Silva The effect of repetitive pilot-hole use on the insertion torque and pullout strength of vertebral system screws Spine 34 2009 871 876
19. S. Erkan, B. Hsu, and C. Wu Alignment of pedicle screws with pilot holes: can tapping improve screw trajectory in thoracic spines? Eur Spine J 19 2010 71 77
20. D.C. George, M.H. Krag, and C.C. Johnson Hole preparation techniques for transpedicle screws. Effect on pull-out strength from human cadaveric vertebrae Spine 16 1991 181 184
21. T.K. Daftari, W.C. Horton, and W.C. Hutton Correlations between screw hole preparation, torque of insertion, and pullout strength for spinal screws J Spinal Disord 7 1994 139 145
22. S. Inceoglu, L. Ferrara, and R.F. McLain Pedicle screw fixation strength: pullout versus insertional torque Spine J 4 2004 513 518
23. K. Okuyama, E. Abe, and T. Suzuki Can insertional torque predict screw loosening and related failures? An in vivo study of pedicle screw fixation augmenting posterior lumbar interbody fusion Spine 25 2000 858 864
24. T.A. Zdeblick, D.N. Kunz, M.E. Cooke, and R. McCabe Pedicle screw pullout strength. Correlation with insertional torque Spine 18 1993 1673 1676
25. Y. Taniwaki, R. Takemasa, and T. Tani Enhancement of pedicle screw stability using calcium phosphate cement in osteoporotic vertebrae: in vivo biomechanical study J Orthop Sci 8 2003 408 414
26. T.R. Kuklo, and R.A. Lehman Jr. Effect of various tapping diameters on insertion of thoracic pedicle screws: a biomechanical analysis Spine 28 2003 2066 2071
27. W. Cho, S.K. Cho, and C. Wu The biomechanics of pedicle screw-based instrumentation J Bone Joint Surg Br 92 2010 1061 1065
28. R.W. Gaines Jr. The use of pedicle-screw internal fixation for the operative treatment of spinal disorders J Bone Joint Surg Am 82-A 2000 1458 1476
29. R.H. Wittenberg, K.S. Lee, and M. Shea Effect of screw diameter, insertion technique, and bone cement augmentation of pedicular screw fixation strength Clin Orthop Relat Res 296 1993 278 287
30. A.G. Brantley, J.K. Mayfield, J.B. Koeneman, and K.R. Clark The effects of pedicle screw fit. An in vitro study Spine 19 1994 1752 1758
31. C.J. Banta 2nd, A.G. King, E.J. Dabezies, and R.L. Liljeberg Measurement of effective pedicle diameter in the human spine Orthopedics 12 1989 939 942
32. M. Law, A.F. Tencer, and P.A. Anderson Caudo-cephalad loading of pedicle screws: mechanisms of loosening and methods of augmentation Spine 18 1993 2438 2443
33. B.W. Cunningham, J.C. Sefter, Y. Shono, and P.C. McAfee Static and cyclical biomechanical analysis of pedicle screw spinal constructs Spine 18 1993 1677 1688
34. K. Mizuno, K. Shinomiya, and O. Nakai Intraoperative insertion torque of lumbar pedicle screw and postoperative radiographic evaluation: short-term observation J Orthop Sci 10 2005 137 144