Cortical screws used to rescue failed lumbar pedicle screw construct: A biomechanical analysis

Journal of Neurosurgery: Spine

Volumn 22, Issue 2, 2015, Pages 166-172

  Calvert, Graham C ^a   Lawrence, Brandon D ^a   Abtahi, Amir M ^a   Bachus, Kent N ^a   Brodke, Darrel S ^a  

^a UNIVERSITY OF UTAH SCHOOL OF MEDICINE   (United States)

Author keywords

Arthrodesis; Cortical screw; Failed fixation; Instrumentation; Lumbar spine; Pedicle screw; Pullout strength; Rescue; Salvage; Stiffness; Technique

Indexed keywords

ARTICLE; BONE DENSITY; CLINICAL ARTICLE; HUMAN; HUMAN TISSUE; LUMBAR SPINE; PEDICLE SCREW; RIGIDITY; ROTATION; BACK; BIOMECHANICS; JOINT CHARACTERISTICS AND FUNCTIONS; LUMBAR VERTEBRA; MATERIALS TESTING; PATHOLOGY; PHYSIOLOGY; PROCEDURES; SPINE FUSION; SURGERY;

BIOMECHANICAL PHENOMENA; HUMANS; LUMBAR VERTEBRAE; LUMBOSACRAL REGION; MATERIALS TESTING; PEDICLE SCREWS; RANGE OF MOTION, ARTICULAR; ROTATION; SPINAL FUSION;

EID: 84927169903     PISSN: 15475654     EISSN: 15475646     Source Type: Journal    
DOI: 10.3171/2014.10.SPINE14371     Document Type: Article

References (31)

1. Bishop FS, Samuelson MM, Finn MA, Bachus KN, Brodke DS, Schmidt MH: The biomechanical contribution of varying posterior constructs following anterior thoracolumbar corpectomy and reconstruction. J Neurosurg Spine 13:234-239, 2010
2. Brodke DS, Bachus KN, Mohr RA, Nguyen BK: Segmental pedicle screw fixation or cross-links in multilevel lumbar constructs. a biomechanical analysis. Spine J 1:373-379, 2001
3. Brodke DS, Gollogly S, Alexander Mohr R, Nguyen BK, Dailey AT, Bachus KN: Dynamic cervical plates: biomechanical evaluation of load sharing and stiffness. Spine (Phila Pa 1976) 26:1324-1329, 2001
4. Brodke DS, Klimo P Jr, Bachus KN, Braun JT, Dailey AT: Anterior cervical fixation: analysis of load-sharing and stability with use of static and dynamic plates. J Bone Joint Surg Am 88:1566-1573, 2006
5. Chrea B, Malempati H, Campbell JR, Khan S, Ching RP, Lee MJ: Enhancing pedicle screw fixation in the lumbar spine using allograft bone plug interference fixation. J Spinal Disord Tech 27:E81-E87, 2014
6. Derincek A, Wu C, Mehbod A, Transfeldt EE: 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 19:286-291, 2006
7. Esses SI, Sachs BL, Dreyzin V: Complications associated with the technique of pedicle screw fixation. A selected survey of ABS members. Spine 18:2231-2239, 1993
8. Fassett DR, Apfelbaum R, Clark R, Bachus KN, Brodke DS: Biomechanical analysis of a new concept: an add-on dynamic extension plate for adjacent-level anterior cervical fusion. Spine (Phila Pa 1976) 30:2523-2529, 2005
9. Finn MA, Brodke DS, Daubs M, Patel A, Bachus KN: Local and global subaxial cervical spine biomechanics after single-level fusion or cervical arthroplasty. Eur Spine J 18:1520-1527, 2009
10. Finn MA, Samuelson MM, Bishop F, Bachus KN, Brodke DS: Two-level noncontiguous versus three-level anterior cervical discectomy and fusion: a biomechanical comparison. Spine (Phila Pa 1976) 36:448-453, 2011
11. Hirano T, Hasegawa K, Takahashi HE, Uchiyama S, Hara T, Washio T, et al: Structural characteristics of the pedicle and its role in screw stability. Spine (Phila Pa 1976) 22:2504-2510, 1997
12. Hu MH, Wu HT, Chang MC, Yu WK, Wang ST, Liu CL: Polymethylmethacrylate augmentation of the pedicle screw: the cement distribution in the vertebral body. Eur Spine J 20:1281-1288, 2011
13. Iannotti JP, Frangiamore SJ: Fate of large structural allograft for treatment of severe uncontained glenoid bone deficiency. J Shoulder Elbow Surg 21:765-771, 2012
14. Klein SA, Glassman SD, Dimar JR II, Voor MJ: Evaluation of the fixation and strength of a "rescue" revision pedicle screw. J Spinal Disord Tech 15:100-104, 2002
15. Lattig F: Bone cement augmentation in the prevention of adjacent segment failure after multilevel adult deformity fusion. J Spinal Disord Tech 22:439-443, 2009
16. Lehman RA Jr, Kuklo TR: Use of the anatomic trajectory for thoracic pedicle screw salvage after failure/violation using the straight-forward technique: a biomechanical analysis. Spine (Phila Pa 1976) 28:2072-2077, 2003
17. 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 (Phila Pa 1976) 28:2058-2065, 2003
18. Lotz JC, Hu SS, Chiu DF, Yu M, Colliou O, Poser RD: Carbonated apatite cement augmentation of pedicle screw fixation in the lumbar spine. Spine (Phila Pa 1976) 22:2716-2723, 1997
19. Matsukawa K, Yato Y, Kato T, Imabayashi H, Asazuma T, Nemoto K: In vivo analysis of insertional torque during pedicle screwing using cortical bone trajectory technique. Spine (Phila Pa 1976) 39:E240-E245, 2014
20. Matsukawa K, Yato Y, Nemoto O, Imabayashi H, Asazuma T, Nemoto K: Morphometric measurement of cortical bone trajectory for lumbar pedicle screw insertion using computed tomography. J Spinal Disord Tech 26:E248-E253, 2013
21. Misenhimer GR, Peek RD, Wiltse LL, Rothman SL, Widell EH Jr: Anatomic analysis of pedicle cortical and cancellous diameter as related to screw size. Spine (Phila Pa 1976) 14:367-372, 1989
22. Moore DC, Maitra RS, Farjo LA, Graziano GP, Goldstein SA: Restoration of pedicle screw fixation with an in situ setting calcium phosphate cement. Spine (Phila Pa 1976) 22:1696-1705, 1997
23. Motzkin NE, Chao EY, An KN, Wikenheiser MA, Lewallen DG: Pull-out strength of screws from polymethylmethacrylate cement. J Bone Joint Surg Br 76:320-323, 1994
24. Perez-Orribo L, Kalb S, Reyes PM, Chang SW, Crawford NR: Biomechanics of lumbar cortical screw-rod fixation versus pedicle screw-rod fixation with and without interbody support. Spine (Phila Pa 1976) 38:635-641, 2013
25. Pfeifer BA, Krag MH, Johnson C: Repair of failed transpedicle screw fixation. A biomechanical study comparing polymethylmethacrylate, milled bone, and matchstick bone reconstruction. Spine (Phila Pa 1976) 19:350-353, 1994
26. Polly DW Jr, Orchowski JR, Ellenbogen RG: Revision pedicle screws. Bigger, longer shims - what is best? Spine (Phila Pa 1976) 23:1374-1379, 1998
27. Santoni BG, Hynes RA, McGilvray KC, Rodriguez-Canessa G, Lyons AS, Henson MA, et al: Cortical bone trajectory for lumbar pedicle screws. Spine J 9:366-373, 2009
28. Slucky AV, Brodke DS, Bachus KN, Droge JA, Braun JT: Less invasive posterior fixation method following transforaminal lumbar interbody fusion: a biomechanical analysis. Spine J 6:78-85, 2006
29. Wilkes RA, Mackinnon JG, Thomas WG: Neurological deterioration after cement injection into a vertebral body. J Bone Joint Surg Br 76:155, 1994
30. Yerby SA, Toh E, McLain RF: Revision of failed pedicle screws using hydroxyapatite cement. A biomechanical analysis. Spine (Phila Pa 1976) 23:1657-1661, 1998
31. Yüksel KZ, Adams MS, Chamberlain RH, Potocnjak M, Park SC, Sonntag VKH, et al: Pullout resistance of thoracic extrapedicular screws used as a salvage procedure. Spine J 7:286-291, 2007