Biomechanical evaluation of the fixation strength of lumbar pedicle screws using cortical bone trajectory: A finite element study

Journal of Neurosurgery: Spine

Volumn 23, Issue 4, 2015, Pages 471-478

  Matsukawa, Keitaro ^a   Yato, Yoshiyuki ^b   Imabayashi, Hideaki ^a   Hosogane, Naobumi ^a   Asazuma, Takashi ^b   Nemoto, Koichi ^a  

^a NATIONAL DEFENSE MEDICAL COLLEGE   (Japan)

^b NATIONAL HOSPITAL ORGANIZATION MURAYAMA MEDICAL CENTER   (Japan)

Author keywords

Bone mineral density; Cortical bone trajectory; Finite element analysis; Fixation strength; Lumbar pedicle screw; Pullout strength

Indexed keywords

ADULT; ARTICLE; BIOMECHANICS; BONE DENSITY; CLINICAL ARTICLE; CORTICAL BONE; CORTICAL BONE TRAJECTORY; FEMALE; FEMUR NECK; HUMAN; LOADING TEST; LUMBAR VERTEBRA; MALE; MIDDLE AGED; MUSCLE RIGIDITY; MUSCULOSKELETAL SYSTEM PARAMETERS; PEDICLE SCREW; RIGIDITY; SECOND CERVICAL VERTEBRA; SURFACE PROPERTY; VERTEBRA; VERTEBRA BODY; BONE SCREW; COMPARATIVE STUDY; COMPUTER ASSISTED DIAGNOSIS; COMPUTER ASSISTED TOMOGRAPHY; DEVICES; FINITE ELEMENT ANALYSIS; PHOTON ABSORPTIOMETRY; RADIOGRAPHY; SPINAL DISEASES; SPINE FUSION; THREE DIMENSIONAL IMAGING;

ABSORPTIOMETRY, PHOTON; BIOMECHANICAL PHENOMENA; BONE DENSITY; BONE SCREWS; FEMALE; FINITE ELEMENT ANALYSIS; HUMANS; IMAGING, THREE-DIMENSIONAL; MALE; MIDDLE AGED; RADIOGRAPHIC IMAGE INTERPRETATION, COMPUTER-ASSISTED; SPINAL DISEASES; SPINAL FUSION; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84949193042     PISSN: 15475654     EISSN: 15475646     Source Type: Journal    
DOI: 10.3171/2015.1.SPINE141103     Document Type: Article

References (30)

1. Abumi K, Panjabi MM, Kramer KM, Duranceau J, Oxland T, Crisco JJ: Biomechanical evaluation of lumbar spinal stability after graded facetectomies. Spine (Phila Pa 1976) 15:1142-1147, 1990
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. Bühler DW, Berlemann U, Oxland TR, Nolte LP: Moments and forces during pedicle screw insertion. In vitro and in vivo measurements. Spine (Phila Pa 1976) 23:1220-1228, 1998
4. Chao CK, Hsu CC, Wang JL, Lin J: Increasing bending strength and pullout strength in conical pedicle screws: biomechanical tests and finite element analyses. J Spinal Disord Tech 21:130-138, 2008
5. Chatzistergos PE, Sapkas G, Kourkoulis SK: The influence of the insertion technique on the pullout force of pedicle screws: an experimental study. Spine (Phila Pa 1976) 35:E332-E337, 2010
6. Coe JD, Warden KE, Herzig MA, McAfee PC: Influence of bone mineral density on the fixation of thoracolumbar implants. A comparative study of transpedicular screws, laminar hooks, and spinous process wires. Spine (Phila Pa 1976) 15:902-907, 1990
7. Faizan A, Kiapour A, Kiapour AM, Goel VK: Biomechanical analysis of various footprints of transforaminal lumbar interbody fusion devices. J Spinal Disord Tech 27:E118-E127, 2014
8. Halvorson TL, Kelley LA, Thomas KA, Whitecloud TS III, Cook SD: Effects of bone mineral density on pedicle screw fixation. Spine (Phila Pa 1976) 19:2415-2420, 1994
9. 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
10. Imai K, Ohnishi I, Bessho M, Nakamura K: Nonlinear finite element model predicts vertebral bone strength and fracture site. Spine (Phila Pa 1976) 31:1789-1794, 2006
11. Inceoǧlu S, Montgomery WH Jr, St Clair S, McLain RF: Pedicle screw insertion angle and pullout strength: comparison of 2 proposed strategies. J Neurosurg Spine 14:670-676, 2011
12. Keyak JH, Rossi SA, Jones KA, Skinner HB: Prediction of femoral fracture load using automated finite element modeling. J Biomech 31:125-133, 1998
13. Krenn MH, Piotrowski WP, Penzkofer R, Augat P: Influence of thread design on pedicle screw fixation. Laboratory investigation. J Neurosurg Spine 9:90-95, 2008
14. Labrom RD, Tan JS, Reilly CW, Tredwell SJ, Fisher CG, Oxland TR: The effect of interbody cage positioning on lumbosacral vertebral endplate failure in compression. Spine (Phila Pa 1976) 30:E556-E561, 2005
15. Law M, Tencer AF, Anderson PA: Caudo-cephalad loading of pedicle screws: mechanisms of loosening and methods of augmentation. Spine (Phila Pa 1976) 18:2438-2443, 1993
16. Liebschner MA: Biomechanical considerations of animal models used in tissue engineering of bone. Biomaterials 25:1697-1714, 2004
17. Lim TH, Kim JG, Fujiwara A, Yoon TT, Lee SC, Ha JW, et al: Biomechanical evaluation of diagonal fixation in pedicle screw instrumentation. Spine (Phila Pa 1976) 26:2498-2503, 2001
18. Mahmoud A, Wakabayashi N, Takahashi H, Ohyama T: Deflection fatigue of Ti-6Al-7Nb, Co-Cr, and gold alloy cast clasps. J Prosthet Dent 93:183-188, 2005
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. 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
22. Santoni BG, Hynes RA, McGilvray KC, Rodriguez-Canessa G, Lyons AS, Henson MAW, et al: Cortical bone trajectory for lumbar pedicle screws. Spine J 9:366-373, 2009
23. Silva P, Rosa RC, Shimano AC, Defino HLA: Effect of pilot hole on biomechanical and in vivo pedicle screw-bone interface. Eur Spine J 22:1829-1836, 2013
24. Sterba W, Kim DG, Fyhrie DP, Yeni YN, Vaidya R: Biomechanical analysis of differing pedicle screw insertion angles. Clin Biomech (Bristol, Avon) 22:385-391, 2007
25. Tsitsopoulos PP, Serhan H, Voronov LI, Carandang G, Havey RM, Ghanayem AJ, et al: Would an anatomically shaped lumbar interbody cage provide better stability? An in vitro cadaveric biomechanical evaluation. J Spinal Disord Tech 25:E240-E244, 2012
26. Wahba GM, Bhatia N, Bui CNH, Lee KH, Lee TQ: Biomechanical evaluation of short-segment posterior instrumentation with and without crosslinks in a human cadaveric unstable thoracolumbar burst fracture model. Spine (Phila Pa 1976) 35:278-285, 2010
27. Weinstein JN, Spratt KF, Spengler D, Brick C, Reid S: Spinal pedicle fixation: reliability and validity of roentgenogram-based assessment and surgical factors on successful screw placement. Spine (Phila Pa 1976) 13:1012-1018, 1988
28. Wu SS, Edwards WT, Yuan HA: Stiffness between different directions of transpedicular screws and vertebra. Clin Biomech (Bristol, Avon) 13 (1 Suppl 1):S1-S8, 1998
29. Zander T, Rohlmann A, Klöckner C, Bergmann G: Influence of graded facetectomy and laminectomy on spinal biomechanics. Eur Spine J 12:427-434, 2003
30. Zindrick MR, Wiltse LL, Widell EH, Thomas JC, Holland WR, Field BT, et al: A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine. Clin Orthop Relat Res (203):99-112, 1986