PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
Tytuł artykułu

Influence of loading history on the cervical screw pullout strength value

Wybrane pełne teksty z tego czasopisma
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The problem of the loosening and pullout of bone screws in cervical spine stabilisation is a significant factor in failed implantations of that spine region. Therefore, studies were undertaken to determine the impact of the loading history of bone screws of the cervical spine, inserted from the anterior approach, on the stability of the screw-bone interface. The research was conducted on vertebrae obtained from cadaver specimens of the cervical spine. Two screws were inserted into each vertebra and then pulled out with a force acting along the screw axis. The mean pullout force for the screws subjected to cyclic preloading was 355.2 +- 74.4 N, and for the screws subjected to direct pullout it was 411.0 +- 78 N (p<0.05). The research results show a significant impact of bone tissue preloading with a cyclic variable force on the pullout force obtained. For the preloaded bone screws the recorded rupture strength of the implant-vertebral body interface was by 16% lower compared to the screws pulled out without preloading. The values presented also show a strong correlation between the bone density and the pullout force obtained after cyclic loading with the strength normal to the screw axis.
Rocznik
Strony
35--40
Opis fizyczny
Bibliogr. 31 poz., rys., tab.
Twórcy
autor
autor
Bibliografia
  • [1] DEYO R.A., CHERKIN D., CONRAD D., VOLINN E., Cost, controversy, crisis: Low back pain and the health of the public, Ann. Rev. Pub. Health, 1991, 12, 141–146.
  • [2] ABRAHAM D.J., HERKOVITZ H.N., Indications and trends In use in cervical spinal fusions, Orthop. Clin. North. Am., 1998, 10, 731–734.
  • [3] BAILEY R.W., BADGLEY C.E., Stabilization of the cervical spine by anterior fusion, J. Bone Joint Surg. [AM], 1960, 42, 565–574.
  • [4] CLOWARD R.B., The anterior approach for removal of ruptured disc, J. Neurosurg., 1958, 15, 602–607.
  • [5] BÖHLER J., Die Technik der Knochenbruchbehandlung, Wilhelm Maudrich Verlag, Wien–Düsseldorf, 1953, 432–438.
  • [6] OROZCO DELCLOS R., LLOVET TAPIES J., Ostheosynthesis en les fractures de rachis cervical note de rechnical, Rev. Ortop. Traum., 1970, 14, 285–288.
  • [7] SENEGAS J., GAUZERE J.M., Traitement des lesions par vocie anterieure, Rev. Chir. Orthop. Reparatrice Appar. Mot., 1977, 63, 466–469.
  • [8] CASPAR W., A new plate and instrumentation for stabilization of unstable fractures and fracture dislocations of the cervical spine. Traumatology of the spinal column, Proceedins of the First Viennese Workshop of Traumatology of the Spinal Column, International College of Surgeons, Austrian Section, October 3–6, Vessel in Vienna Informatica, 1983, 232–236.
  • [9] CASPAR W., BARBIER D.D., KLARA P.M., Anterior cervical fusion and Caspar plate stabilization of cervical trauma, Neurosurgery, 1989, 25, 491–492.
  • [10] FUJIBAYASHI S., SHIKATA J., KAMIYA N., TANAKA C., Missing anterior cervical plate and screws: a case report, Spine, 2000, 25, 2258–2261.
  • [11] JONES E.L., HELLER J.G., SILCOX D.H., HUTTON W.C., Cervical pedicle screws versus lateral mass screws. Anatomic feasibility and biomechanical comparison, Spine, 1997, 22, 977–982.
  • [12] HARRIS B.M., HILIBRAND A.S., NIEN Y.H. et al., A comparison of three screw types for unicortical fixation in the lateral mass of the cervical spine, Spine, 2001, 26, 2427–2431.
  • [13] MAIMAN D.J., PINTAR F.A., YOGANANDAN N., REINARTZ J., TOSELLI R., WOODWARD E., HAID R., Pull-out strength of Caspar cervical screws, Neurosurgery, 1992, 31(6), 1097–1101.
  • [14] RONDEROS J.F., JACOBOWITZ R., SONNTAG V.K.H., CRAWFORD N.R., DICKMAN C.A., Comparative pull-out strength of tapped and antapped pilot holes for bicortical anterior cervical screws, Spine, 1997, 22, 167–170.
  • [15] DIPAOLA C.P., JACOBSON J.A., AWAD H., CONRAD B.P., RECHTINE G.R. 2nd., Screw pull-out force is dependent on screw orientation in an anterior cervical plate construct, J. Spinal Disord. Tech., 2007, 20(5), 369–373.
  • [16] CONRAD B.P., CORDISTA A.G., HORODYSKI M., RECHTINE G.R., Biomechanical evaluation of the pullout strength of cervical screws, J. Spinal Disord. Tech., 2000, 18(6), 506–510.
  • [17] PITZEN T., WILKE H.J., CASPAR W., CLAES L., STEUDEL W.I., Evaluation of a new monocortical screw for anterior cervical fusion and plating by a combined biomechanical and clinical study, Eur. Spine J., 1999, 8(5), 382–387.
  • [18] PITZEN T., BARBIER D., TINTINGER F., STEUDEL W.I., STROWITZKI M., Screw fixation to the posterior cortical shell does not influence peak torque and pullout in anterior cervical plating, Eur. Spine J., 2002, 11, 494–499.
  • [19] RYKEN T.C., GOEL V.K., CLAUSEN J.D., TRAYNELIS V.C., Assessment of unicortical and bicortical fixation in a quasistatic cadaveric model. Role of bone mineral density and screw torque, Spine, 1995, 1, 20(17), 1861–1867.
  • [20] RYKEN T.C., CLAUSEN J.D., TRAYNELIS V.C., GOEL V.K., Biomechanical analysis of bone mineral density, insertion technique, screw torque, and holding strength of anterior cervical plate screws, J. Neurosurg., 1995, 83(2), 325–329.
  • [21] REITMAN C.A., NGUYEN L., FOGEL G.R., Biomechanical evaluation of relationship of screw pullout strength, insertional torque, and bone mineral density in the cervical spine, J. Spinal Disord. Tech., 2004, 17(4), 306–311.
  • [22] GALLAGHER M., MAIMAN D., REINARTZ J., PINTAR F., YOGANANDAN N., Biomechanical evaluation of Caspar cervical screws: Comparative stability under cyclical loading, Neurosurgery, 1993, 33, 1045–1051.
  • [23] PEZOWICZ C., FILIPIAK J., Investigation of pedicle screw pullout strength, Locomotor System, 2003, 10, 61–68.
  • [24] FILIPIAK J., PEZOWICZ C., Doświadczalna analiza trwałości połączenia śruba transpedicularna–kręg, Ortopedia, Traumatologia, Rehabilitacja, 2004, 6, 213–221.
  • [25] GALLAGHER M.R., MAIMAN D.J., REINARTZ J., PINTAR F., YOGANANDAN N., Biomechanical evaluation of Caspar cervical screws: comparative stability under cyclical loading, Neurosurgery, 1993, 33(6), 1045–1050.
  • [26] MARTÍNEZ-LAGE J.F., FELIPE-MURCIA M., MARTÍNEZ-LAGE AZORÍN L., Late prevertebral abscess following anterior cervical plating: the missing screw, Neurocirugia, 2007, 18(2), 111–114.
  • [27] GAZZERI R., TAMORRI M., FAIOLA A., GAZZERI G., Delayed migration of a screw into the gastrointestinal tract after anterior cervical spine plating, Spine, 2008, 33(8), E268–271.
  • [28] HALVORSON T.L., KELLEY L.A., THOMAS K.A., WHITECLOUD T.S. 3rd, COOK S.D., Effects of bone mineral density on pedicle screw fixation, Spine, 1994, 19(21), 2415–2420.
  • [29] BREEZE S.W., DOHERTY B.J., NOBLE P.S., LeBLANC A., HEGGENESS M.H., A biomechanical study of anterior thoracolumbar screw fixation, Spine, 23(17), 1829–1831.
  • [30] LOTZ J.C., HU S.S., CHIU D.F., YU M., COLLIOU O., POSER R.D., Carbonated apatite cement augmentation of pedicle screw fixation in the lumbar spine, Spine, 1997, 22, 2716–2723.
  • [31] PEZOWICZ C., Experimental investigation of cervical spine fixators, Acta Bioeng. Biomech., 2001, 3(2), 3–14.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPBB-0001-0030
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.