1. Biomechanical Analysis of a Pedicle Screw-Rod System with a Novel Cross-Link Configuration
- Author
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Yasuhiro Nakajima, Masahito Hara, Daisuke Umebayashi, Shoichi Haimoto, Yu Yamamoto, Yusuke Nishimura, and Toshihiko Wakabayashi
- Subjects
Cross-link ,Spinous process ,Biomechanics ,Spinal fusion ,Pedicle screw-rod ,Medicine - Abstract
Study DesignThe strength effects of a pedicle screw-rod system supplemented with a novel cross-link configuration were biomechanically evaluated in porcine spines.PurposeTo assess the biomechanical differences between a conventional cross-link pedicle screw-rod system versus a novel cross-link instrumentation, and to determine the effect of the cross-links.Overview of LiteratureTransverse cross-link systems affect torsional rigidity, but are thought to have little impact on the sagittal motion of spinal constructs. We tested the strength effects in pullout and flexion-compression tests of novel cross-link pedicle screw constructs using porcine thoracic and lumbar vertebrae.MethodsFive matched thoracic and lumbar vertebral segments from 15 porcine spines were instrumented with 5.0-mm pedicle screws, which were then connected with 6.0-mm rods after partial corpectomy in the middle vertebral body. The forces required for construct failure in pullout and flexion-compression tests were examined in a randomized manner for three different cross-link configurations: un-cross-link control, conventional cross-link, and cross-link passing through the base of the spinous process. Statistical comparisons of strength data were analyzed using Student's t-tests.ResultsThe spinous process group required a significantly greater pullout force for construct failure than the control group (p=0.036). No difference was found between the control and cross-link groups, or the cross-link and spinous process groups in pullout testing. In flexion-compression testing, the spinous processes group required significantly greater forces for construct failure than the control and cross-link groups (p
- Published
- 2016
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