Medical Engineering & Physics
Volume 32, Issue 2 , Pages 203-211 , March 2010

Biomechanical comparisons of different posterior instrumentation constructs after two-level ALIF: A finite element study

  • Chang-Yuan Fan

      Affiliations

    • Department of Mechanical Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan
    • ,
  • Ching-Chi Hsu

      Affiliations

    • Graduate Institute of Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan
    • ,
  • Ching-Kong Chao

      Affiliations

    • Department of Mechanical Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan
    • ,
  • Shang-Chih Lin

      Affiliations

    • Department of Mechanical Engineering, National Central University, Taoyuan, Taiwan
    • ,
  • Kuo-Hua Chao

      Affiliations

    • Department of Orthopedic Surgery, Tri-Service General Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author at: Department of Orthopedic Surgery, Tri-Service General Hospital, No. 325, Sec. 2, Cheng-Kung Rd., Neihu 114, Taipei, Taiwan. Tel.: +886 2 87927185; fax: +886 2 87927186.

Received 23 March 2009 ,Revised 8 December 2009 ,Accepted 13 December 2009.

References 

  1. Kandziora F, Schleicher P, Scholz M, Pflugmacher R, Eindorf T, Haas NP, et al. Biomechanical testing of the lumbar facet interference screw. Spine. 2005;30(2):E34–E39
  2. Kuslich SD, Ulstrom CL, Griffith SL, Ahern JW, Dowdle JD. The Bagby and Kuslich method of lumbar interbody fusion. History, techniques, and 2-year follow-up results of a United States prospective, multicenter trial. Spine. 1998;23:1267–1279
  3. Glazer PA, Colliou O, Klisch SM, Bradfore DS, Bueff HU, Lotz JC. Biomechanical analysis of multilevel fixation methods in the lumbar spine. Spine. 1997;22:171–182
  4. Grob D, Humke T. Translaminar screw fixation in the lumbar spine: technique, indications, results. Eur Spine J. 1998;7:178–218
  5. Lund T, Oxland TR, Jost B, Cripton P, Grassmann S, Etter C, et al. Interbody cage stabilisation in the lumbar spine: biomechanical evaluation of cage design, posterior instrumentation and bone density. J Bone Joint Surg Br. 1998;80:351–359
  6. Nibu K, Panjabi MM, Oxland T, Cholewicki J. Multidirectional stabilizing potential of BAK interbody spinal fusion system for anterior surgery. J Spinal Dis. 1997;10:357–362
  7. Oxland TR, Hoffer Z, Nydegger T, Rathonyi GC, Nolte L-P. A comparative biomechanical investigation of anterior lumbar interbody cages: central and bilateral approaches. J Bone Joint Surg Am. 2000;82:383–393
  8. Oxland TR, Lund T. Biomechanics of stand-alone cages and cages in combination with posterior fixation: a literature review. Eur Spine J. 2000;9:S95–S101
  9. Phillips FM, Cunningham B, Carandang G, Ghanayem AJ, Voronov L, Havey RM, et al. Effect of supplemental translaminar facet screw fixation on the stability of stand-alone anterior lumbar interbody fusion cages under physiologic compressive preloads. Spine. 2004;29(16):1737–1746
  10. Tsantrizos A, Andreou A, Aebi M, Steffen T. Biomechanical stability of five stand-alone anterior lumbar interbody fusion constructs. Eur Spine J. 2000;9:14–22
  11. Ferrara LA, Secor JL, Jin B-h, Wakefield A, Inceoglu S, Benzel EC. A Biomechanical comparison of facet screw fixation and pedicle screw fixation: effects of short-term and long-term repetitie cycling. Spine. 2003;28(12):1226–1234
  12. Beaubien BP, Mehbod AA, Kallemeier PM, Lew WD, Buttermann GR, Transfeldt EE, et al. Posterior augmentation of an anterior lumbar interbody fusion: minimally invasive fixation versus pedicle screws in vitro. Spine. 2004;29(19):E406–E412
  13. Cagli S, Crawford NR, Sonntag VKH, Dickman CA. Biomechanics of grade I degenerative lumbar spondylolisthesis. Part 2: treatment with threaded interbody cages/dowels and pedicle screws. J Neurosurg (Spine 1). 2001;94:51–60
  14. Kim S-M, Lim TJ, Paterno J, Kim DH. A biomechanical comparison of supplementary posterior translaminar facet and transfacetopedicular screw fixation after anterior lumbar interbody fusion. J Neurosurg (Spine 1). 2004;1:101–107
  15. Best NM, Sasso RC. Efficacy of translaminar facet screw fixation in circumferential interbody fusions as compared to pedicle screw fixation. J Spinal Disord Tech. 2006;19(2):98–103
  16. Eskander M, Brooks D, Ordway N, Dale E, Connolly P. Analysis of pedicle and translaminar facet fixation in a multisegment interbody fusion model. Spine. 2007;32(7):E230–E235
  17. Boucher H. Method of spinal fusion. Clin Orthop. 1997;335:4–9
  18. Laxer E. A further development in spinal instrumentation. Technical Commission for Spinal Surgery of the ASIF. Eur Spine J. 1994;3:347–352
  19. Magerl F. Stabilization of the lower thoracic and lumbar spine with external skeletal fixation. Clin Orthop. 1984;189:125–141
  20. Goel VK, Lim TH, Gwon J, Chen JY, Winterbottom JM, Park JB, et al. Effects of rigidity of an internal fixation device. A comprehensive biomechanical investigation. Spine. 1991;16:S155–S161
  21. Kim Y. Finite element analysis of anterior lumbar interbody fusion: threaded cylindrical cage and pedicle screw fixation. Spine. 2007;32(23):2558–2568
  22. Lim TH, Goel VK. Load sharing characteristics in the stabilized lumbar motion segment: a finite element study. J Musculoskelet Res. 1998;2:55–64
  23. Pitzen T, Matthis D, Steudel W-I. The effect of posterior instrumentation following PLIF with BAK cages is most pronounced in weak bone. Acta Neurochir (Wien). 2002;144:121–128
  24. Polikeit A, Ferguson SJ, Nolte LP, Orr TE. The importance of the endplate for interbody cages in the lumbar spine. Eur Spine J. 2003;12:556–561
  25. Goel VK, Kim YE, Lim TH, Weinstein JN. An analytical investigation of the mechanics of spinal instrumentation. Spine. 1988;13:1003–1011
  26. Beaubien BP, Derincek A, Lew WD, Wood KB. In Vitro, biomechanical comparison of an anterior lumbar interbody fusion with an anteriorly placed, low-profile lumbar plate and posteriorly placed pedicle screws or translaminar screws. Spine. 2005;30:1846–1851
  27. Wilke H-J, Wenger K, Claes L. Testing criteria for spinal implant: recommendations for the standardization of in vitro stability testing of spinal implants. Eur Spine J. 1998;7:148–154
  28. Mosekilde L, Mosekilde L, Danielson CC. Biomechanical competence of vertebral trabecular bone in relation to ash density and age in normal individuals. Bone. 1987;8:79–85
  29. Silva MJ, Keaveny TM, Hayes WC. Load sharing between the shell and centrum in the lumbar vertebral body. Spine. 1997;22:140–150
  30. Rathonyi GC, Oxland TR, Gerich U, Grassmann S, Nolte L-P. The role of supplemental translaminar screws in anterior lumbar interbody fixation: a biomechanical study. Eur Spine J. 1998;7:400–407
  31. Keyak JH, Skinner HB. Three-dimensional finite element modeling of bone: effects of element size. J Biomed Eng. 1992;14:483–489
  32. Ferrara LA, Benzel EC. Biomechanics of interbody fusion. Tech Neurosurg. 2001;7(2):100–109
  33. Lowe TG, Hashim S, Wilson LA, O’Brien MF, Smith DAB, Diekmann MJ, et al. A biomechanical study of regional endplate strength and cage morphology as it relates to structural interbody support. Spine. 2004;29(21):2389–2394
  34. Gerber M, Crawford NR, Chamberlain RH, Fifield MS, LeHuec J-C, Dickman CA. Biomechanical assessment of anterior lumbar interbody fusion with an anterior lumbosacral fixation screw-plate: comparison to stand-alone anterior lumbar interbody fusion and anterior lumbar interbody fusion with pedicle screws in an unstable human cadaver model. Spine. 2006;31(7):762–768
  35. Marks LW, Gardner TN. The use of strain energy as a convergence criterion in the finite element modeling of bone and the effect of model geometry on stress convergence. J Biomed Eng. 1993;15:474–476
  36. Tuli J, Tuli S, Eichler ME, Woodard EJ. A comparison of long-term outcomes of translaminar facet screw fixation and pedicle screw fixation: a prospective study. J Neurosurg Spine. 2007;7:287–292
  37. Brodke DS, Bachus KN, Mohr A, Nguyen B-KN. Segmental pedicle screw fixation or cross-links in multilevel lumbar constructs: a biomechanical analysis. Spine J. 2001;1:373–379
  38. Dick JC, Zdeblick TA, Bartel BD, Kunz DN. Mechanical evaluation of cross-link designs in rigid pedicle screw systems. Spine. 1997;22(4):370–375
  39. Chen CS, Cheng CK, Liu CL, Lo WH. Stress analysis of the disc adjacent to interbody fusion in lumbar spine. Med Eng Phys. 2001;23(7):485–493

PII: S1350-4533(09)00263-X

doi: 10.1016/j.medengphy.2009.12.002

Medical Engineering & Physics
Volume 32, Issue 2 , Pages 203-211 , March 2010

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