A novel parameter for the prediction of pedicle screw fixation in cancellous bone - A biomechanical study on synthetic foam.

Autor: Weidling M; Center for Research on Musculoskeletal Systems (ZESBO), Faculty of Medicine, University of Leipzig, Semmelweisstraße 14, Leipzig 04103, Germany; Department of Orthopaedic, Trauma and Plastic Surgery, University of Leipzig, Liebigstraße 20, Haus 4, Leipzig 04103, Germany. Electronic address: martin.weidling@medizin.uni-leipzig.de., Oefner C; Center for Research on Musculoskeletal Systems (ZESBO), Faculty of Medicine, University of Leipzig, Semmelweisstraße 14, Leipzig 04103, Germany; Department of Orthopaedic, Trauma and Plastic Surgery, University of Leipzig, Liebigstraße 20, Haus 4, Leipzig 04103, Germany; Faculty of Engineering, University of Applied Sciences Leipzig, Postfach 301166, Leipzig 04251, Germany., Schoenfelder S; Faculty of Engineering, University of Applied Sciences Leipzig, Postfach 301166, Leipzig 04251, Germany., Heyde CE; Center for Research on Musculoskeletal Systems (ZESBO), Faculty of Medicine, University of Leipzig, Semmelweisstraße 14, Leipzig 04103, Germany; Department of Orthopaedic, Trauma and Plastic Surgery, University of Leipzig, Liebigstraße 20, Haus 4, Leipzig 04103, Germany.
Jazyk: angličtina
Zdroj: Medical engineering & physics [Med Eng Phys] 2020 May; Vol. 79, pp. 44-51. Date of Electronic Publication: 2020 Mar 17.
DOI: 10.1016/j.medengphy.2020.03.001
Abstrakt: Pedicle screw loosening is still observed in clinical practice. Therefore, the understanding of the interaction between screw and bone is evermore subject of research. However, complex relationships between screw design and anchorage are rarely examined. For this reason, it is investigated whether screw fixation is predictable by a parameter that maps the thread. Two types of pedicle screws, 6.5 mm and 7.5 mm in major diameter, respectively, are pulled out from synthetic polyurethane foam. Representative design parameters were evaluated with regard to their influence on the insertion torque and pull-out strength. A correlation between the insertion torque and the degree of compacting of the bone was observed. In addition, the pull-out strength was found to be related to the contact area of the bone-screw interface, the bone volume displaced during screwing, and the displaced diameter. The relationship between insertion torque and pull-out strength was also linear. In addition, a relational equation was derived for the pull-out strength versus the insertion torque with the major diameter as scaling factor. Thus, the pull-out strength from cancellous bone is predictable by a representative design parameter. Furthermore, the derived relation equation opens a new perspective for the evaluation of screw fixation.
Competing Interests: Declaration of Competing Interest None
(Copyright © 2020. Published by Elsevier Ltd.)
Databáze: MEDLINE
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