Short Segment Transpedicular Cotrel-Dubousset Instrumentation
| Autor: | Stephens Gc, Michael J. Mcnamara, Dan M. Spengler, Dennis P. Devito |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
musculoskeletal diseases
Torsion Abnormality medicine.medical_specialty Swine medicine.medical_treatment Kyphosis Cotrel–Dubousset instrumentation Weight-Bearing Fracture Fixation Internal Lumbar Pressure medicine Animals Corpectomy Orthodontics Universal testing machine business.industry Biomechanics Stiffness Equipment Design Anatomy musculoskeletal system medicine.disease Internal Fixators Orthopedic surgery Equipment Failure Surgery Stress Mechanical Neurology (clinical) medicine.symptom business |
| Zdroj: | Journal of Spinal Disorders. 6:252-255 |
| ISSN: | 0895-0385 |
| Popis: | This study examines changes in stiffness in a three-level spinal construct utilizing transpedicular Cotrel-Dubousset instrumentation. In addition, we evaluated the effect of adding offset laminar hooks at the same level as the superior transpedicular fixation. Porcine lumbar spines (L-1 to L-5) were tested as: (a) intact spine, (b) intact spine with instrumentation, and (c) instrumented spine after L-3 corpectomy. Instrumented constructs were tested with and without laminar hooks placed at the level of superior transpedicular fixation. Constructs were tested in modes of axial compression and torsion in a MTS materials testing machine. The fully instrumented intact spines demonstrated a 28.0% stiffness increase over the intact spines in torsion (p < 0.005) and a 23.1% increase in the mode of axial compression (p < 0.0002). There was no statistically significant difference in axial or torsional stiffness in the instrumented intact spine constructs when hooks were added. In the corpectomy model, addition of the laminar hooks increased stiffness in axial compression an average of 26.9% (p < 0.002) and in torsion an average of 28.1% (p < 0.0005). This increase in stiffness may aid in preventing the postoperative progression of kyphosis noted in studies utilizing similar constructs in clinical application for the treatment of lumbar burst fractures. |
| Databáze: | OpenAIRE |
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