Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
203
pubmed:dateCreated
1986-4-28
pubmed:abstractText
This laboratory experiment was undertaken to identify factors contributing to intrapeduncular screw fixation in the vertebra. Testing was performed in axial pull-out and cyclic loading modes using multiple screw designs inserted to various depths into fresh human lumbosacral vertebra. The degree of osteoporosis played a major role in pull-out strength. Larger diameter, full-threaded screws inserted deep enough to engage the anterior vertebral cortex resulted in the most secure fixation. In the sacrum, the second sacral pedicle was the weakest location of insertion. Screws aimed laterally into the ala at 45 degrees or medially into the first sacral pedicle resisted larger axial pull-out loads than those inserted straight anteriorly into the ala. Methyl methacrylate was found to restore secure fixation in previously-loosened screws and pressurization of cement doubled the pull-out force. In cyclic load tests, deeper-inserted screws were found to withstand a greater number of cycles before loosening. Measurements of pedicle outer cortical diameters were found in many specimens to be smaller than both the 4.5-mm and 6.5-mm diameter screws.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0009-921X
pubmed:author
pubmed:issnType
Print
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
99-112
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1986
pubmed:articleTitle
A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't