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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1997-9-8
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pubmed:abstractText |
To determine the net contribution of a spinal construct to stability, and whether extending the construct to another level in situations in which a defective pedicle cannot have a screw inserted, we performed biomechanical tests in which we evaluated three-, four-, and five-level synthetic spinal constructs in which the location and number of pedicle screws were varied above and below a vertebrectomy defect. We subjected all constructs to axial, compression, lateral bending, flexion, extension, and torsional forces with the use of an Instron biaxial machine. Left-right symmetrical constructs were more stable than asymmetrical ones. Three-level constructs were statistically stiffer than the longer ones in compression, left bending, and flexion. Torsional stability, however, was greater in the longer constructs. Five-level constructs with both end screws in place had greater torsional stiffness than when they were missing a screw. In vertebrectomy defects, if four screws cannot be placed across it, then the engagement of two screws is indicated. The stability provided by a single screw at a spinal level is minimal. Additional screws augment the purchase of the construct in the bone; however, they do not afford further protection to the defect.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0895-0385
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
10
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
240-5
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:9213281-Bone Screws,
pubmed-meshheading:9213281-Equipment Design,
pubmed-meshheading:9213281-Evaluation Studies as Topic,
pubmed-meshheading:9213281-Models, Anatomic,
pubmed-meshheading:9213281-Motion,
pubmed-meshheading:9213281-Pressure,
pubmed-meshheading:9213281-Stress, Mechanical
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pubmed:year |
1997
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pubmed:articleTitle |
Screw omission and the stability of posterior pedicle screw constructs for short-segment stabilization.
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pubmed:affiliation |
Department of Orthopaedic Surgery, Montefiore Medical Center, Bronx, NY 10467, USA.
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pubmed:publicationType |
Journal Article,
Comparative Study
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