We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Biomechanical Comparison of Same Size Transfacet Screws Versus Pedicle Screws across the L5-S1 Native Disc.
- Authors
Chin, K. R.; Pencle, F. J. R.; Newcomb, A. G. U.; Reis, M. T.; Reyes, P. M.; Malhotra, D.; Yu, W. D.; Bruce, C. A.; Crawford, N. R.
- Abstract
Objective: There is resurgence in facet screw use; however, there is a paucity of data comparing the stability of transfacet pedicle screws (TFPS) to standard pedicle screw-rod constructs at L5-S1. The authors aim to compare the stabilizing potential of TFPS compared to pedicle screws of the same length and diameter at L5-S1 with an intact native disc. Methods: Flexibility of human cadaveric lumbar spine segments was biomechanically tested in vitro to provide a comparison of two types of posterior stabilization across L5-S1. Fourteen cadaveric spine specimens (T12-S1) were tested in intact condition, then after, surgical procedures were performed at L5-S1 using 5.0 x 40 mm transfacet pedicle screws (Group #1) and same sized pedicle screw-rod construct (Group #2). Specimens were studied using standard non-destructive pure moment flexibility tests. Results: Transfacet pedicle screws (TFPS) allowed less motion in all loading modes than bilateral pedicle screw-rod (BPSR) construct, with a significantly smaller range of motion allowed during extension and axial rotation (p < 0.05). Transfacet pedicle screws allow less lateral bending than BPSR compared to the intact specimen, although the magnitude of the difference was less than during flexion or extension. Conclusion: Bilateral transfacet screws provided better immediate postoperative stability in vitro in intact posterior element facets without osteophytes than equivalent-sized unilateral or bilateral standard pedicle screw at L5-S1. These are limited to a biomechanical application as larger sized pedicle screws are used in the clinical setting. Further biomechanical and clinically relevant studies are warranted to verify these points.
- Subjects
PEDICLE flaps (Surgery); COMPUTED tomography; ARTIFICIAL implants; SPINAL surgery; BIOMECHANICS
- Publication
West Indian Medical Journal, 2017, Vol 66, Issue 3, p416
- ISSN
0043-3144
- Publication type
Article
- DOI
10.7727/wimj.2017.029