Effects of the Insertion Type and Depth on the Pedicle Screw Pullout Strength: A Finite Element Study
Purpose. The pedicle screw is a surgical device that has become widely used in spinal fixation and stabilization. Postsurgical complications such as screw loosening due to fatigue loading and screw breakage still need investigations. Clinical parameters such as the screw insertion type and depth, th...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Applied Bionics and Biomechanics |
| Online Access: | http://dx.doi.org/10.1155/2018/1460195 |
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| author | K. Jendoubi Y. Khadri M. Bendjaballah N. Slimane |
| author_facet | K. Jendoubi Y. Khadri M. Bendjaballah N. Slimane |
| author_sort | K. Jendoubi |
| collection | DOAJ |
| description | Purpose. The pedicle screw is a surgical device that has become widely used in spinal fixation and stabilization. Postsurgical complications such as screw loosening due to fatigue loading and screw breakage still need investigations. Clinical parameters such as the screw insertion type and depth, the bone density, and the patient degree of mobility greatly affect the mechanisms of the implant’s failure/success. Methods. The current finite element study focused on the prediction of the pedicle screw pullout strength under various conditions such as insertion type, insertion depth, bone quality, and loading mode. Results. As depicted in this study, the preservation of the pedicle cortex as in the N1 insertion technique greatly enhances the pullout resistance. In addition, the higher the screw-anchoring depth, permitting to gear a maximum number of threads, the better the protection against premature breakouts of pedicle screws. Conclusions. In agreement with experimental data, the type of insertion in which the first screw thread is placed immediately after the preserved pedicle cortex showed the best pullout resistance for both normal and osteoporotic bone. |
| format | Article |
| id | doaj-art-e25e7095df17478abade9ed1b35f28e6 |
| institution | Kabale University |
| issn | 1176-2322 1754-2103 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Applied Bionics and Biomechanics |
| spelling | doaj-art-e25e7095df17478abade9ed1b35f28e62025-02-03T05:47:54ZengWileyApplied Bionics and Biomechanics1176-23221754-21032018-01-01201810.1155/2018/14601951460195Effects of the Insertion Type and Depth on the Pedicle Screw Pullout Strength: A Finite Element StudyK. Jendoubi0Y. Khadri1M. Bendjaballah2N. Slimane3École Nationale Supérieure d’Ingénieurs de Tunis, Tunis, TunisiaLaboratoire de Biomécanique, Institut National d’Orthopédie M.T. Kassab, Tunis, TunisiaBiomedical Technology Department, King Saud University, Riyadh, Saudi ArabiaLaboratoire de Biomécanique, Institut National d’Orthopédie M.T. Kassab, Tunis, TunisiaPurpose. The pedicle screw is a surgical device that has become widely used in spinal fixation and stabilization. Postsurgical complications such as screw loosening due to fatigue loading and screw breakage still need investigations. Clinical parameters such as the screw insertion type and depth, the bone density, and the patient degree of mobility greatly affect the mechanisms of the implant’s failure/success. Methods. The current finite element study focused on the prediction of the pedicle screw pullout strength under various conditions such as insertion type, insertion depth, bone quality, and loading mode. Results. As depicted in this study, the preservation of the pedicle cortex as in the N1 insertion technique greatly enhances the pullout resistance. In addition, the higher the screw-anchoring depth, permitting to gear a maximum number of threads, the better the protection against premature breakouts of pedicle screws. Conclusions. In agreement with experimental data, the type of insertion in which the first screw thread is placed immediately after the preserved pedicle cortex showed the best pullout resistance for both normal and osteoporotic bone.http://dx.doi.org/10.1155/2018/1460195 |
| spellingShingle | K. Jendoubi Y. Khadri M. Bendjaballah N. Slimane Effects of the Insertion Type and Depth on the Pedicle Screw Pullout Strength: A Finite Element Study Applied Bionics and Biomechanics |
| title | Effects of the Insertion Type and Depth on the Pedicle Screw Pullout Strength: A Finite Element Study |
| title_full | Effects of the Insertion Type and Depth on the Pedicle Screw Pullout Strength: A Finite Element Study |
| title_fullStr | Effects of the Insertion Type and Depth on the Pedicle Screw Pullout Strength: A Finite Element Study |
| title_full_unstemmed | Effects of the Insertion Type and Depth on the Pedicle Screw Pullout Strength: A Finite Element Study |
| title_short | Effects of the Insertion Type and Depth on the Pedicle Screw Pullout Strength: A Finite Element Study |
| title_sort | effects of the insertion type and depth on the pedicle screw pullout strength a finite element study |
| url | http://dx.doi.org/10.1155/2018/1460195 |
| work_keys_str_mv | AT kjendoubi effectsoftheinsertiontypeanddepthonthepediclescrewpulloutstrengthafiniteelementstudy AT ykhadri effectsoftheinsertiontypeanddepthonthepediclescrewpulloutstrengthafiniteelementstudy AT mbendjaballah effectsoftheinsertiontypeanddepthonthepediclescrewpulloutstrengthafiniteelementstudy AT nslimane effectsoftheinsertiontypeanddepthonthepediclescrewpulloutstrengthafiniteelementstudy |