Biomechanical analysis of the number of implants for the immediate sacroiliac joint fixation

2021 ◽  
Author(s):  
Roxanne Dubé-Cyr ◽  
Carl-Éric Aubin ◽  
Isabelle Villemure ◽  
Pierre-Jean Arnoux
Keyword(s):  
Sacroiliac Joint ◽  
Biomechanical Analysis

Biomechanical analysis of two insertion sites for the fixation of the sacroiliac joint via an oblique lateral approach

2020 ◽  
Vol 74 ◽  
pp. 118-123 ◽  
Author(s):  
Roxanne Dubé-Cyr ◽  
Carl-Éric Aubin ◽  
Isabelle Villemure ◽  
Rohan-Jean Bianco ◽  
Yves Godio-Raboutet ◽  
...  
Keyword(s):  
Sacroiliac Joint ◽  
Lateral Approach ◽  
Biomechanical Analysis ◽  
Insertion Sites

A comprehensive biomechanical analysis of sacral alar iliac fixation: an in vitro human cadaveric model

2019 ◽  
Vol 30 (3) ◽  
pp. 367-375 ◽  
Author(s):  
Bryan W. Cunningham ◽  
Paul D. Sponseller ◽  
Ashley A. Murgatroyd ◽  
Jun Kikkawa ◽  
P. Justin Tortolani
Keyword(s):  
Sacroiliac Joint ◽  
Fatigue Loading ◽  
Axial Rotation ◽  
Biomechanical Analysis ◽  
Segmental Motion ◽  
Destructive Testing ◽  
Flexion Extension ◽  
Iliac Screws ◽  
Iliac Fixation

OBJECTIVEThe objective of the current study was to quantify and compare the multidirectional flexibility properties of sacral alar iliac fixation with conventional methods of sacral and sacroiliac fixation by using nondestructive and destructive investigative methods.METHODSTwenty-one cadaveric lumbopelvic spines were randomized into 3 groups based on reconstruction conditions: 1) S1–2 sacral screws; 2) sacral alar iliac screws; and 3) S1–iliac screws tested under unilateral and bilateral fixation. Nondestructive multidirectional flexibility testing was performed using a 6-degree-of-freedom spine simulator with moments of ± 12.5 Nm. Flexion-extension fatigue loading was then performed for 10,000 cycles, and the multidirectional flexibility analysis was repeated. Final destructive testing included an anterior flexural load to construct failure. Quantification of the lumbosacral and sacroiliac joint range of motion was normalized to the intact spine (100%), and flexural failure loads were reported in Newton-meters.RESULTSNormalized value comparisons between the intact spine and the 3 reconstruction groups demonstrated significant reductions in segmental flexion-extension, lateral bending, and axial rotation motion at L4–5 and L5–S1 (p < 0.05). The S1–2 sacral reconstruction group demonstrated significantly greater flexion-extension motion at the sacroiliac junction than the intact and comparative reconstruction groups (p < 0.05), whereas the sacral alar iliac group demonstrated significantly less motion at the sacroiliac joint in axial rotation (p < 0.05). Absolute value comparisons demonstrated similar findings. Under destructive anterior flexural loading, the S1–2 sacral group failed at 105 ± 23 Nm, and the sacral alar iliac and S1–iliac groups failed at 119 ± 39 Nm and 120 ± 28 Nm, respectively (p > 0.05).CONCLUSIONSAlong with difficult anatomy and weak bone, the large lumbosacral loads with cantilever pullout forces in this region are primary reasons for construct failure. All reconstructions significantly reduced flexibility at the L5–S1 junctions, as expected. Conventional S1–2 sacral fixation significantly increased sacroiliac motion under all loading modalities and demonstrated significantly higher flexion-extension motion than all other groups, and sacral alar iliac fixation reduced motion in axial rotation at the sacroiliac joint. Based on comprehensive multidirectional flexibility testing, the sacral alar iliac fixation technique reduced segmental motion under some loading modalities compared to S1–iliac screws and offers potential advantages of lower instrumentation profile and ease of assembly compared to conventional sacroiliac instrumentation techniques.

169. Biomechanical analysis of motion following lateral sacroiliac joint screw fixation with or without lumbosacral fixation

2019 ◽  
Vol 19 (9) ◽  
pp. S82
Author(s):  
Bruce E. Dall ◽  
Sonia V. Eden ◽  
Woojin Cho ◽  
Alexa Karkenny ◽  
Gerald Hayward ◽  
...  
Keyword(s):  
Sacroiliac Joint ◽  
Screw Fixation ◽  
Biomechanical Analysis ◽  
Lumbosacral Fixation ◽  
Analysis Of Motion

scholarly journals Biomechanical Analysis of Reducing Sacroiliac Joint Shear Load by Optimization of Pelvic Muscle and Ligament Forces

2008 ◽  
Vol 36 (3) ◽  
pp. 415-424 ◽  
Author(s):  
J. J. M. Pel ◽  
C. W. Spoor ◽  
A. L. Pool-Goudzwaard ◽  
G. A. Hoek van Dijke ◽  
C. J. Snijders
Keyword(s):  
Sacroiliac Joint ◽  
Biomechanical Analysis ◽  
Shear Load ◽  
Joint Shear

scholarly journals Joint coordinate system for biomechanical analysis of the sacroiliac joint

2019 ◽  
Vol 37 (5) ◽  
pp. 1101-1109
Author(s):  
Liesbeth Van Hauwermeiren ◽  
Matthias Verstraete ◽  
Michael E. J. Stouthandel ◽  
Aline Van Oevelen ◽  
Werner De Gersem ◽  
...  
Keyword(s):  
Coordinate System ◽  
Sacroiliac Joint ◽  
Biomechanical Analysis ◽  
Joint Coordinate System

Biomechanical Analysis of Tool Use

2012 ◽  
Vol 220 (1) ◽  
pp. 53-54 ◽  
Author(s):  
Elena Biryukova ◽  
Blandine Bril
Keyword(s):  
Tool Use ◽  
Biomechanical Analysis
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