scholarly journals Evaluation of the Effect of Fixation Angle between Polyaxial Pedicle Screw Head and Rod on the Failure of Screw-Rod Connection

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Engin Çetin ◽  
Mustafa Özkaya ◽  
Ümit Özgür Güler ◽  
Emre Acaroğlu ◽  
Teyfik Demir
Keyword(s):  
Mechanical Properties ◽  
Pedicle Screw ◽  
Pedicle Screws ◽  
Maximum Load ◽  
Test Results ◽  
Screw Head ◽  
Pull Out ◽  
Flexion Moment ◽  
Polyaxial Screws ◽  
Different Diameters

Introduction.Polyaxial screws had been only tested according to the ASTM standards (when they were perpendicularly positioned to the rod). In this study, effects of the pedicle screws angled fixation to the rod on the mechanical properties of fixation were investigated.Materials and Method.30 vertically fixed screws and 30 screws fixed with angle were used in the study. Screws were used in three different diameters which were 6.5 mm, 7.0 mm, and 7.5 mm, in equal numbers. Axial pull-out and flexion moment tests were performed. Test results compared with each other using appropriate statistical methods.Results.In pull-out test, vertically fixed screws, in 6.5 mm and 7.0 mm diameter, had significantly higher maximum load values than angled fixed screws with the same diameters (P<0.01). Additionally, vertically fixed screws, in all diameters, had significantly greater stiffness according to corresponding size fixed with angle (P<0.005).Conclusion.Fixing the pedicle screw to the rod with angle significantly decreased the pull-out stiffness in all diameters. Similarly, pedicle screw instrumentation fixed with angle decreased the minimum sagittal angle between the rod and the screw in all diameters for flexion moment test but the differences were not significant.

A Novel Technique for Measuring Pedicle Screw Forces In Situ

2008 ◽  
Author(s):  
Samuel Q. Tia ◽  
Jennifer M. Buckley ◽  
Thuc-Quyen Nguyen ◽  
Jeffrey C. Lotz ◽  
Shane Burch
Keyword(s):  
Pedicle Screw ◽  
Pedicle Screws ◽  
Clinical Failure ◽  
Strain Gages ◽  
Destructive Testing ◽  
Novel Technique ◽  
Pull Out ◽  
Pull Out Strength

Long posterior fusion constructs in the lumbar spine cause substantial posteriorly directed loading of the supporting pedicle screws, particularly during patient bending activities. Although there are numerous documented accounts of clinical failure at the pedicle screw-bone interface [1,2], the in situ pull-out strength of pedicle screws in long surgical constructs has not been characterized. Previous biomechanical studies have quantified pedicle screw pull-out force in cadaveric models through destructive testing or in nondestructive cases, through the use of custom-machined pedicle screws instrumented with strain gages [3–6]. However, these techniques involve altering screw geometry and may fail to properly simulate in vivo mechanical loading conditions. The goal of this study was to develop and validate a sensor system for measuring pedicle screw pull-out forces in long posterior constructs in situ during multi-segmental cadaveric testing.

PULL OUT STRENGTH FOR DIFFERENT SIZE OF DOWEL AND GRAIN DIRECTION OF GLULAM

2016 ◽  
Vol 78 (5-4) ◽  
Author(s):  
Tengku Anita Raja Hussin ◽  
Mohamad Iswandi Jinne ◽  
Rohana Hassan
Keyword(s):  
Failure Modes ◽  
Maximum Load ◽  
Experimental Program ◽  
Drilling Process ◽  
Test Results ◽  
Bond Behaviour ◽  
Pull Out ◽  
Timber Joints ◽  
Different Thickness ◽  
Pull Out Strength

This paper presents an experimental program for testing glued-in dowel glulam timber joints. Hundred thirty glulam specimens, each with a single glued-in rebar parallel to the grain and perpendicular to grain with different size of dowels 12mm, 16mm and 20mm were tested to evaluate the effects of anchorage length and different dowel diameter for parallel and perpendicular to the grain on pull-out strength and bond behaviour of glued-in rebar timber joints. The test results showed that the maximum load for specimen with dowel glued-in parallel to the grain given the higher maximum load than dowel glued-in perpendicular to the grain direction. Failure modes were characterized by pull out failure in the mode of adhesive-dowel, yet one sample failed in timber-adhesive mode. This might happened because the surface of the timber was burned by drilling machine during the drilling process. The pull-out was tested with different thickness grain direction with different dowel size with a rate of 2mm/min and the failure modes were observed after the testing of pull-out test. PRF is the adhesive used for the strengthening purposes. Resistance to the withdrawal of dowels glued-in perpendicularly was 44.2% to 53.5 % lower than that obtained for dowels glued-in parallel to the grain direction. The result shows that the dowel glued-in parallel to the grain given the higher maximum load than dowel glued-in perpendicular to the grain direction.

scholarly journals Assessment of conformity of actual thoraco-lumbar pedicle screw dimensions to manufacturers’ specifications

2021 ◽  
Vol 104 (3) ◽  
pp. 003685042110350
Author(s):  
Marian Banas ◽  
Nirjhar Hore ◽  
Michael Buchfelder ◽  
Sebastian Brandner
Keyword(s):  
Pedicle Screw ◽  
Pedicle Screws ◽  
Correct Selection ◽  
Experimental Setup ◽  
Actual Length ◽  
Spine Instrumentation ◽  
The Difference ◽  
Measured Length ◽  
Different Diameters ◽  
Selection Of

Although correct selection of pedicle screw dimensions is indispensable to achieving optimum results, manufacturer-specified or intended dimensions may differ from actual dimensions. Here we analyzed the reliability of specifications made by various manufacturers by comparing them to the actual lengths and diameters of pedicle screws in a standardized experimental setup. We analyzed the actual length and diameter of pedicle screws of five different manufacturers. Four different screw lengths and for each length two different diameters were measured. Measurements were performed with the pedicle screws attached to a rod, with the length determined from the bottom of the tulip to the tip of the screw and the diameters determined at the proximal and distal threads. Differences in length of > 1 mm were found between the manufacturers’ specifications and our actual measurements in 24 different pedicle screws. The highest deviation of the measured length from the manufacturers’ specification was 3.2 mm. The difference in length between the shortest and longest screw with identical specifications was 3.4 mm. The highest deviation of the measured proximal thread diameters and the manufacturer’s specifications was 0.5 mm. The diameter of the distal thread depends on the shape of the pedicle screw and hence varies between manufacturers in conical screws. We found clear differences in the length of pedicle screws with identical manufacturer specifications. Since differences between the actual dimensions and the dimensions indicated by the manufacturer may vary, this needs to be taken into account during the planning of spine instrumentation.

scholarly journals Correlation between the Computed Tomography Values of the Screw Path and Pedicle Screw Pullout Strength: An Experimental Study in Porcine Vertebrae

2020 ◽  
Vol 14 (3) ◽  
pp. 265-272
Author(s):  
Atsushi Ikeura ◽  
Taketoshi Kushida ◽  
Kenichi Oe ◽  
Yoshihisa Kotani ◽  
Muneharu Ando ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bone Mineral Density ◽  
Pedicle Screw ◽  
Bone Mineral ◽  
Lumbar Vertebrae ◽  
Pedicle Screws ◽  
Mineral Density ◽  
Screw Insertion ◽  
Pull Out ◽  
Pull Out Strength

Study Design: Biomechanical study.Purpose: To assess the correlation between the computed tomography (CT) values of the pedicle screw path and screw pull-out strength.Overview of Literature: The correlation between pedicle screw pull-out strength and bone mineral density has been well established. In addition, several reports have demonstrated a correlation between bone mineral density and CT values. However, no previous biomechanical studies investigated the correlation between CT values and pedicle screw pull-out strength.Methods: Sixty fresh-frozen lumbar vertebrae from 6-month-old pigs were used. Before screw insertion, the CT values of the screw path were obtained for each sample. Specimens were then randomly divided into three equal groups. Each group had one of three pedicle screws inserted: 4.0-mm LEGACY (4.0-LEG), 4.5-mm LEGACY (4.5-LEG), or 4.5-mm SOLERA (4.5-SOL) (all from Medtronic Sofamor Danek Inc., Memphis, TN, USA). Each screw had a consistent 30-mm thread length. Axial pull-out testing was performed at a rate of 1.0 mm/min. Correlations between the CT values and pedicle screw pull-out strength were evaluated using Pearson’s correlation coefficient analysis.Results: The correlation coefficients between the CT values of the screw path and pedicle screw pull-out strength for the 4.0-LEG, 4.5-LEG, and 4.5-SOL groups were 0.836 (<i>p</i> <0.001), 0.780 (<i>p</i> <0.001), and 0.873 (<i>p</i> <0.001), respectively. Greater CT values were associated with greater screw pull-out strength.Conclusions: The CT values of the screw path were strongly positively correlated with pedicle screw pull-out strength, regardless of the screw type and diameter, suggesting that the CT values could be clinically useful for predicting pedicle screw pull-out strength.

scholarly journals ANALYSIS ON THE EFFECT OF HALF ANGLE ON THE DISPLACEMENT OF PEDICLE SCREW DURING AXIAL PULL-OUT TEST IN CANCELLOUS BONE USING 2D AXISYMMETRIC FE MODEL

2021 ◽  
Vol 57 (2) ◽  
pp. 153-158
Author(s):  
Harikrishna Makaram ◽  
◽  
Ramakrishnan Swaminathan ◽  
Keyword(s):  
Pedicle Screw ◽  
High Stress ◽  
Pedicle Screws ◽  
Stress Transfer ◽  
Von Mises Stress ◽  
Fe Model ◽  
Distal Half ◽  
Proximal Half ◽  
Pull Out ◽  
Half Angle

Pedicle screw fixations are commonly used in the treatment of spinal pathologies. For effective treatment, stable anchorage between the screw and bone is necessary. In this study, the influence of proximal and distal half angle of the screw, on the displacement of fixation and stress transfer are simulated using a 2D axisymmetric finite element model. A parametric study was performed by varying the proximal half-angle between 0° and 60° in steps of 10° and the distal half angles are considered as 30° and 40°. The material properties and boundary conditions are applied based on previous studies. Frictional contact is considered between the bone and screw. Results show that, displacement of fixation is observed to be minimum at a proximal half angle of 0° and maximum at an angle of 60°. High stress concentration is observed in first few threads with highest maximum von Mises stress at an angle of 60°. High stress transfer was obtained for proximal half-angles of 40° and 50°. It is observed that, this method might aid to develop better pedicle screws for treatment of Scoliosis.

scholarly journals Using Artificial Intelligence for Optimizing Natural Frequency of Recycled Concrete for Mechanical Machine Foundation

Recycling ◽  
2021 ◽  
Vol 6 (3) ◽  
pp. 43
Author(s):  
Maha M. A. Lashin ◽  
Aamir Khokhar ◽  
Fadwa Alrowais ◽  
Areej Malibari ◽  
Wafaa Saleh
Keyword(s):  
Mechanical Properties ◽  
Fuzzy Logic ◽  
Natural Frequency ◽  
Natural Frequencies ◽  
Maximum Load ◽  
Recycled Concrete ◽  
Analysis Tool ◽  
Test Results ◽  
Different Types ◽  
Lab Test

This paper investigates the mechanical properties of two different types of recycled concrete, which use wood and rubber, relative to those characteristics of pure concrete, in terms of maximum load and natural frequencies. This paper contributes to the state of the art in this area in a number of ways. Firstly, the paper provides furtherance to the progressively growing literature in the field of recycled concrete and mechanical properties of materials. Secondly, the paper investigates the mechanical properties of two different types of recycled concrete by means of investigating the natural frequency of the samples, which is a new contribution. Lastly, the results from predicting the natural frequencies of concrete using fuzzy logic have been effectively assessed and compared with the analytical results. Results from the study show that the pure concrete samples produced maximum natural frequency, then concrete samples with wood, and lastly, concrete samples with rubber. The tolerance between the lab test results and fuzzy logic is approximately 5%. These results could have significant implications for furthering recycled concrete research and for designing machine foundations. Evidence of the applicability of fuzzy logic as a predictive and analysis tool for the mechanical properties of recycled concrete are discussed.

scholarly journals Monoaxial Pedicle Screws Are Superior to Polyaxial Pedicle Screws and the Two Pin External Fixator for Subcutaneous Anterior Pelvic Fixation in a Biomechanical Analysis

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Rahul Vaidya ◽  
Ndidi Onwudiwe ◽  
Matthew Roth ◽  
Anil Sethi
Keyword(s):  
Pedicle Screw ◽  
External Fixator ◽  
Pedicle Screws ◽  
Peak Torque ◽  
Biomechanical Analysis ◽  
Torsional Stiffness ◽  
Pelvic Fixation ◽  
Elastic Range ◽  
Torsional Testing ◽  
Polyaxial Screws

Purpose. Comparison of monoaxial and polyaxial screws with the use of subcutaneous anterior pelvic fixation.Methods. Four different groups each having 5 constructs were tested in distraction within the elastic range. Once that was completed, 3 components were tested in torsion within the elastic range, 2 to torsional failure and 3 in distraction until failure.Results. The pedicle screw systems showed higher stiffness (4.008 ± 0.113 Nmm monoaxial, 3.638 ± 0.108 Nmm Click-x; 3.634 ± 0.147 Nmm Pangea) than the exfix system (2.882 ± 0.054 Nmm) in distraction. In failure testing, monoaxial pedicle screw system was stronger (360 N) than exfixes (160 N) and polyaxial devices which failed if distracted greater than 4 cm (157 N Click-x or 138 N Pangea). The exfix had higher peak torque and torsional stiffness than all pedicle systems. In torsion, the yield strengths were the same for all constructs.Conclusion. The infix device constructed with polyaxial or monoaxial pedicle screws is stiffer than the 2 pin external fixator in distraction testing. In extreme cases, the use of reinforcement or monoaxial systems which do not fail even at 360 N is a better option. In torsional testing, the 2 pin external fixator is stiffer than the pedicle screw systems.

scholarly journals Comparative analysis of clinical factors associated with pedicle screw pull-out during or immediately after surgery between intraoperative cone-beam computed tomography and postoperative computed tomography 

2021 ◽  
Author(s):  
Satoshi Sumiya ◽  
Kazuyuki Fukushima ◽  
Yoshiro Kurosa ◽  
Takashi Hirai ◽  
Hiroyuki Inose ◽  
...  
Keyword(s):  
Risk Factors ◽  
Computed Tomography ◽  
Pedicle Screw ◽  
Odds Ratio ◽  
Pedicle Screws ◽  
Cone Beam ◽  
Clinical Factors ◽  
Factors Associated ◽  
Pull Out ◽  
History Of

Abstract Background No studies to date have elucidated the clinical factors associated with pedicle screw pull-out during or immediately after surgery. The aim of this study was to assess the frequency of pedicle screw pull-out by comparing intraoperative scans obtained using cone-beam computed tomography (CBCT) with postoperative scans obtained using computed tomography (CT). We also sought to determine the incidence of pedicle screw pull-out and identify relevant risk factors. Methods This was a retrospective analysis of prospectively collected data for 742 pedicle screws placed in 76 consecutive patients who underwent at least triple-level posterior fixation for thoracic or lumbar spinal injury, spinal metastasis, or pyogenic spondylitis between April 2014 and July 2020. Pedicle screw pull-out distance in the axial and sagittal planes was compared between CT scans obtained 2 days postoperatively and CBCT images acquired intraoperatively. Risk factors associated with pedicle screw pull-out were investigated by multivariate logistic regression analysis. Results Pedicle screw pull-out was seen with 58 pedicle screws (7.8%) in 26 patients (34.2%). There were significant differences in age, number of fused segments, frequency of diffuse idiopathic skeletal hyperostosis (DISH), and medical history of osteoporosis for pedicle screw pull-out. Risk factors for pedicle screw pull-out were older age (odds ratio 1.07, 95% confidence interval 1.02–1.130) and a diagnosis of DISH (odds ratio 3.35, 95% confidence interval 1.12–10.00). Several cases suggest that use of connecting rods was an important factor in intraoperative pedicle screw pull-out. Conclusions Our findings suggest that age, number of fused segments, presence of DISH, and medical history of osteoporosis are risk factors for pedicle screw pull-out, with the greatest being older age and DISH.

scholarly journals Comparative analysis of clinical factors associated with pedicle screw pull-out during or immediately after surgery between intraoperative cone-beam computed tomography and postoperative computed tomography

2020 ◽  
Author(s):  
Satoshi Sumiya ◽  
Kazuyuki Fukushima ◽  
Yoshiro Kurosa ◽  
Takashi Hirai ◽  
Hiroyuki Inose ◽  
...  
Keyword(s):  
Risk Factors ◽  
Computed Tomography ◽  
Pedicle Screw ◽  
Odds Ratio ◽  
Pedicle Screws ◽  
Cone Beam ◽  
Clinical Factors ◽  
Factors Associated ◽  
Pull Out ◽  
History Of

Abstract Background No studies to date have elucidated the clinical factors associated with pedicle screw pull-out during or immediately after surgery. The aim of this study was to assess the frequency of pedicle screw pull-out by comparing intraoperative scans obtained using cone-beam computed tomography (CBCT) with postoperative scans obtained using computed tomography (CT). We also sought to determine the incidence of pedicle screw pull-out and identify relevant risk factors.Methods This was a retrospective analysis of prospectively collected data for 742 pedicle screws placed in 76 consecutive patients who underwent at least triple-level posterior fixation for thoracic or lumbar spinal injury, spinal metastasis, or pyogenic spondylitis between April 2014 and July 2020. Pedicle screw pull-out distance in the axial and sagittal planes was compared between CT scans obtained 2 days postoperatively and CBCT images acquired intraoperatively. Risk factors associated with pedicle screw pull-out were investigated by multivariate logistic regression analysis.Results Pedicle screw pull-out was seen with 58 pedicle screws (7.8%) in 26 patients (34.2%). There were significant differences in age, number of fused segments, frequency of diffuse idiopathic skeletal hyperostosis (DISH), and medical history of osteoporosis for pedicle screw pull-out. Risk factors for pedicle screw pull-out were older age (odds ratio 1.07, 95% confidence interval 1.02–1.130) and a diagnosis of DISH (odds ratio 3.35, 95% confidence interval, 1.12–10.00). Several cases suggest that use of connecting rods was an important factor in intraoperative pedicle screw pull-out.Conclusions Our findings suggest that age, number of fused segments, the presence of DISH, and medical history of osteoporosis are risk factors for pedicle screw pull-out, with the greatest being older age and DISH.

scholarly journals Določanje velikosti in vstavitvene trajektorije pedikularnih vijakov v računalniškotomografskih (CT) slikah deformacij prsne hrbtenice: primerjava ročnega in računalniško podprtega predoperacijskega načrtovanja

2017 ◽  
Vol 85 (11-12) ◽  
Author(s):  
Dejan Knez ◽  
Janez Mohar ◽  
Robert Janez Cirman ◽  
Boštjan Likar ◽  
Franjo Pernuš ◽  
...  
Keyword(s):  
Pedicle Screw ◽  
Preoperative Planning ◽  
Sagittal Plane ◽  
Pedicle Screws ◽  
Ct Images ◽  
Screw Placement ◽  
Computer Assisted ◽  
Pedicle Screw Placement ◽  
Pull Out ◽  
Significant Difference

Background: Vertebral fixation by pedicle screw placement is the most frequently applied fixation technique in spinal surgery. In this retrospective study we present a comparison of manual and computer-assisted preoperative planning of pedicle screw placement in three-dimensional (3D) computed tomography (CT) images of deformities in the thoracic spine.Methods: Manual planning of the pedicle screw size and trajectory was performed by two orthopedic surgeons using a dedicated software for preoperative planning of surgical procedures, while computer-assisted planning was performed by automated image processing and analysis techniques through the optimization of screw fastening strength. The size (diameter and length) and trajectory (pedicle crossing point, inclination in the sagittal plane, inclination in the axial plane) were obtained for 316 pedicle screws from 3D CT images of 17 patients with thoracic spinal deformities.Results: the analysis of pedicle screw parameters, obtained by two manual and one computer-assisted planning, indicated a statistically significant difference in the screw size (p < 0.05) and trajectory (p < 0.001). Computer-assisted planning proposed wider (p < 0.05) and longer (p < 0.001) screws with a higher (p < 0.001) normalized fastening strength.Conclusions: The comparison revealed consistency between manual and computer-assisted planning of the pedicle screw size and trajectory, except for the screw inclination in the sagittal plane, as manual planning followed more the straight-forward while computer-assisted planning followed more the anatomical insertion technique. While being faster, more repeatable and more reliable than manual planning, computer-assisted planning was also linked with a higher screw fastening strength and consequently a higher screw pull-out strength.

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