Pullout resistance of conventional pedicle screw implantation in comparison to fluoroscopic computer-assisted technique

Linhardt, O. and Perlick, L. and Renkawitz, T. and Matussek, J. and Plitz, W. and Grifka, J. (2006) Pullout resistance of conventional pedicle screw implantation in comparison to fluoroscopic computer-assisted technique. ZENTRALBLATT FUR CHIRURGIE, 131 (5). pp. 407-410. ISSN 0044-409X,

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Abstract

Aim: Aim of the study was to compare pullout resistance of pedicle screws after conventional and fluoroscopic computer-assisted implantation in the cadaveric thoracic and lumbar spine. Methods: Pedicle screws were inserted in a total of 10 vertebrae of different human specimens: 10 screws were placed using conventional technique (group 1) and 10 screws were inserted with fluoroscopic computer-assisted system contralaterally (group 2). Then pedicle screws were evaluated for biomechanical axial pullout resistance. Results: Mean pullout force was 232 N (range 60-600 N) in group 1 and 353 N (range 112-625 N) in group 2. The difference was significant (p = 0,0425). Conclusion: Fluoroscopic navigated implantation of pedicle screws increases the pullout strength in thoracic and lumbar cadaveric spines as compared with conventional methods.

Item Type: Article
Uncontrolled Keywords: PLACEMENT; FIXATION; ACCURACY; SPINE; NAVIGATION; INSERTION; LUMBAR; pedicle screw; computer-assisted surgery; fluoroscopy; mechanical stability
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 27 Jan 2021 09:57
Last Modified: 27 Jan 2021 09:57
URI: https://pred.uni-regensburg.de/id/eprint/34004

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