COMPARISON OF TITANIUM SCREW WITH POLYESTER BAND WITH CLAMP (LOTUS) AND RIGID TITANIUM TRANSVERSE BINDER SYSTEM USING THE FINITE ELEMENT ANALYSIS
Journal Title: Journal of Turkish Spinal Surgery - Year 2017, Vol 28, Issue 2
Abstract
Objective: There are many studies in the literature for posterior spinal instrumentations. In this study, we compared a titanium screw with a polyester band with a clamp (LOTUS) and a rigid titanium transverse binder system, which are used in the lower lumbar region and to examine the strength and superiority of the systems against each other with the finite element (FE) analysis. Material and Methods: A Ti6Al4V grade 5 titanium biocompatible alloy support for a pediclebased posterior stabilization system and a polyethylene band support for a pedicle-based posterior stabilization system were compared as testing material. Results: Range of motion was decreased by 95.8 % when a pedicle-based stabilization system was used at L4–L5. Range of motion was decreased further, about 1%, when the polymer band was used in conjunction with a posterior stabilization system in axial rotation. Conclusion: Similar results were observed when a titanium transverse connector was used. In light of the results of all finite element analyses, neither the titanium screws with a polyester band with a clamp (LOTUS) nor the rigid titanium transverse binder system has a significant superiority over the other. Equivalent results in the limitation of movement and rigidity allow the use of these systems in short-segment posterior spinal instrumentation with the same indications.
Authors and Affiliations
Birol ÖZKAL, Can YALDIZ, Mete KARATAY, Haydar ÇELİK, Deniz KARABULUT, Iman ZAFARPARANDAH, Onur YAMAN, İhsan SOLAROĞLU, Fahir ÖZER
CT EVALUATION OF VERTEBRAL ROTATION IN SCOLIOSIS
In 34 patients with scoliosis; using CT, a new method was proposed to evaluate the change in rotation precisely. The angle of rotation of the apical vertebra was measured by taking the neutral vertebra as a reference poi...
ASSESMENT OF CORRELATION BETWEEN GLOBAL SAGITTAL AXIS AND CLINICAL SCORES IN SPINAL DEFORMITY PATIENTS
Objectives: Sagittal deformity requires higher energy to maintain an erect posture. Clinically, to be able to assess the severity of sagittal deformity and efficacy of compensatory mechanisms, new parameters are requi...
CORRECTIVE OSTEOTOMIES IN SPINE DEFORMITIES
Severe deformities of spine are problematic because of the difficulty of surgical treatment. These deformities can cause functional disability as a result of impairment of postur and normal gait. Also, they can be relate...
PROF. HENRY WILLIAM MEYERDING, M.D.
Henry William Meyerding one of the most referred orthopaedic surgeon in the history of spine surgery. His best known for his spondilolisthesis classification system.
OPERATIVE TREATMENT OF SEVERE SCOLIOSIS WITH MODIFIED ARC ROTATION MANEUVER
Objectives: Description of correction of severe scoliosis with modified Cantilever bending technique without anterior discectomy or osteotomy. Summary of Background Data: Ponte, PSO and VCR type posterior osteotom...