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
Keywords
Related Articles
- EP ID EP676949
- DOI -
- Views 129
- Downloads 0
GLUTEAL ATONY AS A DIAGNOSTIC SIGN OF A PROTRUDED LOWER LUMBAR INTERVERTEBRAL DISC
The protruded and nerve encroaching lower lumbar intervertebral disc is the most common cause of lumbar pain and work disability, an it is important to obtain an as accurate a diagnosis as soon as possible, so as to trea...
THE RESULTS OF POSTERIOR İNSTRUMENTATİON AND PLIF İN PATIENTS WITH SPINAL STENOSİS
İn this study the results of posterior decompression, PLIF and posSerior instrumentation in 10 spinal stenosis patients whom were operated at the 1st Department of Orthopaedics and Traumatology of Ankara Social Security...
VERTEBRAL COMPRESSION FRACTURES IN A CHILD: AN UNCOMMON PRESENTATION OF CHILDHOOD ACUTE LEUKEMIA
We report a case in whom back pain associated with vertebral compressions and collapse were presenting features of childhood acute lymphoblastic leukemia (ALL); radiological remodeling with return of function occurred wi...
THE EFFECT OF THE USAGE OF CELLSAVER AND TRANEXAMIC ACID ON THE AMOUNT OF INTRAOPERATIVE ALLOGENIC BLOOD TRANSFUSION WHILE MANAGING BLOOD LOSS IN ADOLESCENT IDIOPATHIC SCOLIOSIS SURGERY
Background Data: Reconstructive adolescent idiopathic scoliosis surgery performed by applying pedicle screw system with posterior approach is a major surgical procedure. Allogenic blood transfusion is one of the oldes...
ANALYSIS OF MRI MORPHOMETRIC PARAMETERS OF THE PEDIATRIC CERVICAL SPINE AND SPINAL CORD
Background Data: There have been no standardized morphometric measurements of the pediatric cervical spine. This study provides the first radiological quantitative analysis of the cervical spine and spinal cord in a s...