Corrigendum to “Biomechanical analysis of different types of pedicle screw augmentation: a cadaveric and synthetic bone sample study of instrumented vertebral specimens” [Med. Eng. Phys. 35/10 (2013) 1506–1522]

2015 ◽  
Vol 37 (7) ◽  
pp. 717
Author(s):  
Kuo-Hua Chao ◽  
Yu-Shu Lai ◽  
Wen-Chuan Chen ◽  
Chia-Ming Chang ◽  
Colin J. McClean ◽  
...  
2013 ◽  
Vol 35 (10) ◽  
pp. 1506-1512 ◽  
Author(s):  
Kuo-Hua Chao ◽  
Yu-Shu Lai ◽  
Wen-Chuan Chen ◽  
Chia-Ming Chang ◽  
Colin J. McClean ◽  
...  

2019 ◽  
Vol 19 (02) ◽  
pp. 1940024
Author(s):  
PO-YI LIU ◽  
SHENG-CHIH LIN ◽  
PO-LIANG LAI ◽  
CHUN-LI LIN

Pedicle screw loosening at the bone–screw interface is the main complication in pedicle screw fixation. The transpedicular polymethylmethacrylate screw augmentation technique has recently become the general technique used to re-operatively overcome pedicle screw loosening. This study investigates the fatigue resistance of PMMA bone cement augmentation. Twenty-seven porcine thoracic vertebral bodies were collected. The BMD was measured using dual X-ray absorptiometry. Each vertebral body was instrumented with one pedicle screw and mounted in a material testing system. Fatigue testing was performed by implementing a cranio-caudal sinusoidal, cyclic (5[Formula: see text]Hz) load. This study shows that transpedicular pedicle screw augmentation with PMMA exhibits similar fatigue resistance as traditional pedicle screw implantation. However, in histomophometrical analysis, the transpedicular pedicle screw augmentation with PMMA has greater anti-deformation capacity than traditional pedicle screw implantation. Transpedicular pedicle screw augmentation with PMMA improves more screw holding power to prevent pedicle screw loosening.


Author(s):  
Kate D. Liddle ◽  
Michael A. Tufaga ◽  
Glenn Diekmann ◽  
Jenni M. Buckley ◽  
Viva Tai ◽  
...  

Failure of the pedicle screw at the screw-bone interface is a common clinical problem, particularly in the setting of osteoporosis, and poses reconstructive challenges for all orthopaedic surgeons. Pedicle screw failure through screw loosing and pull-out is highly correlated with bone mineral density (BMD) and local bone quality [1]. Pre-operative assessment of BMD via dual x-ray absorptiometry (DEXA) has been shown to help determine the need for screw augmentation. However, patients frequently present without pre-operative DEXA scans. Furthermore, DEXA scans provide a measure of general bone quality, but do not necessarily reflect segmental and local variation in the spine [2]. The ability to assess BMD on a per-vertebrae basis intra-operatively would assist with surgical decisions regarding screw sizing, placement and augmentation.


Author(s):  
Ana M. Amaro ◽  
Maria F. Paulino ◽  
Maria A. Neto ◽  
Luis Roseiro

During recent years the number of tennis athletes has increased significantly. When playing tennis, the human body is exposed to many situations which can lead to human injuries, such as the so-called tennis elbow (lateral epicondylitis). In this work a biomechanical analysis of tennis athletes, particularly during the service, was performed, considering three different types of over-grip and the presence of one anti-vibrator device. One part of the study evaluates the exposure to hand-arm vibration of the athlete, based on the European Directive 2002/44/EC concerning the minimum health and safety requirements, regarding the exposure of workers to risks from physical agents. The second part of the study considers an infrared thermography analysis in order to identify signs of risk of injury, particularly tennis elbow, one of the most common injuries in this sport. The results show that the presence of the anti-vibrator influences the vibration values greatly in the case of athletes with more experience and also for athletes with less performance. The presence of the Cork and/or Tourna on the racket grip does not have any significant effect on the hand-arm vibration (HAV), similarly in the case of athletes with the best performance and athletes with less technique. The results indicated that the infrared thermography technique may be used to identify the risk of injuries in tennis players.


Orthopedics ◽  
2016 ◽  
Vol 39 (3) ◽  
pp. e514-e518 ◽  
Author(s):  
Matthew McDonnell ◽  
Kalpit N. Shah ◽  
David J. Paller ◽  
Nikhil A. Thakur ◽  
Sarath Koruprolu ◽  
...  

Biomedicines ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1392
Author(s):  
Harald Krenzlin ◽  
Andrea Foelger ◽  
Volker Mailänder ◽  
Christopher Blase ◽  
Marc Brockmann ◽  
...  

Osteoporotic vertebral fractures often necessitate fusion surgery, with high rates of implant failure. We present a novel bioactive composite of calcium phosphate cement (CPC) and the collagen I mimetic P-15 for pedicle screw augmentation in osteoporotic bone. Methods involved expression analysis of osteogenesis-related genes during osteoblastic differentiation by RT-PCR and immunostaining of osteopontin and Ca2+ deposits. Untreated and decalcified sheep vertebrae were utilized for linear pullout testing of pedicle screws. Bone mineral density (BMD) was measured using dual-energy X-ray absorptiometry (DEXA). Expression of ALPI II (p < 0.0001), osteopontin (p < 0.0001), RUNX2 (p < 0.0001), and osteocalcin (p < 0.0001) was upregulated after co-culture of MSC with CPC-P-15. BMD was decreased by 28.75% ± 2.6%. Pullout loads in untreated vertebrae were 1405 ± 6 N (p < 0.001) without augmentation, 2010 ± 168 N (p < 0.0001) after augmentation with CPC-P-15, and 2112 ± 98 N (p < 0.0001) with PMMA. In decalcified vertebrae, pullout loads were 828 ± 66 N (p < 0.0001) without augmentation, 1324 ± 712 N (p = 0.04) with PMMA, and 1252 ± 131 N (p < 0.0078) with CPC-P-15. CPC-P-15 induces osteoblastic differentiation of human MES and improves pullout resistance of pedicle screws in osteoporotic and non-osteoporotic bone.


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