Biomechanical comparison of pedicle screw augmented with different volumes of polymethylmethacrylate in osteoporotic and severely osteoporotic cadaveric lumbar vertebrae: an experimental study

2016 ◽  
Vol 16 (9) ◽  
pp. 1124-1132 ◽  
Author(s):  
Da Liu ◽  
Bo Zhang ◽  
Qing-yun Xie ◽  
Xia Kang ◽  
Jiang-jun Zhou ◽  
...  
2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Da Liu ◽  
Xiao-jun Zhang ◽  
Dong-fa Liao ◽  
Jiang-jun Zhou ◽  
Zhi-qiang Li ◽  
...  

This study was designed to compare screw stabilities augmented with different volumes of PMMA and analyze relationship between screw stability and volume of PMMA and optimum volume of PMMA in different bone condition. Osteoporotic and severely osteoporotic synthetic bone blocks were divided into groups A0-A5 and B0-B5, respectively. Different volumes of PMMA were injected in groups A0 to A5 and B0 to B5. Axial pullout tests were performed andFmaxwas measured.Fmaxin groups A1-A5 were all significantly higher than group A0. Except between groups A1 and A2, A3 and A4, and A4 and A5, there were significant differences onFmaxbetween any other two groups.Fmaxin groups B1-B5 were all significantly higher than group B0. Except between groups B1 and B2, B2 and B3, and B4 and B5, there were significant differences onFmaxbetween any other two groups. There was significantly positive correlation betweenFmaxand volume of PMMA in osteoporotic and severely osteoporotic blocks. PMMA can significantly enhance pedicle screw stability in osteoporosis and severe osteoporosis. There were positive correlations between screw stability and volume of PMMA. In this study, injection of 3 mL and 4 mL PMMA was preferred in osteoporotic and severely osteoporotic blocks, respectively.


2010 ◽  
Vol 23 (6) ◽  
pp. 404-409 ◽  
Author(s):  
Bin-Sheng Yu ◽  
Xin-Ming Zhuang ◽  
Zhao-Min Zheng ◽  
Jia-Fang Zhang ◽  
Ze-Min Li ◽  
...  

Spine ◽  
2015 ◽  
Vol 40 (24) ◽  
pp. 1890-1897 ◽  
Author(s):  
Michael Mayer ◽  
Daniel Stephan ◽  
Herbert Resch ◽  
Peter Augat ◽  
Alexander Auffarth ◽  
...  

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