Biomechanical Analysis of a Novel Pedicle Screw Anchor Designed for the Osteoporotic Population

Timothy A. Gates, Mark Moldavsky, Kanaan Salloum, Gary L. Dunbar, Jon Park, Brandon Bucklen

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Objective: The biomechanical study was performed to investigate the effect of a novel pedicle screw anchor in increasing the pullout strength of pedicle screws. Methods: Ten lumbar vertebral bodies with a weighted average T-score of -2.13 were used. Pedicle screws of 4.5 mm diameter and 25 mm length were inserted in to one pedicle randomly and matched with an anchor in the corresponding pedicle. Fatigue testing was performed by applying an axial load of ±200N to the screw tulip, along the axis of the rod, at a rate of 0.5 Hz for 1,000 cycles. After fatigue loading was completed, all screws underwent axial pullout testing at a rate of 0.1 mm/sec until failure. A paired two sample for means t-test was performed to determine a significant difference between the two groups (p ≤ 0.05). Results: Following fatigue testing, the axial displacement at the 1,000 cycle point for the anchor and non-anchor group was 1.4 ± 0.7mm and 2.9 ± 1.2mm, respectively. The anchor group had significantly lower axial displacement compared to the non-anchor group (p ≤ 0.01). The group with the anchor reached an average maximum load of 702 ± 373N. The average yield load for the non-anchor group was 421 ± 293N. The anchor group yield load was significantly greater than the non-anchor group (p ≤ 0.01). Conclusions: A novel anchor for standard pedicle screws resulted in significantly less axial movement during fatigue and a greater failure force compared a screw with no anchor. The anchor may provide a stronger bone-to-screw interface, than a non-anchor screw, without the complications of cement augmentation.

Original languageEnglish
Pages (from-to)965-969
Number of pages5
JournalWorld Neurosurgery
Volume83
Issue number6
DOIs
StatePublished - Jun 1 2015

Keywords

  • Anchor
  • Osteoporosis
  • Pedicle screw pullout

Fingerprint

Dive into the research topics of 'Biomechanical Analysis of a Novel Pedicle Screw Anchor Designed for the Osteoporotic Population'. Together they form a unique fingerprint.

Cite this