BIOMECHANICS OF THORACOLUMBAR SPINAL FIXATION - A REVIEW

被引:108
作者
KRAG, MH
机构
[1] Department of Orthopaedics and Rehabilitation, McClure Musculoskeletal Research Center, University of Vermont, Burlington, VT
关键词
SPINAL SURGERY; INTERNAL FIXATION; SITE OF ATTACHMENT; BIOMECHANICS;
D O I
10.1097/00007632-199103001-00014
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Extensive development of spinal instrumentation has occurred recently, benefitted by improved biomechanical knowledge. Reviewed here are various devices and the major biomechanical issues relevant to them. The devices are categorized by site of attachment. The major emphasis is on the most recently developed category: devices attached by transpedicular screws. Aspects of this last category reviewed here include screw design, screw placement, longitudinal linking devices (rods, plates), and transverse connectors (cross-linking). Emphasis is placed not only on current knowledge, but also on unresolved issues.
引用
收藏
页码:S84 / S99
页数:16
相关论文
共 134 条
  • [1] Abumi K., Panjabi M.M., Duraneeau J., Biomechanical evaluation of spinal fixation devices: Part III. Stability provided by six spinal fixation devices and interbody bone graft, Spine, 14, pp. 1249-1255, (1989)
  • [2] Aebi M., Etter C., Kehl T., Thalgott J., The internal skeletal fixation system: A new treatment of thoracolumbar fractures and other spinal disorders, Clin Orthop, 227, pp. 30-43, (1988)
  • [3] Aebi M., Etter C., Kehl T., Thalgolt J., Stabilization of the lower thoracic and lumbar spine with the internal spinal skeletal fixation system: Indications, techniques, and first results of treatment, Spine, 12, pp. 544-551, (1987)
  • [4] Akbarnia B.A., Merenda J.T., Keppler L., Gaines R.W., Lorenz M., Surgical Treatment of Fractures and Fracture Dislocations of Thoracolumbar and Lumbar Spine Using Pedicular Screw and Plate Fixation, (1987)
  • [5] Ansell R.H., Scales J.T., A study of some factors which affect the strength of screws and their holding power in bone, J Biomech, 1, pp. 279-302, (1968)
  • [6] Armstrong G., Harrington Instrumentation for Spinal Fractures, (1976)
  • [7] Asazuma T., Stokes I., Moreland M.S., Suzuki N., An Intersegmental Spinal Flexibility with Lumbosacral Instrumentation: In Vitro Biomechanical Investigation, (1989)
  • [8] Asher M., Carson W., Heinig C., A modular spinal rod linkage system to provide rotational stability, Spine, 13, pp. 272-277, (1988)
  • [9] Asher M.A., Strippgen W.E., Anthropometric studies of the human sacrum relating to dorsal transsacral implant designs, Clin Orthop, 203, pp. 58-62, (1986)
  • [10] Ashman R.B., Galpin R.D., Corin J.D., Johnston I., Biomechanical analysis of pedicle screw instrumentation systems in a corpectomy model, Spine, 14, pp. 1398-1405, (1989)