Biomechanical Stability Analysis of a Stand-alone Cage, Static and Rotational-dynamic Plate in a Two-level Cervical Fusion Construct.
Τίτλος | Biomechanical Stability Analysis of a Stand-alone Cage, Static and Rotational-dynamic Plate in a Two-level Cervical Fusion Construct. |
Publication Type | Journal Article |
Year of Publication | 2017 |
Authors | Tsitsopoulos, P. P., Voronov L. I., Zindrick M. R., Carandang G., Havey R. M., Ghanayem A. J., & Patwardhan A. G. |
Journal | Orthop Surg |
Volume | 9 |
Issue | 3 |
Pagination | 290-295 |
Date Published | 2017 Aug |
ISSN | 1757-7861 |
Λέξεις κλειδιά | Adult, Biomechanical Phenomena, Bone Plates, Cadaver, Cervical Vertebrae, Diskectomy, Female, Humans, Internal Fixators, Male, Middle Aged, Range of Motion, Articular, Rotation, Spinal Fusion |
Abstract | OBJECTIVE: To test the following hypotheses: (i) anterior cervical discetomy and fusion (ACDF) using stand-alone interbody spacers will significantly reduce the range of motion from intact spine; and (ii) the use of a static or a rotational-dynamic plate will significantly augment the stability of stand-alone interbody spacers, with similar beneficial effect when compared to each other.METHODS: Eleven human cadaveric subaxial cervical spines (age: 48.2 ± 5.4 years) were tested under the following sequence: (i) intact spine; (ii) ACDF at C -C using a stand-alone interbody spacer; (iii) ACDF at C -C and insertion of an interbody spacer (two-level construct); and (iv) randomized placement of either a two-level locking static plate or a rotational-dynamic plate.RESULTS: Insertion of stand-alone cage at C -C and C -C caused a significant decrease in the range of motion compared to intact spine (P < 0.05). Placement of both the locking and the rotational dynamic plate further reduced the range of motion at C -C and C -C compared to stand-alone cage (P < 0.01). No significant differences in range of motion restriction at either C -C or C -C were found when the two plating systems were compared (P > 0.05).CONCLUSIONS: Cervical stand-alone interbody spacers caused significant restriction in the range of motion. Both plates significantly augmented the stability of stand-alone interbody spacers, with similar stabilizing effect. |
DOI | 10.1111/os.12339 |
Alternate Journal | Orthop Surg |
PubMed ID | 28960818 |