Abstract:
:Segmental spinal instrumentation with sublaminar fixation is widely used but a variety of materials and techniques are being employed for both scoliosis and other spinal surgery. This study addresses the question as to which is best. Both the materials and the methods of securing them were studied. The materials tested were stainless steel 316L, Ortron 90 high nitrogen steel, titanium alloys, nylon straps, and Mersilene tapes. Doubled cold-worked 00.84-mm diameter stainless steel formed in a knot with a twist proved to be the strongest and most secure means of fixation with a yield value of 1,610 N. Attention to the details of technique and material such as the incorporation of a secondary twist and avoidance of hot-worked stainless steel may reduce the incidence of implant failure.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Crawford RJ,Sell PJ,Ali MS,Dove Jsubject
Has Abstractpub_date
1989-06-01 00:00:00pages
632-5issue
6eissn
0362-2436issn
1528-1159journal_volume
14pub_type
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