Sacral screw loads in lumbosacral fixation for spinal deformity.

Abstract:

:Fixation to the sacrum and pelvis is a problem in the operative treatment of spinal deformity. Previous testing of pedicle screws address axial pull-out strength, yet how screws are loaded in vivo remains unknown. The goals of this study were to determine the loads experienced by sacral screws when loaded as part of Cotrel-Dubousset (CD) sacral instrumentation and whether different anterior grafting methods would effect screw loads. Sacral screws were modified to become transducers capable of measuring axial and bending loads. The screw transducers were incorporated into the sacral fixation of CD instrumentation in seven calf spines. Specimens were loaded to simulate flexion. The sacral screws carried axial loads (1.1 N/[Nm of load]) and bending moments (1.1 Nm/[Nm of load]). The results suggest bending of the sacral screws may be important in their failure, and screw loading was not dependent on graft types used.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Pashman RS,Hu SS,Schendel MJ,Bradford DS

doi

10.1097/00007632-199312000-00016

subject

Has Abstract

pub_date

1993-12-01 00:00:00

pages

2465-70

issue

16

eissn

0362-2436

issn

1528-1159

journal_volume

18

pub_type

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