Universität zu Köln

Oikonomidis, Stavros, Grevenstein, David, Yagdiran, Ayla, Scheyerer, Max Joseph, Eh, Madita, Wegmann, Kilian, Eysel, Peer and Sircar, Krishnan (2020). Probe versus drill: A biomechanical evaluation of two different pedicle preparation techniques for pedicle screw fixation in human cadaveric osteoporotic spine. Clin. Biomech., 75. OXFORD: ELSEVIER SCI LTD. ISSN 1879-1271

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Abstract

Background: Aim of this biomechanical study was to investigate the anchorage of pedicle screws in osteoporotic vertebrae using two different preparation techniques (probe versus drill-assisted). Methods: Twelve thoracic vertebrae were used for the study. The right and left pedicles of the vertebra were prepared with a thoracic probe or a 3.2 mm drill bit and divided into two groups. A standard titanium (diameter: 5.5 mm, length: 45 mm) pedicle screw was then inserted. All pedicle screws were initially loaded with - 25 N to + 25 N in the cranio-caudal direction. The load was increased by 5 N every 500 cycles up to a maximum load of 10,000 cycles. Loosening was defined as a displacement of the pedicle screw head of > 5 mm. The two groups were compared in terms of maximum number of cycles and maximum force until loosening. Findings: The pedicle screws prepared with the thoracic probe failed on average after 3819 cycles (SD 3281) and the pedicle screws prepared with the 3.2 mm drill after 3335 cycles (SD 3477). There was no significant difference between the two preparation techniques (P = .797). With regard to the maximum force until loosening, there was also no significant difference between the two techniques (thoracic probe: 61 N (SD 33), 3.2 mm drill bit 56 N (SD 34), P = .791). Interpretation: Preparation of the pedicle screw hole either with a probe or drill bit doesn't seem to have an influence on pedicle screw loosening rates in the osteoporotic spine.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Oikonomidis, Stavros UNSPECIFIED UNSPECIFIED UNSPECIFIED Grevenstein, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Yagdiran, Ayla UNSPECIFIED UNSPECIFIED UNSPECIFIED Scheyerer, Max Joseph UNSPECIFIED UNSPECIFIED UNSPECIFIED Eh, Madita UNSPECIFIED UNSPECIFIED UNSPECIFIED Wegmann, Kilian UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, Peer UNSPECIFIED UNSPECIFIED UNSPECIFIED Sircar, Krishnan UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-335404
DOI:	10.1016/j.clinbiomech.2020.104997
Journal or Publication Title:	Clin. Biomech.
Volume:	75
Date:	2020
Publisher:	ELSEVIER SCI LTD
Place of Publication:	OXFORD
ISSN:	1879-1271
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BONE-MINERAL DENSITY; PULLOUT STRENGTH; HOLE PREPARATION; AUGMENTATION; INSTRUMENTATION; FAILURE; TORQUE Multiple languages Engineering, Biomedical; Orthopedics; Sport Sciences Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33540