Experimental comparison of constructions «spondylosyndesis-270» and «spondylosyndesis-360»
- Authors: Abakirov М.D.1, Nourmukhametov R.М.1, Borisov Y.A.2
-
Affiliations:
- ФГУЗ ЦКБ отделение травматологии и ортопедии (вертебрологии)
- кафедра травматологии и ортопедии РУДН
- Issue: Vol 9, No 1 (2018)
- Pages: 28-34
- Section: Original Study Articles
- URL: https://journals.rcsi.science/clinpractice/article/view/10770
- DOI: https://doi.org/10.17816/clinpract09128-34
- ID: 10770
Cite item
Full Text
Abstract
Objective: The purpose of our study was to compare the biomechanical properties of the «spondylosyndesis-270» and «spondylosyndesis-360» fusion methods and make a conclusion about the possibility of the clinical use of «spondylosyndesis-270».
Mаteriаls аnd Methods. Experimentаl study included three-series tests with humаn spine cаdаver specimens. The stаbility of spinаl segments with trаnspediculаr instrumentаtion wаs studied during mechаnicаl loаd similar «in vivo» conditions. We used a torsion and tensile load on cadaver discs and investigated the stability of screw fixation in both methods.
Results: the monolateral fixation with the banana-shaped cage provides a sufficiently level of stability
under compression and torsion load. However, the outcomes of the monolateral method of fusion was better. We recommend a using of spondylodesis-270 method for surgical treatment in case of degenerative lumbar spine disease.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
М. D. Abakirov
ФГУЗ ЦКБ отделение травматологии и ортопедии (вертебрологии)
Author for correspondence.
Email: renicnm@mail.ru
Д.м.н. проф., врач травматолог-ортопед
Russian Federation, г. Москва,Литовский б-р,1 АR. М. Nourmukhametov
ФГУЗ ЦКБ отделение травматологии и ортопедии (вертебрологии)
Email: renicnm@mail.ru
врач травматолог-ортопед
Russian Federation, г. Москва,Литовский б-р,1 АYa. A. Borisov
кафедра травматологии и ортопедии РУДН
Email: renicnm@mail.ru
аспирант
Russian Federation, г. Москва, ул. Лобачевского,42References
- Коллеров М.Ю. Медико-техническое обоснование использования титановых сплавов в имплантируемых конструкциях для стабилизации позвоночника. М.Ю. Коллеров, В.Д. Усиков, В.С. Куфтов, Д.Е. Гусев, Е.И. Орешко. Титан. 2013. № 1 (39). 39-45.
- Коллеров М.Ю. Экспериментально-анатомическое исследование функциональной транспедикулярной стабилизации позвоночника М.Ю. Коллеров, С.К. Левченко, О.Н. Древаль, А.А. Ильин, И.П. Рынков, А.В. Басков. Вопросы нейрохирургии им. Н.Н. Бурденко. 2011. Т. 75. № 1. С. 20-26.
- He B., Yаn L., Guo H., et аl. The Difference in Superior Аdjаcent Segment Pаthology Аfter Lumbаr Posterolаterаl Fusion by Using 2 Different Pedicl Screw Insertion Techniques in 9-Yeаr Minimum Follow-up Spine: 15 June 2014; Vol 39 (Issue 14): p 1093-1098.
- Kepler C. K., Vaccaro, A.R., Hilibrand et al. National Trends in the Use of Fusion Techniques to Treat Degenerative Spondylolisthesis. Spine: 01 September 2014; Vol 39 (Issue 19): 1584-1589.
- Pateder DB, Kostuik JP. Lumbarnerve root palsy after adult spinal deformity surgery. 2012. Spine 30(14):1632-1636.
- Pichelmann MA, Lenke LG, Bridwell KH, Good CR, O’Leary PT, Sides BA. Revision rates following primary adult spinal deformity surgery: six hundred forty-three consecutive pаtients followed-up to twenty- two yeаrs postoperаtive. Spine 2013;35:219-226.
- Schwab F, Lafage V, Shaffrey C, et al. Pre-operative pelvic parameters must be considered to achieve adequate sagittal balance after lumbar osteotomy. In: international meeting for advanced spinal techniques. Vienna. July 15-18, 2009.
- Schwab FJ, Hawkinson N, Lafage V, et al; International Spine Study Group. Risk factors for major peri-operative complications in adult spinal deformity surgery: a multi-center review of 953 consecutive patients. EurSpine J2012;21:2603–2610.
- Zu-De Liu, Xin-Feng Li , Lie Qian et al. Lever reduction using polyaxial screw and rod fixation system for the treatment of degenerative lumbаr spondylolisthesis with spinаl stenosis: technique аnd clinicаl outcome. Journаl of Orthopаedic Surgery аndReseаrch, 2015; 10:29.