Document Detail


Load sharing and kinematics of threaded cages for lumbar interbody fusion.
MedLine Citation:
PMID:  12616056     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The load-sharing characteristics of threaded interbody cages before and after cyclic loading are poorly understood. In the current study, lumbar interbody cages were filled with epoxy, sectioned longitudinally, and pressure sensors were placed between halves of the cages to measure the distribution of loads between and within the cages. Human lumbar spine segments were instrumented anteriorly with bilateral cages and subjected to cyclic compression loads combined with flexion and extension moments. Sagittal plane motion between vertebrae on either side of the cages also was measured during application of cyclic compression and flexion loads. A small but statistically significant asymmetry was found in the distribution of load between the left and right cages, and the extent of asymmetry varied during compression and flexion loading. With ligament tension only, 66% of the load was supported by the posterior regions of the cages, whereas during peaks in the combined compression and flexion loading, only 33% of the load was supported by the posterior regions. The cages reduced intervertebral motion 78% during forward flexion, whereas extension resulted in a 100% increase in motion. Surgeons should recognize that bilateral cages may not share loads equally, and the results of this study suggest that early extension should be restricted after the placement of anterior lumbar interbody cages.
Authors:
Stephane Lavoie; Ronald W Lindsey; Zbigniew Gugala; Bryan Kirking; John A Hipp
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-03-04     Completed Date:  2003-04-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  174-9     Citation Subset:  AIM; IM    
Affiliation:
The Joseph Barnhart Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Biomechanics
Humans
Middle Aged
Prostheses and Implants*
Spinal Fusion / instrumentation*
Spine / physiology*
Stress, Mechanical
Tensile Strength

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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