Document Detail


Thermomechanical effects of spine surgery rods composed of different metals and alloys.
MedLine Citation:
PMID:  20739915     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
STUDY DESIGN.: A basic science study monitoring changes in the curvature of hand contoured commercially pure titanium (CPTi), titanium-aluminum-vanadium alloy (Ti-6Al-4V), and stainless steel (SS) rods maintained at different temperature conditions. OBJECTIVE.: To quantify changes in rod-shape at temperatures representative of those used in clinical practice. SUMMARY OF BACKGROUND DATA.: The shape of implanted rods can be displaced due to thermo-mechanical properties of the materials. Warmer temperatures likely initiate this effect. A study of shape loss characteristics of various rod implants may help eliminate undesirable outcomes caused by shape displacement. METHODS.: Three different types of rods (CPTi, SS, and Ti-6Al-4V) were hand contoured and then maintained in one of following temperature conditions for 35 days: (1) room temperature (20°C-25°C) without autoclaving before contouring; (2) preliminary autoclaving (1, 5, 10, 20 cycles) at 135.0°C ± 2°C before contouring followed by body temperature (37.2°C ± 2°C). Each rod was 5 mm in diameter and 200 mm long. The rods were mounted over graph paper in fixed positions and photographed to measure displacement of the tip as a function of the curvature. RESULTS.: Statistically significant shape loss of the rods manufactured from all the tested materials was found. The hand contoured CPTi rods displayed considerably higher loss of curvature over time than Ti-6Al-4V and SS rods at all tested temperature conditions. Preliminary autoclaving at 135°C before contouring tended to amplify this effect, in particular 1 cycle of autoclaving. If the number of preliminary autoclaving cycles was higher (5-10), a tendency of decrease of shape loss effect was observed in Ti-6Al-4V and CPTi rods. CONCLUSION.: The shape of the hand contoured CPTi rods was the least stable of the rods across all applied temperature conditions. The SS and Ti-6Al-4V rods were more stable than CPTi rods. Autoclaving before handcontouring tended to increase rods' shape loss.
Authors:
Andriy Noshchenko; Vikas V Patel; Todd Baldini; Lu Yun; Emily M Lindley; Evalina L Burger
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Spine     Volume:  36     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  870-8     Citation Subset:  IM    
Affiliation:
*The Spine Center at the University of Colorado, Denver, CO †Bioengineering Division, Department of Orthopaedics, University of Colorado, Denver, CO.
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