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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2000, Number 1

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Acta Ortop Mex 2000; 14 (1)

A mechanical study of the spine internal fixator INO. First part: behavior under quasi-static flexion-compression load

Damián NZ, Reyes SA, Domínguez HVM, Urriolagoitia CG, Hernández GLH
Full text How to cite this article

Language: Spanish
References: 8
Page: 9-15
PDF size: 263.46 Kb.


Key words:

fixation, spine, biomechanic, analysis.

ABSTRACT

Mechanical evaluation in vitro of the INO (Instituto Nacional de Ortopedia) spinal fixation device employing pedicle screws and plates as longitudinal members was performed under an anterior compressive flexural cuasi-static load (n = 5), for determining its bending strength (N.m), stiffness (N.m/mm) and flexibility (mm/N.m). A total corpectomy defect was simulated using two plastic cylinders as vertebral bodies; the pedicle screws were attached to the plates with the nuts placed with their spherical side toward plates. The mechanical evaluation was performed utilizing an electromechanical Instron 4502 testing machine, and the load was applied with a lever arm distance of 39 mm. The average values obtained for the bending strength, stiffnes and flexibility are as follows: 31.184 N.m (sd = 2.73), 1.205 N.m/mm (sd = 0.225) and 0.852 mm/N.m (sd = 0.152) respectively; the failure observed was plastic elongation and bending of the four pedicle screws. The bending strength of the INO device represents the 309.5% and 53.7% of the bending strength of the Rogozinski and Isola devices, which are the ones with less and more bending strength respectively of the twelve spinal devices studied by Cunningham; mean while, its stiffness is the 41.9% and 17.5% of the stiffness of the Kirschner and Isola devices, the ones with less and more stiffness. Finally, the flexibillty of the INO device is the 238.6% and 572% of the flexibility of the Kirschner and Isola devices. Thereby, the INO spinal device has an acceptable bending strength but it is more flexible than all the spinal devices studied by Cunningham.


REFERENCES

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  2. Cunningham BW, Sefter JC, Shono Y, McAfee PC. Static and cyclical biomechanical analysis of pedicle screw spinal constructs. Spine 1993; 18(12): 1677-88.

  3. Goel VK, Winterbottom JM, Weinstein JN. A method for the fatigue testing of pedicle screw fixation devices. Journal of Biomechanics 1994; 27(11): 1383-8.

  4. Nachemson A, Morris JM. In vivo measurement of intradiscal pressure. J Bone Joint Surg 1964; 46(A): 1077-82.

  5. Nachemson A. The load on lumbar discs in different positions of the body. Clin Orthop 1966; 45: 107.

  6. Roy-Camille R, Saillant G, Mazel C. Internal fixation of the lumbar spine with pedicle screw plating. Clin Orthop 1986; 203: 7-17.

  7. Shigley JE, Mischke CR. Diseño en ingeniería mecánica. 4a Edición en español. McGraw-Hill. México 1990.

  8. Zindrick MR, Wiltse LL, Widell EH, Thomas JC, Holland WR, Field BT, Spencer CW. A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine. Clin Orthop 1986; 203: 99-112.




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Acta Ortop Mex. 2000 Ene-Feb;14