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Biomechanical effects of posterior pedicle fixation techniques on the adjacent segment for the treatment of thoracolumbar burst fractures: a biomechanical analysis

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Listed:
  • Wei Wang
  • Baoqing Pei
  • Yuyang Pei
  • Zhenpeng Shi
  • Chao Kong
  • Xueqing Wu
  • Nan Wu
  • Yubo Fan
  • Shibao Lu

Abstract

Posterior pedicle fixation technique is a common method for treating thoracolumbar burst fractures, but the effect of different fixation techniques on the postoperative spinal mechanical properties has not been clearly defined, especially on adjacent segments. A finite element model of T10-L2 with moderate T12 vertebra burst fracture was constructed to investigate biomechanical behavior of three posterior pedicle screw fixation techniques. Compared with traditional short-segment 4 pedicle screw fixation (TS-4) and intermediate long-segment 6 pedicle screw fixation (IL-6), mono-segment 4 pedicle screw fixation (MS-4) provides a safer surgical selection to prevent the secondary degeneration of adjacent segments in the long-term.

Suggested Citation

  • Wei Wang & Baoqing Pei & Yuyang Pei & Zhenpeng Shi & Chao Kong & Xueqing Wu & Nan Wu & Yubo Fan & Shibao Lu, 2019. "Biomechanical effects of posterior pedicle fixation techniques on the adjacent segment for the treatment of thoracolumbar burst fractures: a biomechanical analysis," Computer Methods in Biomechanics and Biomedical Engineering, Taylor & Francis Journals, vol. 22(13), pages 1083-1092, October.
  • Handle: RePEc:taf:gcmbxx:v:22:y:2019:i:13:p:1083-1092
    DOI: 10.1080/10255842.2019.1631286
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