ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021
Biomechanical analysis of lumbar interbody fusion supplemented with various posterior stabilization systems.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Polyetheretherketone (PEEK) rods versus titanium rods for posterior lumbar fusion surgery: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2023Pooled it
- Effectiveness of Hybrid Surgery Using Polyetheretherketone Rods for Preventing Proximal Junctional Kyphosis and Failure After Adult Spinal Deformity Surgery: Biomechanical Evaluation.Scientific reports · 2026Article
- Long-term Performance and Durability of Biomaterials and Implant Designs in Total Joint Arthroplasty and Spinal Fusion.Journal of orthopaedics and sports medicine · 2026Article
- Endplate morphology affects the risk of complications by changing the grafted bony occupancy rate in OLIF patients.BMC musculoskeletal disorders · 2025Article
- Changing rod stiffness to moderate stress of adjacent disc in oblique lumbar interbody fusion - a finite element analysis.BMC musculoskeletal disorders · 2025Article
- Microscopic and Biomechanical Analysis of PEEK Interspinous Spacers for Spinal Fusion Applications.Materials (Basel, Switzerland) · 2025Article
- The Bony Density of the Pedicle Plays a More Significant Role in the Screw Anchorage Ability Than Other Regions of the Screw Trajectory.Orthopaedic surgery · 2025Article
- Article
- Biomechanical effects of screw loosening after lumbar PEEK rod and titanium rod fixation: a finite element analysis.Frontiers in bioengineering and biotechnology · 2025Article
- Analysis of Lumbar Joint Movement and Dynamics of Weightlifters.Applied bionics and biomechanics · 2025Article
- Biomechanical properties analysis of posterior lumbar interbody fusion with transpedicular oblique screw fixation.Heliyon · 2024Article
- Biomechanical comparison of polyetheretherketone rods and titanium alloy rods in transforaminal lumbar interbody fusion: a finite element analysis.BMC surgery · 2024Article
- Quantitative relationships between elastic modulus of rod and biomechanical properties of transforaminal lumbar interbody fusion: a finite element analysis.Frontiers in bioengineering and biotechnology · 2024Article
- Comparison of biomechanical effects of polyetheretherketone (PEEK) rods and titanium rods in lumbar long-segment instrumentation: a finite element study.Frontiers in bioengineering and biotechnology · 2024Article
- Annulus Calibration Increases the Computational Accuracy of the Lumbar Finite Element Model.Global spine journal · 2023Article
- Fixation-induced surgical segment's high stiffness and the damage of posterior structures together trigger a higher risk of adjacent segment disease in patients with lumbar interbody fusion operations.Journal of orthopaedic surgery and research · 2023Article
- Isobar hybrid dynamic stabilization with posterolateral fusion in mild and moderate lumbar degenerative disease.BMC musculoskeletal disorders · 2023Article
- Effect of Interbody Implants on the Biomechanical Behavior of Lateral Lumbar Interbody Fusion: A Finite Element Study.Journal of functional biomaterials · 2023Article
- Article
- Biomechanical effects of screws of different materials on vertebra-pediculoplasty: a finite element study.Frontiers in bioengineering and biotechnology · 2023Article
Corrections and comments
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeBiomechanical comparison between rigid and non-rigid posterior stabilization systems following lumbar interbody fusion has been conducted in several studies. However, most of these previous studies mainly focused on investigating biomechanics of adjacent spinal segments or spine stability. The objective of the present study was to compare biomechanical responses of the fusion devices when using different posterior instrumentations.
methodsFinite-element model of the intact human lumbar spine (L1-sacrum) was modified to simulate implantation of the fusion cage at L4-L5 level supplemented with different posterior stabilization systems including (i) pedicle screw-based fixation using rigid connecting rods (titanium rods), (ii) pedicle screw-based fixation using flexible connecting rods (PEEK rods) and (iii) dynamic interspinous spacer (DIAM). Stress responses were compared among these various models under bending moments.
resultsThe highest and lowest stresses in endplate, fusion cage and bone graft were found at the fused L4-L5 level with DIAM and titanium rod stabilization systems, respectively. When using PEEK rod for the pedicle screw fixation, peak stress in the pedicle screw was lower but the ratio of peak stress in the rods to yield stress of the rod material was higher than using titanium rod.
conclusionsCompared with conventional rigid posterior stabilization system, the use of non-rigid stabilization system (i.e., the PEEK rod system and DIAM system) following lumbar interbody fusion might increase the risks of cage subsidence and cage damage, but promote bony fusion due to higher stress in the bone graft. For the pedicle screw-based rod stabilization system, using PEEK rod might reduce the risk of screw breakage but increased breakage risk of the rod itself.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.