Evidence map›Paper›PMID 35461384›Full record

ReviewEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2022

Influence of double rods and interbody cages on range of motion and rod stress after spinopelvic instrumentation: a finite element study.

Aleksander Leszczynski, Frank Meyer, Yann-Philippe Charles, Caroline Deck, Nicolas Bourdet, Rémy Willinger

Abstract readReview
PubMed Publisher
In one paragraph

Review 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, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Influence of implant density on mechanical complications in adult spinal deformity surgery.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 · 2024
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Aleksander LeszczynskiLaboratoire ICube, UMR 7357, Unistra-CNRS, Strasbourg University, 2 Rue Boussingault, 67000, Strasbourg, France. leszczynski.alexander@gmail.com.ORCID 0000-0001-7933-9530
Frank MeyerLaboratoire ICube, UMR 7357, Unistra-CNRS, Strasbourg University, 2 Rue Boussingault, 67000, Strasbourg, France.
Yann-Philippe CharlesService de Chirurgie du Rachis, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Caroline DeckLaboratoire ICube, UMR 7357, Unistra-CNRS, Strasbourg University, 2 Rue Boussingault, 67000, Strasbourg, France.
Nicolas BourdetLaboratoire ICube, UMR 7357, Unistra-CNRS, Strasbourg University, 2 Rue Boussingault, 67000, Strasbourg, France.
Rémy WillingerLaboratoire ICube, UMR 7357, Unistra-CNRS, Strasbourg University, 2 Rue Boussingault, 67000, Strasbourg, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare instrumentation configurations consisting of bilateral single or double rods and additional interbody cages (IBCs) at different levels in terms of Range of Motion (ROM) and distribution of von Mises stress in rods.

methodsA previously validated L1-pelvis finite element model was used and instrumented with configurations consisting of single or double bilateral rods and IBCs at multiple levels. Pure moments of 7.5 N.m were applied to L1 in main directions in addition to a follower load of 280 N. Global, segmental ROM and distribution of von Mises stress in rods were studied.

resultsAll configurations reduced segmental and global ROM from 50 to 100% compared to the intact spine. Addition of IBCs slightly increased ROM at levels adjacent to the IBC placement. The simple rod configuration presented the highest von Mises stress (457 MPa) in principal rods at L5-S1 in flexion. Doubling rods and IBC placement reduced this value and shifted the location of maximum von Mises stress to other regions. Among studied configurations, double rods with IBCs at all levels (L2-S1) showed the lowest ROM. Maximal von Mises stresses in secondary rods were lower in comparison to main rods.

conclusionsDouble rods and IBCs reduced global and segmental ROM as well as von Mises stress in rods. The results suggest a possible benefit in using both strategies to minimize pseudarthrosis and instrumentation failure. However, increased ROM in adjacent levels and the shift of maximal von Mises stress to adjacent areas might cause complications elsewhere.

Indexed as

Lumbar VertebraeSpinal FusionBiomechanical PhenomenaFinite Element AnalysisHumansRange of Motion, ArticularAdult spinal deformityFinite element analysisInstrumented FEMPseudarthrosisRod fracture

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.