Evidence map›Paper›PMID 39725930›Full record

ArticleBMC musculoskeletal disorders2024

Finite element analysis of modified pedicle screw fixation and traditional lumbopelvic fixation for the treatment of sacroiliac joint disruption.

Jun Zhang, Yan Wei, Weizhong Yin, Jian Wang, Bingli Liu, Rongguang Ao, Baoqing Yu

Abstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Biomechanical differences between occipital plate and modified C1 lateral mass screw in the treatment of complex craniocervical malformations: a finite element analysis.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 · 2026
    Article
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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

7 authors.

Jun Zhang *Department of Orthopaedics, Pudong New Area People's Hospital, Shanghai, 201299, China.ORCID http://orcid.org/0000-0001-5672-6693
Yan Wei *Department of Surgery, Pudong New Area People's Hospital, Shanghai, 201299, China.ORCID http://orcid.org/0000-0002-7492-8974
Weizhong YinDepartment of Orthopaedics, Pudong New Area People's Hospital, Shanghai, 201299, China.ORCID http://orcid.org/0009-0005-0182-898X
Jian WangDepartment of Orthopaedics, Pudong New Area People's Hospital, Shanghai, 201299, China.ORCID http://orcid.org/0000-0003-2104-5657
Bingli LiuDepartment of Orthopaedics, Seventh People's Hospital of Shanghai University of TCM, Shanghai, 200137, China.
Rongguang AoDepartment of Orthopaedics, Seventh People's Hospital of Shanghai University of TCM, Shanghai, 200137, China. yxt-2008@163.com.ORCID http://orcid.org/0009-0005-0465-9456
Baoqing YuDepartment of Orthopaedics, Seventh People's Hospital of Shanghai University of TCM, Shanghai, 200137, China. doctorybq@163.com.ORCID http://orcid.org/0000-0001-8800-832X

Funding

New Quality Specialty Program of Peak Plateau Clinical Medicine of Pudong New Area Health Commission 2024-PWXZ-21Peak Discipline Program of Traditional Chinese Medicine of Pudong New Area YC-2023-0601Program of Key Medicine of Shanghai Municipal Health Commission 2024ZDXK0038the Characteristic Program of Specific Diseases of Pudong New Area Health Commission PWZzb2022-15
6 · The paper itself

Abstract

introductionThe modified pedicle screw fixation (PSF) was designed to simulate an integrated framework structure to ameliorate the resistance to vertical and shearing forces of the disrupted sacroiliac complex, and the aim of this study was to compare the biomechanical characteristics of PSF and traditional lumbopelvic fixation (LPF) for the treatment of sacroiliac joint disruption.

methodsThe digital computer simulation model of an intact spine-pelvis-femur complex with main ligaments was built from clinical images. A left sacroiliac joint disruption model was mimicked by removing the concerned ligaments. After model validation, the two fixation models (modified PSF and traditional LPF) were established, and assembled with the disruption model. Under five loading scenarios (compression, flexion, extension, right bending, and left twisting), the finite element simulation was implemented. The maximum von Mises stress (VMS) of internal fixations and pelvises, maximum deformations on the Z-, Y-, X-axes and overall deformation of the sacrum were evaluated and compared.

resultsUnder all loading conditions, the maximum VMS of internal fixations and pelvises in the modified PSF model were lower than those in the traditional LPF model. Under flexion, right bending, and left twisting, the maximum Z-axis deformation of the sacrum for the modified PSF model was smaller than that of the traditional LPF model. For compression, the maximum Y-axis deformation of the sacrum was smaller than that of the traditional LPF model. During various loading modes, the maximum X-axis, and overall deformations of the sacrum for the modified PSF model were smaller than those in the traditional LPF model.

conclusionsCompared with the traditional LPF, the modified PSF shows superior biomechanical stability, with satisfied resistance to vertical and shearing forces, which might be potentially suitable for treating sacroiliac joint disruption.

Indexed as

Finite Element AnalysisPedicle ScrewsSacroiliac JointBiomechanical PhenomenaComputer SimulationFracture Fixation, InternalHumansLumbar VertebraeStress, MechanicalFinite element analysisInternal fixationLumbopelvic fixationPedicle screw fixationSacroiliac joint disruption

Identifiers

PMID39725930
PMCPMC11673285

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Registered trials

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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.