TY - JOUR
T1 - Stress Reduction in Adjacent Level Discs via Dynamic Instrumentation
T2 - A Finite Element Analysis
AU - Castellvi, Antonio E.
AU - Huang, Hao
AU - Vestgaarden, Tov
AU - Saigal, Sunil
AU - Clabeaux, Deborah H.
AU - Pienkowski, David
N1 - Funding Information:
We acknowledge research support and equipment from Scient’X USA and the support of both the Department of Civil and Environmental Engineering and the Research Oriented Computing Center of the University of South Florida. We also acknowledge research support from the Center for Biomedical Engineering and the Department of Orthopaedic Surgery at the University of Kentucky.
Copyright:
Copyright 2010 Elsevier B.V., All rights reserved.
PY - 2007
Y1 - 2007
N2 - Background: Conventional (rigid) fusion instrumentation is believed to accelerate the degeneration of adjacent discs by increasing stresses caused by motion discontinuity. Fusion instrumentation that employs reduced rod stiffness and increased axial motion, or dynamic instrumentation, may partially alleviate this problem, but the effects of this instrumentation on the stresses in the adjacent disc are unknown. We used a finiteelement model to calculate and compare the stresses in the adjacent-level disc that are induced by rigid and dynamic posterior lumbar fusion instrumentation. Methods: A 3-dimensional finite-element model of the lumbar spine was obtained that simulated flexion and extension. The L5-S1 segment of this model was fused, and the L4-L5 segment was fixed with rigid or dynamic instrumentation. The mechanical properties of the dynamic instrumentation were determined by laboratory testing and then used in the finite-element model. Peak stresses in the lumbar discs were calculated and compared. Results: The reduced-stiffness component of the dynamic instrumentation was associated with a 1% to 2% reduction in peak compressive stresses in the adjacent-level disc (at 45° flexion), and the increased axial motion component of this instrumentation reduced peak disc stress by 8% to 9%. Areas of disc tissue exposed to 80% of peak stresses of 6.17 MPa were 47% less for discs adjacent to dynamic instrumentation than for those adjacent to rigid instrumentation. Conclusions: Reduced stiffness and increased axial motion of dynamic posterior lumbar fusion instrumentation designs result in an approximately 10% cumulative stress reduction for each flexion cycle. The effect of this stress reduction over many cycles may be substantial. Clinical Relevance: The cumulative effect of this reduced amplitude and distribution of peak stresses in the adjacent disc may partially alleviate the problem of adjacent-level disc degeneration.
AB - Background: Conventional (rigid) fusion instrumentation is believed to accelerate the degeneration of adjacent discs by increasing stresses caused by motion discontinuity. Fusion instrumentation that employs reduced rod stiffness and increased axial motion, or dynamic instrumentation, may partially alleviate this problem, but the effects of this instrumentation on the stresses in the adjacent disc are unknown. We used a finiteelement model to calculate and compare the stresses in the adjacent-level disc that are induced by rigid and dynamic posterior lumbar fusion instrumentation. Methods: A 3-dimensional finite-element model of the lumbar spine was obtained that simulated flexion and extension. The L5-S1 segment of this model was fused, and the L4-L5 segment was fixed with rigid or dynamic instrumentation. The mechanical properties of the dynamic instrumentation were determined by laboratory testing and then used in the finite-element model. Peak stresses in the lumbar discs were calculated and compared. Results: The reduced-stiffness component of the dynamic instrumentation was associated with a 1% to 2% reduction in peak compressive stresses in the adjacent-level disc (at 45° flexion), and the increased axial motion component of this instrumentation reduced peak disc stress by 8% to 9%. Areas of disc tissue exposed to 80% of peak stresses of 6.17 MPa were 47% less for discs adjacent to dynamic instrumentation than for those adjacent to rigid instrumentation. Conclusions: Reduced stiffness and increased axial motion of dynamic posterior lumbar fusion instrumentation designs result in an approximately 10% cumulative stress reduction for each flexion cycle. The effect of this stress reduction over many cycles may be substantial. Clinical Relevance: The cumulative effect of this reduced amplitude and distribution of peak stresses in the adjacent disc may partially alleviate the problem of adjacent-level disc degeneration.
KW - adjacent disc
KW - disc degeneration
KW - disc stresses
KW - posterior instrumentation
KW - spine fusion
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U2 - 10.1016/S1935-9810(07)70050-6
DO - 10.1016/S1935-9810(07)70050-6
M3 - Article
AN - SCOPUS:77949846349
SN - 1935-9810
VL - 1
SP - 74
EP - 81
JO - SAS Journal
JF - SAS Journal
IS - 2
ER -