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Advances in Orthopedics
Volume 2015 (2015), Article ID 895931, 8 pages
http://dx.doi.org/10.1155/2015/895931
Research Article

In Vitro Comparison of Dynesys, PEEK, and Titanium Constructs in the Lumbar Spine

1Department of Neurosurgery, Allegheny Health Network, Pittsburgh, PA 15212, USA
2Department of Neurosurgery, Drexel University College of Medicine, Pittsburgh, PA 15212, USA

Received 7 April 2015; Revised 2 July 2015; Accepted 14 July 2015

Academic Editor: Andreas K. Demetriades

Copyright © 2015 Matthew S. Yeager et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Pedicle based posterior dynamic stabilization systems aim to stabilize the pathologic spine while also allowing sufficient motion to mitigate adjacent level effects. Two flexible constructs that have been proposed to act in such a manner, the Dynesys Dynamic Stabilization System and PEEK rod, have yet to be directly compared in vitro to a rigid Titanium rod. Methods. Human lumbar specimens were tested in flexion extension, lateral bending, and axial torsion to evaluate the following conditions at L4-L5: Intact, Dynesys, PEEK rod, Titanium rod, and Destabilized. Intervertebral range of motion, interpedicular travel, and interpedicular displacement metrics were evaluated from 3rd-cycle data using an optoelectric tracking system. Results. Statistically significant decreases in ROM compared to Intact and Destabilized conditions were detected for the instrumented conditions during flexion extension and lateral bending. AT ROM was significantly less than Destabilized but not the Intact condition. Similar trends were found for interpedicular displacement in all modes of loading; however, interpedicular travel trends were less consistent. More importantly, no metrics under any mode of loading revealed significant differences between Dynesys, PEEK, and Titanium. Conclusion. The results of this study support previous findings that Dynesys and PEEK constructs behave similarly to a Titanium rod in vitro.