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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.

Linked References

  1. C. K. Lee, “Accelerated degeneration of the segment adjacent to a lumbar fusion,” Spine, vol. 13, no. 3, pp. 375–377, 1988. View at Publisher · View at Google Scholar · View at Scopus
  2. A. S. Hilibrand and M. Robbins, “Adjacent segment degeneration and adjacent segment disease: the consequences of spinal fusion?” The Spine Journal, vol. 4, no. 6, pp. 190S–194S, 2004. View at Publisher · View at Google Scholar · View at Scopus
  3. G. Ghiselli, J. C. Wang, N. N. Bhatia, W. K. Hsu, and E. G. Dawson, “Adjacent segment degeneration in the lumbar spine,” The Journal of Bone & Joint Surgery—British Volume, vol. 86, no. 7, pp. 1497–1503, 2004. View at Google Scholar · View at Scopus
  4. M. D. Helgeson, A. J. Bevevino, and A. S. Hilibrand, “Update on the evidence for adjacent segment degeneration and disease,” Spine Journal, vol. 13, no. 3, pp. 342–351, 2013. View at Publisher · View at Google Scholar · View at Scopus
  5. H. Graf, “Lumbar instability: surgical treatment without fusion,” Rachis, vol. 412, pp. 123–137, 1992. View at Google Scholar
  6. M. P. Grevitt, A. D. H. Gardner, J. Spilsbury et al., “The Graf stabilisation system: early results in 50 patients,” European Spine Journal, vol. 4, no. 3, pp. 169–175, 1995. View at Publisher · View at Google Scholar · View at Scopus
  7. S. V. Hadlow, A. B. Fagan, T. M. Hillier, and R. D. Fraser, “The graft ligamentoplasty procedure: comparison with posterolateral fusion in the management of low back pain,” Spine, vol. 23, no. 10, pp. 1172–1179, 1998. View at Publisher · View at Google Scholar · View at Scopus
  8. W. Schmoelz, J. F. Huber, T. Nydegger, Dipl-Ing, L. Claes, and H. J. Wilke, “Dynamic stabilization of the lumbar spine and its effects on adjacent segments: an in vitro experiment,” Journal of Spinal Disorders & Techniques, vol. 16, no. 4, pp. 418–423, 2003. View at Publisher · View at Google Scholar · View at Scopus
  9. C. A. Niosi, Q. A. Zhu, D. C. Wilson, O. Keynan, D. R. Wilson, and T. R. Oxland, “Biomechanical characterization of the three-dimensional kinematic behaviour of the Dynesys dynamic stabilization system: an in vitro study,” European Spine Journal, vol. 15, no. 6, pp. 913–922, 2006. View at Publisher · View at Google Scholar · View at Scopus
  10. T. L. Schulte, C. Hurschler, M. Haversath et al., “The effect of dynamic, semi-rigid implants on the range of motion of lumbar motion segments after decompression,” European Spine Journal, vol. 17, no. 8, pp. 1057–1065, 2008. View at Publisher · View at Google Scholar · View at Scopus
  11. P. Gedet, D. Haschtmann, P. A. Thistlethwaite, and S. J. Ferguson, “Comparative biomechanical investigation of a modular dynamic lumbar stabilization system and the Dynesys system,” European Spine Journal, vol. 18, no. 10, pp. 1504–1511, 2009. View at Publisher · View at Google Scholar
  12. P. Strube, S. Tohtz, E. Hoff, C. Gross, C. Perka, and M. Putzier, “Dynamic stabilization adjacent to single-level fusion: part I. Biomechanical effects on lumbar spinal motion,” European Spine Journal, vol. 19, no. 12, pp. 2171–2180, 2010. View at Publisher · View at Google Scholar · View at Scopus
  13. C. Schilling, S. Krüger, T. M. Grupp, G. N. Duda, W. Blömer, and A. Rohlmann, “The effect of design parameters of dynamic pedicle screw systems on kinematics and load bearing: an in vitro study,” European Spine Journal, vol. 20, no. 2, pp. 297–307, 2011. View at Publisher · View at Google Scholar · View at Scopus
  14. B. C. Cheng, J. Gordon, J. Cheng, and W. C. Welch, “Immediate biomechanical effects of lumbar posterior dynamic stabilization above a circumferential fusion,” Spine, vol. 32, no. 23, pp. 2551–2557, 2007. View at Publisher · View at Google Scholar · View at Scopus
  15. T. Zander, A. Rohlmann, N. K. Burra, and G. Bergmann, “Effect of a posterior dynamic implant adjacent to a rigid spinal fixator,” Clinical Biomechanics, vol. 21, no. 8, pp. 767–774, 2006. View at Publisher · View at Google Scholar
  16. T. M. Stoll, G. Dubois, and O. Schwarzenbach, “The dynamic neutralization system for the spine: a multi-center study of a novel non-fusion system,” European Spine Journal, vol. 11, supplement 2, pp. S170–S178, 2002. View at Publisher · View at Google Scholar · View at Scopus
  17. M. Putzier, S. V. Schneider, J. Funk, and C. Perka, “Application of a dynamic pedicle screw system (Dynesys) for lumbar segmental degenerations—comparison of clinical and radiological results for different indications,” Zeitschrift fur Orthopadie und Ihre Grenzgebiete, vol. 142, no. 2, pp. 166–173, 2004. View at Publisher · View at Google Scholar · View at Scopus
  18. D. Grob, A. Benini, A. Junge, and A. F. Mannion, “Clinical experience with the dynesys semirigid fixation system for the lumbar spine: surgical and patient-oriented outcome in 50 cases after an average of 2 years,” Spine, vol. 30, no. 3, pp. 324–331, 2005. View at Publisher · View at Google Scholar · View at Scopus
  19. K. J. Schnake, S. Schaeren, and B. Jeanneret, “Dynamic stabilization in addition to decompression for lumbar spinal stenosis with degenerative spondylolisthesis,” Spine, vol. 31, no. 4, pp. 442–449, 2006. View at Publisher · View at Google Scholar · View at Scopus
  20. W. C. Welch, B. C. Cheng, T. E. Awad et al., “Clinical outcomes of the Dynesys dynamic neutralization system: 1-year preliminary results,” Neurosurgical Focus, vol. 22, article E8, 2007. View at Google Scholar · View at Scopus
  21. M. Bothmann, E. Kast, G. J. Boldt, and J. Oberle, “Dynesys fixation for lumbar spine degeneration,” Neurosurgical Review, vol. 31, no. 2, pp. 189–196, 2008. View at Publisher · View at Google Scholar · View at Scopus
  22. C. C. Würgler-Hauri, A. Kalbarczyk, M. Wiesli, H. Landolt, and J. Fandino, “Dynamic neutralization of the lumbar spine after microsurgical decompression in acquired lumbar spinal stenosis and segmental instability,” Spine, vol. 33, no. 3, pp. E66–E72, 2008. View at Publisher · View at Google Scholar · View at Scopus
  23. B. Cakir, C. Carazzo, R. Schmidt, T. Mattes, H. Reichel, and W. Käfer, “Adjacent segment mobility after rigid and semirigid instrumentation of the lumbar spine,” Spine, vol. 34, no. 12, pp. 1287–1291, 2009. View at Publisher · View at Google Scholar · View at Scopus
  24. M. Putzier, E. Hoff, S. Tohtz, C. Gross, C. Perka, and P. Strube, “Dynamic stabilization adjacent to single-level fusion: part II. No clinical benefit for asymptomatic, initially degenerated adjacent segments after 6 years follow-up,” European Spine Journal, vol. 19, no. 12, pp. 2181–2189, 2010. View at Publisher · View at Google Scholar · View at Scopus
  25. M. Putzier, S. V. Schneider, J. F. Funk, S. W. Tohtz, and C. Perka, “The surgical treatment of the lumbar disc prolapse: nucleotomy with additional transpedicular dynamic stabilization versus nucleotomy alone,” Spine, vol. 30, no. 5, pp. E109–E114, 2005. View at Publisher · View at Google Scholar · View at Scopus
  26. H. Schmidt, F. Heuer, and H.-J. Wilke, “Which axial and bending stiffnesses of posterior implants are required to design a flexible lumbar stabilization system?” Journal of Biomechanics, vol. 42, no. 1, pp. 48–54, 2009. View at Publisher · View at Google Scholar · View at Scopus
  27. S. M. Kurtz and J. N. Devine, “PEEK biomaterials in trauma, orthopedic, and spinal implants,” Biomaterials, vol. 28, no. 32, pp. 4845–4869, 2007. View at Publisher · View at Google Scholar · View at Scopus
  28. M. F. Gornet, F. W. Chan, J. C. Coleman et al., “Biomechanical assessment of a PEEK rod system for semi-rigid fixation of lumbar fusion constructs,” Journal of Biomechanical Engineering, vol. 133, no. 8, Article ID 081009, 2011. View at Publisher · View at Google Scholar · View at Scopus
  29. R. K. Ponnappan, H. Serhan, B. Zarda, R. Patel, T. Albert, and A. R. Vaccaro, “Biomechanical evaluation and comparison of polyetheretherketone rod system to traditional Titanium rod fixation,” Spine Journal, vol. 9, no. 3, pp. 263–267, 2009. View at Publisher · View at Google Scholar · View at Scopus
  30. H. J. Bruner, Y. Guan, N. Yoganandan, F. A. Pintar, D. J. Maiman, and M. A. Slivka, “Biomechanics of polyaryletherketone rod composites and Titanium rods for posterior lumbosacral instrumentation. Presented at the 2010 Joint Spine Section Meeting. Laboratory investigation,” Journal of Neurosurgery Spine, vol. 13, no. 6, pp. 766–772, 2010. View at Publisher · View at Google Scholar · View at Scopus
  31. J. M. Highsmith, L. M. Tumialán, and G. E. Rodts Jr., “Flexible rods and the case for dynamic stabilization,” Neurosurgical Focus, vol. 22, article E11, 2007. View at Google Scholar · View at Scopus
  32. D. J. Cook, M. S. Yeager, and B. C. Cheng, “Interpedicular travel in the evaluation of spinal implants: an application in posterior dynamic stabilization,” Spine, vol. 37, no. 11, pp. 923–931, 2012. View at Publisher · View at Google Scholar · View at Scopus
  33. H. J. Woltring, R. Huiskes, and A. de Lange, “Finite centroid and helical axis estimation from noisy landmark measurements in the study of human joint kinematics,” Journal of Biomechanics, vol. 18, no. 5, pp. 379–389, 1985. View at Publisher · View at Google Scholar · View at Scopus
  34. D. R. Ormond, L. Albert Jr., and K. Das, “Polyetheretherketone (PEEK) rods in lumbar spine degenerative disease: a case series,” Journal of Spinal Disorders & Techniques, 2012. View at Publisher · View at Google Scholar
  35. A. Rohlmann, N. K. Burra, T. Zander, and G. Bergmann, “Comparison of the effects of bilateral posterior dynamic and rigid fixation devices on the loads in the lumbar spine: a finite element analysis,” European Spine Journal, vol. 16, no. 8, pp. 1223–1231, 2007. View at Publisher · View at Google Scholar · View at Scopus
  36. H. J. Wilke, F. Heuer, and H. Schmidt, “Prospective design delineation and subsequent in vitro evaluation of a new posterior dynamic stabilization system,” Spine, vol. 34, no. 3, pp. 255–261, 2009. View at Publisher · View at Google Scholar
  37. P. A. Cripton, G. M. Jain, R. H. Wittenberg, and L.-P. Nolte, “Load-sharing characteristics of stabilized lumbar spine segments,” Spine, vol. 25, no. 2, pp. 170–179, 2000. View at Publisher · View at Google Scholar · View at Scopus
  38. R. Davis, “Dynesys dynamic stabilization system,” in Motion Preservation Surgery of the Spine: Advance Techniques and Controversies, J. J. Yue, Ed., pp. 465–471, Saunders, Philadelphia, Pa, USA, 2008. View at Google Scholar