Review Article

The Current Testing Protocols for Biomechanical Evaluation of Lumbar Spinal Implants in Laboratory Setting: A Review of the Literature

Table 1

Description of explanatory variables retrieved from all articles meeting the inclusion criteria.

VariableDescription

Number of FSUsNumber of FSUs within testing sample

Operative levelFSU selected for surgical intervention. An article could be classified under more than one operative level category if (a) more than one FSU was involved in the surgical procedure or (b) different operative levels were used along the study.

Number of specimensSample size of the investigation, per testing group (if more than one group was considered).

Loading protocolProtocol selected for biomechanical testing (i.e., load control and displacement control).

PreloadAxial load applied during biomechanical testing of FE, LB, or AR. An article could be classified under more than one preload condition if at least two different protocols were implemented for FE, LB, and/or AR.

LoadMagnitude of the force applied to induce FE, LB, and/or AR. An article could be classified under more than one load if different magnitudes were reported for tested motions

Load type and rateLoad’s pattern (continuous versus stepwise) and its velocity during biomechanical testing. An article could be classified under more than one load rate if different velocities were described for two or more motions

Biomechanical testing apparatusMechanical properties of testing machine used for biomechanical testing

Precondition cyclesNumber of cycles performed before data collection for the analysis

Simulated Injury and/or InstrumentationSpecifies if the article included an “injury” condition and/or instrumentation. Those articles that did not include the evaluation of any instrumentation did mandatorily include the biomechanical assessment of an injury (inclusion criterion).

Common Variables MeasuredParameters evaluated during biomechanical testing. Bone mineral density (BMD) was included in this category although it was not derived from biomechanical testing.

FSU: Functional Spinal Unit; FE: Flexion-Extension; LB: Lateral Bending; AR: Axial Rotation.