Table of Contents Author Guidelines Submit a Manuscript
BioMed Research International
Volume 2018, Article ID 8639648, 13 pages
https://doi.org/10.1155/2018/8639648
Research Article

Ti-24Nb-4Zr-8Sn Alloy Pedicle Screw Improves Internal Vertebral Fixation by Reducing Stress-Shielding Effects in a Porcine Model

Department of Orthopedics, The Second Hospital of Jilin University, Changchun 130041, China

Correspondence should be addressed to Jianwu Zhao; moc.361@22903102oahz

Received 4 October 2017; Revised 9 January 2018; Accepted 11 January 2018; Published 8 February 2018

Academic Editor: Weijie Fu

Copyright © 2018 Yang Qu 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. Zhang, S. H. Berven, M. Fortin, and M. H. Weber, “Adjacent Segment Degeneration Versus Disease After Lumbar Spine Fusion for Degenerative Pathology: A Systematic Review With Meta-Analysis of the Literature,” Clinical Spine Surgery, vol. 29, no. 1, pp. 21–29, 2016. View at Google Scholar
  2. S. Imagama, K. Ando, K. Kobayashi et al., “Atypical vertebral column fracture at the middle of fused area after instrumented posterior decompression and fusion surgery for beak type thoracic ossification of the posterior longitudinal ligament,” Journal of Orthopaedic Science, 2016. View at Publisher · View at Google Scholar
  3. T. Minato, M. Miyagi, W. Saito et al., “Spinal Epidural hematoma after thoracolumbar posterior fusion surgery without decompression for thoracic vertebral fracture,” Case Reports in Orthopedics, Article ID 6295817, 2016. View at Google Scholar
  4. B. C. Kennedy, R. S. D'Amico, B. E. Youngerman et al., “Long-term growth and alignment after occipitocervical and atlantoaxial fusion with rigid internal fixation in young children,” Journal of Neurosurgery: Pediatrics, vol. 17, no. 1, pp. 94–102, 2016. View at Publisher · View at Google Scholar · View at Scopus
  5. T. C. Hankinson, A. M. Avellino, D. Harter et al., “Equivalence of fusion rates after rigid internal fixation of the occiput to C-2 with or without C-1 instrumentation: Clinical article,” Journal of Neurosurgery: Pediatrics, vol. 5, no. 4, pp. 380–384, 2010. View at Publisher · View at Google Scholar · View at Scopus
  6. C. H. Lee, Y. E. Kim, H. J. Lee, D. G. Kim, and C. H. Kim, “Biomechanical effects of hybrid stabilization on the risk of proximal adjacent-segment degeneration following lumbar spinal fusion using an interspinous device or a pedicle screw-based dynamic fixator,” Journal of Neurosurgery: Spine, pp. 1–7, 2017. View at Google Scholar
  7. B. Wang, Y. Fan, J. Dong et al., “A retrospective study comparing percutaneous and open pedicle screw fixation for thoracolumbar fractures with spinal injuries,” Medicine (United States), vol. 96, no. 38, Article ID e8104, 2017. View at Publisher · View at Google Scholar · View at Scopus
  8. M. Aziz-Kerrzo, K. G. Conroy, A. M. Fenelon, S. T. Farrell, and C. B. Breslin, “Electrochemical studies on the stability and corrosion resistance of titanium-based implant materials,” Biomaterials, vol. 22, no. 12, pp. 1531–1539, 2001. View at Publisher · View at Google Scholar · View at Scopus
  9. Y.-Y. Hsieh, C.-H. Chen, F.-Y. Tsuang, L.-C. Wu, S.-C. Lin, and C.-J. Chiang, “Removal of fixation construct could mitigate adjacent segment stress after lumbosacral fusion: A finite element analysis,” Clinical Biomechanics, vol. 43, pp. 115–120, 2017. View at Publisher · View at Google Scholar · View at Scopus
  10. Y. Zhang, J.-L. Shan, X.-M. Liu, F. Li, K. Guan, and T.-S. Sun, “Comparison of the dynesys dynamic stabilization system and posterior lumbar interbody fusion for lumbar degenerative disease,” PLoS ONE, vol. 11, no. 1, Article ID 0148071, 2016. View at Publisher · View at Google Scholar · View at Scopus
  11. C.-H. Lee, T.-A. Jahng, S.-J. Hyun et al., “Dynamic stabilization using the Dynesys system versus posterior lumbar interbody fusion for the treatment of degenerative lumbar spinal disease: A clinical and radiological outcomes-based meta-analysis,” Neurosurgical Focus, vol. 40, no. 1, article no. E7, 2016. View at Publisher · View at Google Scholar · View at Scopus
  12. C. C. Ko, H. W. Tsai, W. C. Huang et al., “Screw loosening in the Dynesys stabilization system: radiographic evidence and effect on outcomes,” Neurosurg Focus, vol. 28, no. 6, p. E10, 2010. View at Google Scholar
  13. M. C. Kennady, M. R. Tucker, G. E. Lester, and M. J. Buckley, “Stress shielding effect of rigid internal fixation plates on mandibular bone grafts. A photon absorption densitometry and quantitative computerized tomographic evaluation,” International Journal of Oral and Maxillofacial Surgery, vol. 18, no. 5, pp. 307–310, 1989. View at Publisher · View at Google Scholar · View at Scopus
  14. Z.-X. Wu, C. Zhan, G. Cui et al., “Stress distribution on the screws in posterior lumbar fusion of isthmic spondylolisthesis with 2- or 3-vertebra fixation techniques: A biomechanical cadaveric study,” Journal of Surgical Research, vol. 176, no. 1, pp. 95–101, 2012. View at Publisher · View at Google Scholar · View at Scopus
  15. Y.-B. Wang, L.-S. He, and L. Tian, “Effect of rigid internal fixation on mandibular growth in rabbits: experimental study,” Journal of Traumatic Surgery, vol. 3, p. 017, 2011. View at Google Scholar
  16. D. Fukui, M. Kawakami, T. Matsumoto, and M. Naiki, “Stress enhances gait disturbance induced by lumbar disc degeneration in rat,” European Spine Journal, pp. 1–9, 2017. View at Publisher · View at Google Scholar · View at Scopus
  17. J. Chen, J. Xuan, Y.-T. Gu et al., “Celastrol reduces IL-1β induced matrix catabolism, oxidative stress and inflammation in human nucleus pulposus cells and attenuates rat intervertebral disc degeneration in vivo,” Biomedicine & Pharmacotherapy, vol. 91, pp. 208–219, 2017. View at Publisher · View at Google Scholar · View at Scopus
  18. K. Schwartz, M. Rodrigo-Domingo, and T. Jensen, “Skeletal stability after large mandibular advancement (> 10 mm) with bilateral sagittal split osteotomy and skeletal elastic intermaxillary fixation,” Journal of Oral & Maxillofacial Research, vol. 7, no. 2, p. e5, 2016. View at Google Scholar
  19. S. E. Doran, S. M. Papadopoulos, and L. D. Miller, “Internal fixation of the spine using a braided titanium cable: Clinical results and postoperative magnetic resonance imaging,” Neurosurgery, vol. 38, no. 3, pp. 493–497, 1996. View at Publisher · View at Google Scholar · View at Scopus
  20. F. H. Geisler, S. E. Mirvis, H. Zrebeet, and J. Joslyn N;, “Titanium wire internal fixation for stabilization of injury of the cervical spine: Clinical results and postoperative magnetic resonance imaging of the spinal cord,” Neurosurgery, vol. 25, no. 3, pp. 356–362, 1989. View at Publisher · View at Google Scholar · View at Scopus
  21. S. H. Lee, I. Chung, D. S. Choi et al., “Visual loss due to optic nerve infarction and central retinal artery occlusion after spine surgery in the prone position,” Medicine (United States), vol. 96, no. 31, Article ID e7379, 2017. View at Publisher · View at Google Scholar · View at Scopus
  22. M. Komatsu, K. Suda, M. Takahata et al., “Delayed bilateral vertebral artery occlusion after cervical spine injury: a case report,” Spinal Cord Ser Cases, vol. 2, p. 16031, 2016. View at Google Scholar
  23. M. Benedetti Valentini, E. Ippolito, F. Catellani, and P. Farsetti, “Internal fixation after fracture or osteotomy of the femur in young children with polyostotic fibrous dysplasia,” Journal of Pediatric Orthopaedics B, vol. 24, no. 4, pp. 291–295, 2015. View at Publisher · View at Google Scholar · View at Scopus
  24. K. C. Nune, R. D. K. Misra, S. J. Li, Y. L. Hao, and R. Yang, “Cellular response of osteoblasts to low modulus Ti-24Nb-4Zr-8Sn alloy mesh structure,” Journal of Biomedical Materials Research Part A, vol. 105, no. 3, pp. 859–870, 2017. View at Publisher · View at Google Scholar · View at Scopus
  25. K. C. Nune, R. D. K. Misra, S. J. Li, Y. L. Hao, and R. Yang, “Osteoblast cellular activity on low elastic modulus Ti–24Nb–4Zr–8Sn alloy,” Dental Materials, vol. 33, no. 2, pp. 152–165, 2017. View at Publisher · View at Google Scholar · View at Scopus
  26. T. Mustafy, M. El-Rich, W. Mesfar, and K. Moglo, “Investigation of impact loading rate effects on the ligamentous cervical spinal load-partitioning using finite element model of functional spinal unit C2-C3,” Journal of Biomechanics, vol. 47, no. 12, pp. 2891–2903, 2014. View at Publisher · View at Google Scholar · View at Scopus
  27. M. Brummund, V. Brailovski, Y. Petit, Y. Facchinello, and J. M. Mac-Thiong, “Impact of spinal rod stiffness on porcine lumbar biomechanics: Finite element model validation and parametric study,” Proceedings of the Institution of Mechanical Engineers, Article ID 954411917732596, 2017. View at Google Scholar
  28. C.-H. Lee, P. R. Landham, R. Eastell, M. A. Adams, P. Dolan, and L. Yang, “Development and validation of a subject-specific finite element model of the functional spinal unit to predict vertebral strength,” Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, vol. 231, no. 9, pp. 821–830, 2017. View at Publisher · View at Google Scholar · View at Scopus
  29. Y. L. Hao, S. J. Li, S. Y. Sun, C. Y. Zheng, and R. Yang, “Elastic deformation behaviour of Ti-24Nb-4Zr-7.9Sn for biomedical applications,” Acta Biomaterialia, vol. 3, no. 2, pp. 277–286, 2007. View at Publisher · View at Google Scholar · View at Scopus
  30. J.-R. Cha, Y.-C. Kim, C. Jang, W.-K. Yoo, and J. H. Cui, “Pedicle screw fixation and posterior fusion for lumbar degenerative diseases: Effects on individual paraspinal muscles and lower back pain; A single-center, prospective study,” BMC Musculoskeletal Disorders, vol. 17, no. 1, article no. 63, 2016. View at Publisher · View at Google Scholar · View at Scopus
  31. K. Takahashi, H. Ozawa, N. Sakamoto, Y. Minegishi, M. Sato, and E. Itoi, “Influence of intramedullary stress on cervical spondylotic myelopathy,” Spinal Cord, vol. 51, no. 10, pp. 761–764, 2013. View at Publisher · View at Google Scholar · View at Scopus
  32. Y.-L. Hao, S.-J. Li, and R. Yang, “Biomedical titanium alloys and their additive manufacturing,” Rare Metals, vol. 35, no. 9, pp. 661–671, 2016. View at Publisher · View at Google Scholar · View at Scopus
  33. Y. L. Hao, Z. B. Zhang, S. J. Li, and R. Yang, “Microstructure and mechanical behavior of a Ti-24Nb-4Zr-8Sn alloy processed by warm swaging and warm rolling,” Acta Materialia, vol. 60, no. 5, pp. 2169–2177, 2012. View at Publisher · View at Google Scholar · View at Scopus
  34. S. Amin Yavari, J. van der Stok, S. M. Ahmadi et al., “Mechanical analysis of a rodent segmental bone defect model: The effects of internal fixation and implant stiffness on load transfer,” Journal of Biomechanics, vol. 47, no. 11, pp. 2700–2708, 2014. View at Publisher · View at Google Scholar · View at Scopus
  35. R. Langer and M. Langer, “Osseous changes in the foot bones in patients with arterial occlusion and simultaneous polyneuropathy (author's transl),” Rontgenblatter, vol. 34, no. 9, pp. 353–357, 1981. View at Google Scholar
  36. K. Sharman, P. Bazarnik, T. Brynk et al., “Enhancement in mechanical properties of a β-titanium alloy by high-pressure torsion,” Journal of Materials Research and Technology, vol. 4, no. 1, pp. 79–83, 2015. View at Publisher · View at Google Scholar · View at Scopus