Cortical margining capabilities of fins associated with ventral cervical spine instrumentation.
Fins incorporated into the design of a dynamic cervical spine implant have been employed to enhance axial load- bearing ability, yet their true biomechanical advantages, if any, have not been defined. Therefore, the goal of this study was to assess the biomechanical and axial load-bearing contributions of the fin components of the DOC ventral cervical stabilization system. Eighteen fresh cadaveric thoracic vertebrae (T1-T3) were obtained. Three test conditions were devised and studied: Condition A (DOC implants with fins were placed against the superior endplate and bone screws were not inserted); Condition B (DOC implant without fins was placed and bone screws were inserted); and Condition C (DOC implant with fins were placed against the superior endplate and bone screws were inserted). Specimens were tested by applying a pure axial compressive load to the superior platform of the DOC construct, and load-displacement data were collected. Condition C specimens had the greatest stiffness (459 +/- 80 N/mm) and yield load (526 +/- 168 N). Condition A specimens were the least stiff (266 +/- 53 N/mm), and had the smallest yield loads (180 +/- 54 N). The yield load of condition A plus condition B was approximately equal to that of condition C, with condition A contributing about one-third and condition B contributing two-thirds of the overall load-bearing capacity. Although the screws alone contributed to a substantial portion of axial load-bearing ability, the addition of the fins further increased load-bearing capabilities.
Department of Neurosurgery, Yongdong Severance Hospital, Yonsei University College of Medicine, 146-92 Dogok-dong, Kangnam-gu, Seoul 135- 720, Korea. bhjin61@yumc.yonsei.ac.kr
Byung Ho
BH
Jin
Heum Dai
HD
Kwon
Yong Eun
YE
Cho
D001860:Bone Plates; D001863:Bone Screws; D006801:Humans; D066298:In Vitro Techniques; D013123:Spinal Fusion / Q000295:instrumentation*; D013904:Thoracic Vertebrae / Q000502:physiology* / Q000601:surgery*; D016474:Weight-Bearing