Intraoperative determination of the load-displacement behavior of scoliotic spinal motion segments: preliminary clinical results

Reutlinger, Christoph; Hasler, Carol; Scheffler, Klaus; Büchler, Philippe (2012). Intraoperative determination of the load-displacement behavior of scoliotic spinal motion segments: preliminary clinical results. European spine journal, 21(6 Supplement), pp. 860-867. Berlin: Springer-Verlag 10.1007/s00586-012-2164-8

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Introduction: Spinal fusion is a widely and successfully performed strategy for the treatment of spinal deformities and degenerative diseases. The general approach has been to stabilize the spine with implants so that a solid bony fusion between the vertebrae can develop. However, new implant designs have emerged that aim at preservation or restoration of the motion of the spinal segment. In addition to static, load sharing principles, these designs also require a profound knowledge of kinematic and dynamic properties to properly characterise the in vivo performance of the implants. Methods: To address this, an apparatus was developed that enables the intraoperative determination of the load–displacement behavior of spinal motion segments. The apparatus consists of a sensor-equipped distractor to measure the applied force between the transverse processes, and an optoelectronic camera to track the motion of vertebrae and the distractor. In this intraoperative trial, measurements from two patients with adolescent idiopathic scoliosis with right thoracic curves were made at four motion segments each. Results: At a lateral bending moment of 5 N m, the mean flexibility of all eight motion segments was 0.18 ± 0.08°/N m on the convex side and 0.24 ± 0.11°/N m on the concave side. Discussion: The results agree with published data obtained from cadaver studies with and without axial preload. Intraoperatively acquired data with this method may serve as an input for mathematical models and contribute to the development of new implants and treatment strategies.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute for Surgical Technology & Biomechanics ISTB [discontinued]

UniBE Contributor:

Reutlinger, Christoph and Büchler, Philippe

Subjects:

500 Science > 570 Life sciences; biology
600 Technology > 610 Medicine & health

ISSN:

0940-6719

Publisher:

Springer-Verlag

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:30

Last Modified:

24 Oct 2019 16:59

Publisher DOI:

10.1007/s00586-012-2164-8

PubMed ID:

22315034

BORIS DOI:

10.7892/boris.11460

URI:

https://boris.unibe.ch/id/eprint/11460 (FactScience: 217629)

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