Biomechanical Comparison of 2 Veterinary Locking Plates to Monocortical Screw/Polymethylmethacrylate Fixation in Canine Cadaveric Cervical Vertebral Column

Hettlich, Bianca Felicitas; Fosgate, Geoffrey T.; Litsky, Alan S. (2017). Biomechanical Comparison of 2 Veterinary Locking Plates to Monocortical Screw/Polymethylmethacrylate Fixation in Canine Cadaveric Cervical Vertebral Column. Veterinary surgery, 46(1), pp. 95-102. Wiley-Blackwell 10.1111/vsu.12581

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OBJECTIVE:

To compare the biomechanical properties of 2 veterinary locking plates and monocortical screws/polymethylmethacrylate (PMMA) fixation in canine cadaveric cervical vertebral columns.

STUDY DESIGN:

Biomechanical cadaveric study.

MATERIALS:

Nineteen cervical vertebral columns (C2-C7) from large breed, skeletally mature, canine cadavers were used. A cortical ring was placed as a disk spacer at C4-C5 in all specimens. Seven vertebral columns were plated at C4-C5 with two 4-hole, 3.5 mm string of pearls plates (SOP) and 6 vertebral columns were plated with two 6-hole, 2.4 mm titanium locking reconstruction plates (Ti recon plate). All screws were placed monocortically. Six vertebral columns had monocortical titanium screws and PMMA (Ti screws/PMMA) placed, tested as part of a prior study.

METHODS:

Stiffness testing in 3 directions was performed of the unaltered C4-C5 vertebral motion unit and repeated after placement of the disk spacer and implants. Data were compared using a linear mixed model that incorporated data from previously tested spines (Ti screw/PMMA).

RESULTS:

The mean (95% CI) stiffness (N/m) in extension for SOP was 407 N/mm (330-503), for Ti recon plate was 284 N/mm (198-407) and for Ti screws/PMMA was 365 N/mm (314-428); in flexion for SOP was 250 N/mm (178-354), for Ti recon plate was 147 N/mm (106-204) and for Ti screws/PMMA was 311 (235-416); in lateral bending for SOP was 528 N/mm (441-633), for Ti recon plate was 633 N/mm (545-735) and for Ti screws/PMMA was 327 N/mm (257-412). There were no significant differences in stiffness between the 3 fixations for any outcome.

CONCLUSION:

Monocortical fixation with two 3.5 mm SOP or two 2.4 mm Ti recon plates may be an alternate fixation to monocortical screws and PMMA.

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