STUDY DESIGN Using fresh cadavers, the biomechanical testing were used to examine the pullout strength of each pedicle screw. OBJECTIVE The aim of this study was to evaluate pullout strength of (1) a redirected pedicle screw following lateral wall breach; (2) a redirected pedicle screw following end-plate breach; and (3) a pedicle without redirection after end-plate breach without redirection...

OBJECTIVE To assess if the screw design (self-drilling/self-tapping) and the pilot hole tapping could affect the insertion torque and screw pullout strength of the screw used in anterior fixation of the cervical spine. METHODS Forty self-tapping screws and 20 self-drilling screws were inserted into 10 models of artificial bone and 10 cervical vertebrae of sheep. The studied parameters were th...

An obvious means to improve the fixation of a cancellous bone screw is to augment the surrounding bone with cement. Previous studies have shown that bone augmentation with Calcium Phosphate (CaP) cement significantly improves screw fixation. Nevertheless, quantitative data about the optimal distribution of CaP cement is not available. The present study aims to show the effect of cement distribu...

BACKGROUND: The use of pedicle screws is becoming increasingly popular for spinal surgery practice as the technology advances. Screw pullout due to bone quality and loading conditions is one of the most common problems observed after pedicle screw fixation. Several solutions were studied to prevent screw pullout. These can be investigated under three main categories: screw design, expandable sc...

BACKGROUND Understanding of implant failure mechanisms is important in the successful utilization of anterior cervical plates. Many variables influence screw purchase, including the quality of the bone. The purpose of this study was to assess the relationship of screw pullout and screw insertional torque across a wide range of bone mineral densities (BMDs). METHODS A total of 54 cervical vert...

STUDY DESIGN Axial pullout tests using fresh cadaveric thoracolumbar vertebral bodies. OBJECTIVES To evaluate the effect of a new injectable calcium phosphate cement on the axial pullout strength of both revised and augmented pedicle screws in comparison with polymethyl methacrylate and in terms of injection method. SUMMARY OF BACKGROUND DATA Failure of pedicle screws by loosening and back ...

BACKGROUND Pedicle screw pullout due to poor bone quality, mainly caused by osteoporosis, is a common problem in spine surgery. Special implants and techniques, especially PMMA augmentation, were developed to improve the fixation of pedicle screws. PMMA injection into a pilot hole or through a screw involves the same risks as vertebroplasty or kyphoplasty, regardless of the technique used. Espe...

The purpose of this study is to evaluate the biomechanical properties of stainless steel and bioabsorbable screw fixation of the clavicle to the base of the coracoid. Seven matched pairs of fresh frozen shoulders were prepared by removing all soft tissue except the acromioclavicular and coracoclavicular ligament complexes. The shoulders were randomly selected and fixed with 4.5-mm stainless ste...

Roots exert pullout resistance under force, allowing plants to resist uprooting. However, the characteristics of taproot-type shrub species different ages remain unclear. In this study, in order improve our knowledge taproot systems species, we selected Caragana korshinskii Kom. growth periods as research plant and conducted situ root test. The relationships among maximum resistance, peak displ...

The geogrid-reinforced soil structures play important roles in the reinforcement applications since 1980s. Generally in design of the geogrid-reinforced soil structures, the soil-geogrid interaction behavior is not directly considered. Instead, the interaction strength is represented by the consolidation drained strength of soil commonly. However, neglecting the effect of compaction and suction...