Luis Fernando Nicolini1,2,3, Philipp Kobbe4, Jana Seggewiß4, Johannes Greven4, Marx Ribeiro4, Agnes Beckmann5, Stephanie Da Paz6, Jörg Eschweiler7, Andreas Prescher8, Bernd Markert5, Marcus Stoffel5, Frank Hildebrand4, Per D Trobisch6. 1. Department for Trauma and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstr. 30, Steppenbergallee 201, 52074, Aachen, Germany. lfernandonicolini@gmail.com. 2. Institute of General Mechanics (IAM), RWTH Aachen University, Eilfschornsteinstr. 18, 52062, Aachen, Germany. lfernandonicolini@gmail.com. 3. Department of Mechanical Engineering, Federal University of Santa Catarina,, R. Lauro Linhares, 1850 - Trindade, Florianopolis, 88070-260, Brazil. lfernandonicolini@gmail.com. 4. Department for Trauma and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstr. 30, Steppenbergallee 201, 52074, Aachen, Germany. 5. Institute of General Mechanics (IAM), RWTH Aachen University, Eilfschornsteinstr. 18, 52062, Aachen, Germany. 6. Department of Spinal Surgery, Eifelklinik St. Brigida, Kammerbruchstraße 8, 52152, Simmerath, Germany. 7. Department of Orthopaedic Surgery, RWTH Aachen University Hospital, Pauwelsstr. 30, 52074, Aachen, Germany. 8. Institute of Molecular and Cellular Anatomy, RWTH Aachen University Hospital, Pauwelsstr. 30, 52074, Aachen, Germany.
Abstract
PURPOSE: There is a paucity of studies on new vertebral body tethering (VBT) surgical constructs especially regarding their potentially motion-preserving ability. This study analyses their effects on the ROM of the spine. METHODS: Human spines (T10-L3) were tested under pure moment in four different conditions: (1) native, (2) instrumented with one tether continuously connected in all vertebrae from T10 to L3, (3) additional instrumented with a second tether continuously connected in all vertebrae from T11 to L3, and (4) instrumented with one tether and one titanium rod (hybrid) attached to T12, L1 and L2. The instrumentation was inserted in the left lateral side. The intersegmental ROM was evaluated using a magnetic tracking system, and the medians were analysed. Please check and confirm the author names and initials are correct. Also, kindly confirm the details in the metadata are correct. The mentioned information is correct RESULTS: Compared to the native spine, the instrumented spine presented a reduction of less than 13% in global ROM considering flexion-extension and axial rotation. For left lateral bending, the median global ROM of the native spine (100%) significantly reduced to 74.6%, 66.4%, and 68.1% after testing one tether, two tethers and the hybrid construction, respectively. In these cases, the L1-L2 ROM was reduced to 68.3%, 58.5%, and 38.3%, respectively. In right lateral bending, the normalized global ROM of the spine with one tether, two tethers and the hybrid construction was 58.9%, 54.0%, and 56.6%, respectively. Considering the same order, the normalized L1-L2 ROM was 64.3%, 49.9%, and 35.3%, respectively. CONCLUSION: The investigated VBT techniques preserved global ROM of the spine in flexion-extension and axial rotation while reduced the ROM in lateral bending.
PURPOSE: There is a paucity of studies on new vertebral body tethering (VBT) surgical constructs especially regarding their potentially motion-preserving ability. This study analyses their effects on the ROM of the spine. METHODS: Human spines (T10-L3) were tested under pure moment in four different conditions: (1) native, (2) instrumented with one tether continuously connected in all vertebrae from T10 to L3, (3) additional instrumented with a second tether continuously connected in all vertebrae from T11 to L3, and (4) instrumented with one tether and one titanium rod (hybrid) attached to T12, L1 and L2. The instrumentation was inserted in the left lateral side. The intersegmental ROM was evaluated using a magnetic tracking system, and the medians were analysed. Please check and confirm the author names and initials are correct. Also, kindly confirm the details in the metadata are correct. The mentioned information is correct RESULTS: Compared to the native spine, the instrumented spine presented a reduction of less than 13% in global ROM considering flexion-extension and axial rotation. For left lateral bending, the median global ROM of the native spine (100%) significantly reduced to 74.6%, 66.4%, and 68.1% after testing one tether, two tethers and the hybrid construction, respectively. In these cases, the L1-L2 ROM was reduced to 68.3%, 58.5%, and 38.3%, respectively. In right lateral bending, the normalized global ROM of the spine with one tether, two tethers and the hybrid construction was 58.9%, 54.0%, and 56.6%, respectively. Considering the same order, the normalized L1-L2 ROM was 64.3%, 49.9%, and 35.3%, respectively. CONCLUSION: The investigated VBT techniques preserved global ROM of the spine in flexion-extension and axial rotation while reduced the ROM in lateral bending.
Authors: Amer F Samdani; Robert J Ames; Jeff S Kimball; Joshua M Pahys; Harsh Grewal; Glenn J Pelletier; Randal R Betz Journal: Spine (Phila Pa 1976) Date: 2014-09-15 Impact factor: 3.468
Authors: Amer F Samdani; Robert J Ames; Jeff S Kimball; Joshua M Pahys; Harsh Grewal; Glenn J Pelletier; Randal R Betz Journal: Eur Spine J Date: 2014-12-16 Impact factor: 3.134
Authors: Julian Lommen; Lara Schorn; Christoph Sproll; Norbert R Kübler; Luis Fernando Nicolini; Ricarda Merfort; Ayimire Dilimulati; Frank Hildebrand; Majeed Rana; Johannes Greven Journal: J Clin Med Date: 2022-06-09 Impact factor: 4.964