An experimental biomechanical study of variants of monosegmental cervicospondylodesis and their effects on the adjacent vertebral motor segments
DOI:
https://doi.org/10.15674/0030-59872009257-68Keywords:
neck, spondylodesis, biomechanical studyAbstract
An experimental biomechanical study of the quantitative and qualitative characteristics of the redistribution of the internal stress in CV-VI segment of a physical model of the cervical spine in different variants of monosegmental spondylodesis, as well as of the influence exerted by the stabilization of the above segment to adjacent segments CIV-V and CVI-VII, was made. It was revealed that a change of the internal stress in the region of the anterior and posterior support complex in both the stabilized segment and adjacent ones after modelling different variants of spondylodesis occurred in all the experimental situations and depended upon both the value of the moments of force and the fixation rigidness. The smallest disproportion of the internal stresses and, consequently, the smallest possibility for developing pathological changes at the adjacent levels in the postoperative period were observed in the situation of modelling the posterior spondylodesis with the smallest arm of force and a slight rigidness of fixation, as well as in the situation of modelling the rigid anterior interbody spondylodesis with an insignificant distraction of the ventral parts of the anterior support complex.
References
- Барыш А.Е. Обоснование заднего спондилодеза в хирургическом лечении повреждений шейного отдела позвоночника: дис. ... кандидата мед. наук: 14.01.20 «травматология и ортопедия» / Барыш Александр Евгеньевич. — Харьков, 1997. — 202 с.
- Барыш А.Е. Физическая модель для экспериментального биомеханического исследования шейного отдела позвоночника / А.Е.Барыш, С.Р.Михайлов // Междунар. мед. журнал. — 2006. — № 1. — С. 55–61.
- Барыш А.Е. Задний напряженный трансартикулярный цервикоспондилодез / А.Е.Барыш // Ортопед. травматол. — 2008. — № 2. — С. 44–55.
- Бублик Л.О. Ускладнені ушкодження шийного відділу хребта (діагностика, лікування та прогнозування у гострому та ранньому періодах травми): автореф. дис. на соиск. науч. степени докт. мед. наук: спец. 14.01.05 «Нейрохірургія» / Л.О.Бублик. — К., 2004. — 40 с.
- Веников В.А. Теория подобия и моделирования / В.А. Веников, Г.В.Веников. — М.: Высшая школа, 1984. — 439 с.
- Корж Н.А. Спондилодез в современной хирургии позвоночника / Н.А.Корж, А.Е.Барыш // Травма. — 2005. — Т. 6, № 4. — С. 390–398.
- Хмызов С.А. Управляемый остеосинтез стержневыми системами в детской травматологии и ортопедии: автореф. дис. на соиск. науч. степени докт. мед. наук: спец. 14.01.20 «Травматология и ортопедия» / С.А.Хмызов. — Харьков, 2004. — 36 с.
- Abumi K. Cervical pedicle screw fixation. The cervical spine surgery atlas. 2nd ed. / K.Abumi, H.Itoh, Y.Kotani; H.N.Herkowitz, ed. — Philadelphia-Tokyo: Lippincott Williams & Wilkins, 2004. — P. 411–422.
- Belmont P.J. The effects of hook pattern and kyphotic angulation on mechanical strength and apical rod strain in a long-segment posterior construct using a synthetic model / P.J.Belmont, D.W.Polly, Jr., B.W.Cunningham, W.R.Klemme // Spine. — 2001. — Vol. 26, № 6. — P. 627–635.
- Benzel E.C. Biomechanics of spine stabilization: Principles and clinical practice / E.C.Benzel. — New York-Toronto: McGraw-Hill, Inc., 1995. — 278 p.
- Bogduk N. Biomechanics of the cervical spine. I: Normal kinematics / N.Bogduk, S.Mercer // Clin. Biomech. — 2000. — Vol. 15. — P. 633–648.
- Calgar Y.S. Biomechanical comparison of inside-outside screws, cables, and regular screws, using a sawbone model / Y.S.Calgar, F.Torun, T.G.Pait [et al.] // Neurosurg. Rev. — 2005. — Vol. 28, № 1. — P. 53–58.
- Chen T.-Y. Biomechanical effects of progressive anterior cervical decompression / T.Y. Chen, N.R. Crawford , V.K. Sonntag, C.A.Dickman // Spine. — 2001. — Vol. 26, № 1. — P. 6–14.
- Clark C.R. The cervical spine. 4th ed. / C.R.Clark, E.C.Benzel, B.L.Currier [et al.] — Philadelphia-Tokyo: Lippincott Williams & Wilkins, 2004. — 1250 p.
- Cunningham B.W. Static and cyclical biomechanical analysis of pedicle screw spinal constructs / B.W.Cunningham, J.C.Sefter, Y.Shono, P.C.McAfee // Spine. — 1993. — Vol. 18, № 12. — P. 1677–1688.
- Dvořák J. Halswirbelsäule: diagnostik und therapie / J.Dvořák, D.Grob. — Stuttgart-New York: Thieme, 1999. — 258 p.
- Goffin J.Long-term follow-up after interbody fusion of the cervical spine / J.Goffin, E.Geusens, N.Vantomme [et al.] // J. Spinal Disord. Tech. — 2004. — Vol. 17, № 2. — P. 79–85.
- Hilibrand A.S. Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis / A.S.Hilibrand, G.D.Carlson, M.A.Palumbo [et al.] // J. Bone Joint Surg. — 1999. — Vol. 81-A, № 4. — P. 519-528.
- Hwang S.H. Biomechanical comparison of adjacent segmental motion after ventral cervical fixation with varying angles of lordosis / S.H.Hwang, M.Kayanja, R.A.Milks, E.C.Benzel // Spine J. — 2007. — Vol. 7, № 2. — P. 216–221.
- Ishihara H. Adjacent segment disease after anterior cervical interbody fusion / H.Ishihara, M.Kanamori, Y.Kawaguchi [et al.] // Spine J. — 2004. — Vol. 4. — P. 624–628.
- Kahanovitz N. The effects of internal fixation on the articular cartilage of unfused canine facet joint cartilage / N.Kahanovitz, S.P.Arnoczky, D.B.Levine, J.P.Otis // Spine. — 1984. — Vol. 9, № 3. — P. 268–272.
- Kotani Y. Static and fatigue biomechanical properties of anterior thoracolumbar instrumentation systems: a synthetic testing model / Y.Kotani, B.W.Cunningham, L.M.Parker [et al.] // Spine. — 1999. — Vol. 24, № 14. — P. 1406–1413.
- Lopez-Espina C.G. Multilevel cervical fusion and its effect on disc degeneration and osteophyte formation / C.G.Lopez-Espina, F.Amirouche, V.Havalad // Spine. — 2006. — Vol. 31, № 9. — P. 972–978.
- Louis R. Stability and instability of the cervical spine. Cervical spine I. / R.Louis; P.Kehr, A.Weidner, eds. — Wien New York: Springer-Verlag, 1987. — P. 21–27.
- Orchowski J., Polly D.W., Klemme W.R., et al. The effect of kyphosis on the mechanical strength of a long-segment posterior construct using a synthetic model / J.Orchowski, D.W.Polly, W.R.Klemme [et al.] // Spine. — 2000. — Vol. 25, № 13. — P. 1644–1648.
- Panjabi M.M. Critical load of the human cervical spine: an in vitro experimental study / M.M.Panjabi, J.Cholewicki, K.Nibu [et al.] // Clin. Biomech. — 1998. — Vol. 13, № 1. — P. 11–17.
- Rao R.D. Does anterior plating of the cervical spine predispose to adjacent segment changes? / R.D.Rao, M.Wang M, L.M.McGrady [et al.] // Spine. — 2005. — Vol. 30, № 24. — P. 2788–2792.
- Rohlmann A., Calisse J., Bergmann G., Weber U. Internal spinal fixator stiffness has only a minor influence on stresses in the adjacent discs // Spine. — 1999. — Vol. 24, № 12. — P. 1192–1196.
- Shimamoto N. Biomechanical evaluation of stand-alone interbody fusion cages in the cervical spine / N. Shimamoto, B.W.Cunningham, A.E.Dmitriev [et al.] // Spine. — 2001. — Vol. 26, № 19. — P. 432–436.
- Tankson C. Posterior cervical instrumentation / C.Tankson, N.B.Chutkan // Orthopedics. — 2006. — Vol. 29, №8. — P. 695–700.
- Vaccaro A.R. Spine surgery. Tricks of the trade / A.R.Vaccaro, T.J.Albert. — New York-Stuttgart: Thieme Medical Publishers, Inc., 2003. — 212 p.
- White A.A. Clinical biomechanics of the spine. 2nd ed. / A.A.White, M.M.Panjabi. — Philadelphia: J.B.Lippincott Co., 1990. — 699 p.
Downloads
How to Cite
Issue
Section
License
Copyright (c) 2014 Oleksandr Barysh

This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.
Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.
The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).