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Research ArticleBiomechanics

Evaluation of Spinous Process Tethering at the Proximal End of Rigid Constructs: In Vitro Range of Motion and Intradiscal Pressure at Instrumented and Adjacent Levels

DAVID OU-YANG, MARK MOLDAVSKY, NOLAN WESSELL, DAINA M. BROOKS, MARIANO TITANTI, ERIKA A. MATHEIS, BRANDON S. BUCKLEN and VIKAS PATEL
International Journal of Spine Surgery August 2020, 14 (4) 571-579; DOI: https://doi.org/10.14444/7076
DAVID OU-YANG
1The Spine Center at University of Colorado Hospital, Aurora, Colorado
MD
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MARK MOLDAVSKY
2Musculoskeletal Education and Research Center (MERC), A Division of Globus Medical, Inc., Audubon, Pennsylvania
MS
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NOLAN WESSELL
1The Spine Center at University of Colorado Hospital, Aurora, Colorado
MD
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DAINA M. BROOKS
2Musculoskeletal Education and Research Center (MERC), A Division of Globus Medical, Inc., Audubon, Pennsylvania
BS
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MARIANO TITANTI
3Department of Mechanical Engineering and Mechanics, College of Engineering, Drexel University, Philadelphia, Pennsylvania
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ERIKA A. MATHEIS
2Musculoskeletal Education and Research Center (MERC), A Division of Globus Medical, Inc., Audubon, Pennsylvania
MS
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BRANDON S. BUCKLEN
2Musculoskeletal Education and Research Center (MERC), A Division of Globus Medical, Inc., Audubon, Pennsylvania
PHD
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VIKAS PATEL
1The Spine Center at University of Colorado Hospital, Aurora, Colorado
MD
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    Figure 1

    Schematic images depicting all 8 tether constructs (T8–L2). From left to right: (1) rigid, (2) SPT 1, (3) SPT Helix HT, (4) SPT Helix 1, (5) SPT Trans-Helix 1, (6) SPT 2, (7) SPT Helix 2, and (8) SPT Trans-Helix 2.

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    Figure 2

    Photograph of interspinous ligament hole necessary for the transhelix tethering construct.

  • Figure 3
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    Figure 3

    Average range of motion in flexion-extension, lateral bending, and axial rotation for the adjacent level (T9–T10) for single-level constructs. All data were normalized to intact (100%). *P ≤ .05 versus intact.

  • Figure 4
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    Figure 4

    Average range of motion in flexion-extension, lateral bending, and axial rotation for the first instrumented level (T10–T11) for single-level constructs. All data are normalized to intact (100%). *P ≤ .05 versus intact; †P ≤ .05 versus rigid; ‡P ≤ .05 versus SPT 1.

  • Figure 5
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    Figure 5

    Average range of motion in flexion-extension, lateral bending, and axial rotation for the adjacent level (T9–T10) for 2-level constructs. All data are normalized to intact (100%). *P ≤ .05 versus intact.

  • Figure 6
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    Figure 6

    Average range of motion in flexion-extension, lateral bending, and axial rotation for the first instrumented level (T10–T11) for 2-level constructs. All data are normalized to intact (100%). *P ≤ .05 versus intact; †P ≤ .05 versus rigid; ‡P ≤ .05 versus SPT 2.

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International Journal of Spine Surgery
Vol. 14, Issue 4
1 Aug 2020
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Evaluation of Spinous Process Tethering at the Proximal End of Rigid Constructs: In Vitro Range of Motion and Intradiscal Pressure at Instrumented and Adjacent Levels
DAVID OU-YANG, MARK MOLDAVSKY, NOLAN WESSELL, DAINA M. BROOKS, MARIANO TITANTI, ERIKA A. MATHEIS, BRANDON S. BUCKLEN, VIKAS PATEL
International Journal of Spine Surgery Aug 2020, 14 (4) 571-579; DOI: 10.14444/7076

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Evaluation of Spinous Process Tethering at the Proximal End of Rigid Constructs: In Vitro Range of Motion and Intradiscal Pressure at Instrumented and Adjacent Levels
DAVID OU-YANG, MARK MOLDAVSKY, NOLAN WESSELL, DAINA M. BROOKS, MARIANO TITANTI, ERIKA A. MATHEIS, BRANDON S. BUCKLEN, VIKAS PATEL
International Journal of Spine Surgery Aug 2020, 14 (4) 571-579; DOI: 10.14444/7076
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  • proximal junctional kyphosis
  • thoracolumbar
  • Biomechanics
  • hybrid testing
  • intradiscal pressure

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