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Research ArticleBiomechanics

Biomechanical Comparison Between Posterior Long-Segment Fixation, Short-Segment Fixation, and Short-Segment Fixation With Intermediate Screws for the Treatment of Thoracolumbar Burst Fracture: A Finite Element Analysis

Worawat Limthongkul, Nutthee Wannaratsiri, Chamaiporn Sukjamsri, Chi-na Benyajati, Pimpa Limthongkul, Teerachat Tanasansomboon, Wicharn Yingsakmongkol and Weerasak Singhatanadgige
International Journal of Spine Surgery June 2023, 17 (3) 442-448; DOI: https://doi.org/10.14444/8441
Worawat Limthongkul
1 Department of Orthopedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand
2 Center of Excellence in Biomechanics and Innovative Spine Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
MD
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Nutthee Wannaratsiri
3 Department of Orthopedics, Chakri Naruebodindra Medical Institute, Samut Prakan, Thailand
MD
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Chamaiporn Sukjamsri
4 Department of Biomedical Engineering, Faculty of Engineering, Srinakharinwirot University, Nakhon Nayok, Thailand
PHD
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Chi-na Benyajati
5 National Metal and Materials Technology Center, Pathumthani, Thailand
PHD
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Pimpa Limthongkul
5 National Metal and Materials Technology Center, Pathumthani, Thailand
PHD
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Teerachat Tanasansomboon
2 Center of Excellence in Biomechanics and Innovative Spine Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
6 Board of Governors Regenerative Medicine Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA
7 Department of Orthopedic Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA
MD
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Wicharn Yingsakmongkol
1 Department of Orthopedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand
2 Center of Excellence in Biomechanics and Innovative Spine Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
MD
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Weerasak Singhatanadgige
1 Department of Orthopedics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand
2 Center of Excellence in Biomechanics and Innovative Spine Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
MD, MS
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  • For correspondence: dr.weerasaks@gmail.com
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    Figure 1

    Total displacement after applying load (mm). (a) Long-segment fixation, (b) short-segment fixation, and (c) short-segment fixation with intermediate screws.

  • Figure 2
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    Figure 2

    Stress in the rods after applying load (MPa). (a) Long-segment fixation, (b) short-segment fixation, and (c) short-segment fixation with intermediate screws.

  • Figure 3
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    Figure 3

    Stress in the T11 vertebral body after applying load (MPa) in long-segment fixation.

  • Figure 4
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    Figure 4

    Stress in the T12 vertebral body after applying load (MPa). (a) Long-segment fixation, (b) short-segment fixation, and (c) short-segment fixation with intermediate screws.

  • Figure 5
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    Figure 5

    Stress in the L1 vertebral body after applying load (MPa) in short-segment fixation with intermediate screws.

  • Figure 6
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    Figure 6

    Stress in the L2 vertebral body after applying load (MPa). (a) Long-segment fixation, (b) short-segment fixation, and (c) short-segment fixation with intermediate screws.

  • Figure 7
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    Figure 7

    Stress in the L3 vertebral body after applying load (MPa) in long-segment fixation.

  • Figure 8
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    Figure 8

    Stress in the bones after applying load (MPa). (a) Long-segment fixation, (b) short-segment fixation, and (c) short-segment fixation with intermediate screws.

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International Journal of Spine Surgery
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1 Jun 2023
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Biomechanical Comparison Between Posterior Long-Segment Fixation, Short-Segment Fixation, and Short-Segment Fixation With Intermediate Screws for the Treatment of Thoracolumbar Burst Fracture: A Finite Element Analysis
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Biomechanical Comparison Between Posterior Long-Segment Fixation, Short-Segment Fixation, and Short-Segment Fixation With Intermediate Screws for the Treatment of Thoracolumbar Burst Fracture: A Finite Element Analysis
Worawat Limthongkul, Nutthee Wannaratsiri, Chamaiporn Sukjamsri, Chi-na Benyajati, Pimpa Limthongkul, Teerachat Tanasansomboon, Wicharn Yingsakmongkol, Weerasak Singhatanadgige
International Journal of Spine Surgery Jun 2023, 17 (3) 442-448; DOI: 10.14444/8441

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Biomechanical Comparison Between Posterior Long-Segment Fixation, Short-Segment Fixation, and Short-Segment Fixation With Intermediate Screws for the Treatment of Thoracolumbar Burst Fracture: A Finite Element Analysis
Worawat Limthongkul, Nutthee Wannaratsiri, Chamaiporn Sukjamsri, Chi-na Benyajati, Pimpa Limthongkul, Teerachat Tanasansomboon, Wicharn Yingsakmongkol, Weerasak Singhatanadgige
International Journal of Spine Surgery Jun 2023, 17 (3) 442-448; DOI: 10.14444/8441
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Keywords

  • thoracolumbar
  • burst fracture
  • short-segment
  • long-segment
  • intermediate screw

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