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Research ArticleFull Length Article
Open Access

Pullout of a lumbar plate with varying screw lengths

Daniel Kyle Palmer, David Rios, Wyzscx Merfil Patacxil, Paul A. Williams, Wayne K. Cheng and Serkan İnceoğlu
International Journal of Spine Surgery January 2012, 6 8-12; DOI: https://doi.org/10.1016/j.ijsp.2011.12.002
Daniel Kyle Palmer
Orthopaedic Biomechanics Laboratory, Department of Orthopaedic Surgery, Loma Linda University, Loma Linda, CA
BS
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David Rios
Orthopaedic Biomechanics Laboratory, Department of Orthopaedic Surgery, Loma Linda University, Loma Linda, CA
BS
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Wyzscx Merfil Patacxil
Orthopaedic Biomechanics Laboratory, Department of Orthopaedic Surgery, Loma Linda University, Loma Linda, CA
MS
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Paul A. Williams
Orthopaedic Biomechanics Laboratory, Department of Orthopaedic Surgery, Loma Linda University, Loma Linda, CA
MS
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Wayne K. Cheng
Orthopaedic Biomechanics Laboratory, Department of Orthopaedic Surgery, Loma Linda University, Loma Linda, CA
MD
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Serkan İnceoğlu
Orthopaedic Biomechanics Laboratory, Department of Orthopaedic Surgery, Loma Linda University, Loma Linda, CA
PhD
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  • For correspondence: sinceoglu@llu.edu
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Article Figures & Data

Figures

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  • Fig. 1
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    Fig. 1

    ALIF plate attached to foam block and screw lengths tested (inset).

  • Fig. 2
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    Fig. 2

    Pullout testing setup.

  • Fig. 3
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    Fig. 3

    Load-displacement curves for both foam densities.

  • Fig. 4
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    Fig. 4

    Maximum pullout load plotted against screw length.

  • Fig. 5
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    Fig. 5

    Stiffness plotted against screw length.

Tables

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    Table 1

    Summary of maximum load to failure for each screw length and foam density

    Low density
    (0.08 g/cm3)
    Medium density
    (0.16 g/cm3)
    Screw
    length
    Mean
    (N)
    SD
    (N)
    Mean
    (N)
    SD
    (N)
    Low density–medium
    density ratio
    20 mm302.811.0100486.10.302
    24 mm388.235.6133530.70.291
    28 mm479.443.5156941.50.306
    32 mm585.912.51907214.30.307
    36 mm707.833.92162106.70.327
    • View popup
    Table 2

    Regression results for low-density (0.08-g/cm3) and medium-density (0.16-g/cm3) foam block specimens

    ParameterSlope (95% CI)r ValueP valueRatio
    0.08 g/cm3
     Maximum load25.2 N (8.8%)0.980<.001
     Displacement0.03 mm (30.3%)0.821<.001
     Stiffness24.6 N/mm (24.2%)0.872<.001
    0.16 g/cm3
     Maximum load72.2 N (11.2%)0.968<.0012.87
     Displacement0.02 mm (60.9%)0.584.0020.67
     Stiffness51.6 N/mm (30.5%)0.816<.0012.10
    • NOTE. The 95% CI for the slope is given as the percentage of the slope. The slope is expressed as change per millimeter of screw length. The ratio is the medium-density slope divided by the low-density slope.

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International Journal of Spine Surgery
Vol. 6
1 Jan 2012
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Pullout of a lumbar plate with varying screw lengths
Daniel Kyle Palmer, David Rios, Wyzscx Merfil Patacxil, Paul A. Williams, Wayne K. Cheng, Serkan İnceoğlu
International Journal of Spine Surgery Jan 2012, 6 8-12; DOI: 10.1016/j.ijsp.2011.12.002

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Pullout of a lumbar plate with varying screw lengths
Daniel Kyle Palmer, David Rios, Wyzscx Merfil Patacxil, Paul A. Williams, Wayne K. Cheng, Serkan İnceoğlu
International Journal of Spine Surgery Jan 2012, 6 8-12; DOI: 10.1016/j.ijsp.2011.12.002
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Keywords

  • ALIF
  • lumbar spine
  • anterior plate
  • pullout
  • Polyurethane foam
  • Screw length

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