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Research ArticleArticles

Advanced Multi-Axis Spine Testing: Clinical Relevance and Research Recommendations

Timothy P. Holsgrove, Nikhil R. Nayak, William C. Welch and Beth A. Winkelstein
International Journal of Spine Surgery January 2015, 9 34; DOI: https://doi.org/10.14444/2034
Timothy P. Holsgrove
1Department of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA
PhD
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Nikhil R. Nayak
2Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA
MD
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William C. Welch
2Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA
MD
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Beth A. Winkelstein
1Department of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA
PhD
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Article Figures & Data

Figures

  • Fig. 1
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    Fig. 1

    Ligamentous structures of the spinal motion segment, along with the six degrees of freedom at each level indicated on the anatomy and in the box.

  • Fig. 2
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    Fig. 2

    Cross-sections of the human cadaveric intervertebral discs in the sagittal plane, showing mild (top), moderate-to-severe (middle), and severe (bottom) degeneration.

  • Fig. 3
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    Fig. 3

    Sagittal plane translation (A) is measured between straight lines drawn along two consecutive VBs. The sagittal plane rotation (B) is the change in the angle formed between lines drawn along the endplates flanking a disc space on flexion/extension films.

  • Fig. 4
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    Fig. 4

    In the sagittal plane, thoracic pedicle screws may be placed with an “anatomic” trajectory or a “straight-forward” trajectory, which may influence the pull-out strength.

  • Fig. 5
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    Fig. 5

    Examples of a six-axis spine testing machines using a dual axis actuator, an active XY platform, and a gimbal (top-left),95 a hexapod system (top-right),108 a robotic arm (bottom-left),111 and a pulley system (bottom-right).97

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International Journal of Spine Surgery
Vol. 9
1 Jan 2015
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Advanced Multi-Axis Spine Testing: Clinical Relevance and Research Recommendations
Timothy P. Holsgrove, Nikhil R. Nayak, William C. Welch, Beth A. Winkelstein
International Journal of Spine Surgery Jan 2015, 9 34; DOI: 10.14444/2034

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Advanced Multi-Axis Spine Testing: Clinical Relevance and Research Recommendations
Timothy P. Holsgrove, Nikhil R. Nayak, William C. Welch, Beth A. Winkelstein
International Journal of Spine Surgery Jan 2015, 9 34; DOI: 10.14444/2034
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  • Article
    • Abstract
    • Introduction
    • Anatomy & Kinematics
    • Degeneration in the Clinical Scenario
    • Multi-Axis Biomechanical Testing
    • Case Studies
    • Recommendations & Conclusions
    • Disclosures
    • Acknowledgements
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

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Keywords

  • spine
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  • multi-axis
  • spine surgery

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