Table 7

Literature review of finite element model studies of spinopelvic reconstructions following total sacrectomies and a comparison with the results of the present study.

Vertical Displacement of L5, mmMaximum von Mises Stress Values, MPaRigidity, Nm/mmArea of Maximum Tension
Modified Galveston reconstruction1042 (Kawahara)7
1042 (Murakami) 8
Murakami 8: Area of the spinal rod spanning the L5 and iliac screws
Triangular frame reconstruction222 (Kawahara)7
229 (Murakami stainless steel)8
222 (Murakami titanium alloy)8
Kawahara7 and Murakami 8: Point at which the sacral rod inserts into L5, between L5 and the iliac bone
Sacral rod reconstruction2.5 (Zhu)9 309 (Zhu)9
400 (Kawahara)7
123.6 (Zhu)9 Zhu9: In the longitudinal or sacral rod proximal to the connection between screw and rod
Four-rod reconstruction7.2 (Zhu)9 324 (Zhu)9 45 (Zhu)9 Zhu9: Middle part of the rods between the short and long iliac screws
Bilateral fibular flap reconstruction1.3 (Zhu)9 221 (Zhu)9 179 (Zhu)9 Zhu9: In the longitudinal or sacral rod near the connection between the screws and the rods
Improved compound reconstruction0.70 (Zhu)9 108 (Zhu)9
222 (Kawahara)7
154.3 (Zhu)9 Zhu9: In the longitudinal or sacral bar near the connection between the screws and rods
Model 15.081179232.1In the rods that join L5 with the screws anchored in the pelvis
Model 25.151182292.7In the rods that join L5 with the screws anchored in the pelvis
Model 31.69787465.7In the rods joining L5 with the screws anchored in the pelvis; tension values are also high in the cross-connecting elements
Model 41.7786462.7In the rods joining L5 with the screws anchored in the pelvis; tension values are also high in the cross-connecting elements
Model 50.13112861.5In the rods joining L5 with the screws anchored to the sacral prosthesis
Model 60.13112861.5In the rods that joining L5 with the screws anchored to the sacral prosthesis; values of up to 112 MPa