Biomechanical Evaluation of Spinal Fixation Devices: II. Stability Provided by Eight Internal Fixation Devices

Abstract

The three-dimensional stability provided by eight spinal fixation devices has been studied in an in vitro biomechanical model using seven-vertebrae (T9-L3) fresh cadaveric thoracolumbar specimens. An injury was created at T12-L1 by complete transection of the posterior elements and posterior half of the intervertebral disc, leaving the anterior half of the intervertebral disc and anterior longitudinal ligament intact. The three-dimensional rotational and translational motions, measures of biomechanical instabilities, were determined under physiologic loads for the intact specimen after injury and instrumentation with each of the eight fixation devices. The tested devices were: Dunn's anterior device (DD); Harrington distraction (HD); Harrington compression (HC); Harrington distraction-compression combination (HDC); Harrington distraction with sleeves (HDS); Luque rods (LQ); Luque rectangle (LR); and Luque short rectangle (LSR). The following devices were stable under the four loads: Flexion: HC, HD, HDC, HDS, LQ, and LR; Extension: HD, HDC, HDS, LQ, and LR; Lateral Bending: LQ and LR; and Axial Rotation: none.