Failure strength of lumbar spinous processes loaded in a tension band model

Journal of Neurosurgery. Spine
S Raymond GolishTodd F Alamin

Abstract

There has been increasing interest in spinous process tension band devices, as distinct from spinous process spacers and plates. The purpose of this study was to load spinous processes caudally at L-4 and cranially at L-5 parallel to the long axis of the spine in a biomechanical model of tension band loading. The goal was to provide normative data for the design of a spinous process tension band device after varying degrees of surgical decompression and across varying bone mineral densities (BMDs). Fresh-frozen L4-5 lumbar vertebrae pairs were divided into 3 surgical groups: intact, midline-sparing decompression (laminotomy and medial facetectomy), and midline decompression with foraminotomy (one-half of spinous process resected, laminotomy, and medial facetectomy). After decompression, specimens were disarticulated into isolated L-4 and L-5 vertebrae. Each vertebra was loaded to failure in a caudal (L-4) or cranial (L-5) direction parallel to the long axis of the spine via a 6-mm-wide strap looped around the spinous process. Failure strength and mode were recorded. Seventeen L-4 and L-5 lumbar vertebrae were tested from 17 cadavers. There were 10 male (59%) and 7 female (41%) cadavers, with a mean age of 66.6 ± 16.5 years (ran...Continue Reading

References

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Citations

Sep 8, 2015·The Spine Journal : Official Journal of the North American Spine Society·Tim WangTodd Alamin
Sep 17, 2017·Journal of Orthopaedic Surgery and Research·Jiukun LiTao Pan

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