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Biomechanical behavior of bone tissue in spine instrumentation
Armando Alpízar-Aguirre1, Raide A González-Carbonell2, Armando Ortiz-Prado3
1Departamento de Cirugía de Columna, Instituto Nacional de Rehabilitación, Ciudad de México, México.
Background:
The mechanical fixation of the spine in patients with osteoporotic vertebral degeneration is a challenge for surgeons, the vertebrae selected to insert the screws may fail, endangering health and even patient's life.
Objective:
The objective of the study was to study the effect of the variation of the bone density in the bone-screw interface from a three-dimensional model of the lumbar section.
Materials And Methods:
The finite element method was used to model the behavior of the lumbar vertebral section when applying compression loads.
Results:
The stresses between 2 and 3 MPa were located on the contact surface with the screw, both in the vertebral body and in the apophysis, being slightly higher in the vertebral body.
Conclusions:
Regardless of bone density, the contact zones between the screws are susceptible to bone tissue failure. The posterior half of the vertebral body was the most sensitive to high values of stress, while in the areas furthest from the axis of the screw stress tended to their minimum.
