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Related Concept Videos

Internal Loadings in Structural Members: Problem Solving01:28

Internal Loadings in Structural Members: Problem Solving

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When designing or analyzing a structural member, it is important to consider the internal loadings developed within the member. These internal loadings include normal force, shear force, and bending moment. Engineers can ensure that the structural member can support the applied external forces by calculating these internal loadings.
To illustrate this, let's consider a beam OC of 5 kN, inclined at an angle of 53.13° with the horizontal and supported at both ends. Determine the internal...
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One of the distinctive characteristics of circular shafts is their ability to maintain their cross-sectional integrity under torsion. In other words, each cross-section continues to exist as a flat, unaltered entity, simply rotating like a solid, rigid slab. To understand the distribution of shearing stress within such a shaft, consider a cylindrical section inside this circular shaft. This section has a length of L and a radius of R, with one end fixed. The radius of the cylindrical section is...
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Plastic Deformation in Circular Shafts01:20

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When materials are subjected to forces that surpass their yield strength, they undergo a process known as plastic deformation. This results in a permanent alteration or strain in their structure. This concept can be specifically applied to circular shafts, where the deformation leads to a change in its shape. The precise evaluation of this plastic deformation requires understanding the stress distribution within the circular shaft, which is achieved by calculating the maximum shearing stress in...
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Related Experiment Video

Updated: Jan 15, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Construct-to-Construct Internal Distraction and Compression Technique for Scoliosis Correction.

J Manuel Sarmiento1, Rodrigo Navarro-Ramirez1, Hoon Choi1

  • 1Pauline Braathen Neurological Center, Department of Neurosurgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL 33331, USA.

Journal of Clinical Medicine
|October 16, 2025
PubMed
Summary

A novel construct-to-construct technique offers a powerful surgical method for correcting severe scoliosis. This internal distraction approach improves spinal deformity correction compared to traditional methods.

Keywords:
construct to constructinternal compressioninternal distractionscoliosis correctionspinal deformity correction techniques

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Area of Science:

  • Orthopedic Surgery
  • Spinal Deformity Correction
  • Biomechanical Engineering

Background:

  • Severe scoliosis correction often requires surgical intervention.
  • Traditional halo gravity traction has known disadvantages.
  • Temporary internal distraction is a safe alternative for scoliosis management.

Purpose of the Study:

  • To describe the technical nuances of the construct-to-construct internal distraction technique.
  • To illustrate the application of this technique for spinal deformity correction.
  • To present clinical cases and models demonstrating the method.

Main Methods:

  • Retrospective review and illustrative surgical technique report.
  • Detailed description of the construct-to-construct technique using rods and domino connectors.
  • Application of distraction and compression forces on the spine.

Main Results:

  • The construct-to-construct technique allows for powerful internal distraction and compression.
  • Early application leverages spinal viscoelastic properties for gradual force application.
  • The technique is effective in correcting severe scoliosis curves.

Conclusions:

  • Construct-to-construct internal distraction and compression are effective for severe scoliosis.
  • This technique facilitates serial distraction of growing rod constructs.
  • It aids in closing three-column osteotomies during spinal surgery.