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[Stability of pedicle screws. 1: Maximum pullout force in healthy bony spine trunks with reference to drilling
A von Strempel1, T Seidel, W Plitz
1Orthopädische Klinik, Medizinischen Hochschule Hannover.
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|January 1, 1994
Abstract:
Pullout direction was axial and oblique to screw axis. Two different techniques of preparing the screw bed are matched: 1) 3.2 mm AO drill and 6.0 mm screws for D7-S1 and 4.5 mm screws for D11-D6, 2) resection of cancellous bone of the pedicle tube and 6.0 mm, 7.0 mm, 8.0 mm screws, which were inserted after measuring each level. With the better technique 1 (saving the cancellous bone) 620N-161N were reached from D1-S1, even if bigger screws could be used with technique 2.