Immediate stabilization of pedicle screws : Preclinical pilot study of polymer-augmented pedicle screws

Abstract: This study was designed as proof of principle and safety test of the novel technique, the Immediate Stabilization System (ISS). The technique is designed to immediately stabilize polymer-augmented pedicle screws (PAS) in deficient bone and avoid complications of loosening pedicle screws at the bone-screw interface, especially in osteoporotic patients. A polymer sleeve was designed as augmentation to improve screw anchorage after drilling the screw hole. By applying ultrasonic energy, the polymeric tube was molded into the pores of the host bone forming a strong and uniform bond with the adjacent bone. The original screw was then implanted into the denser bony environment leading to an enhanced immediate stability. The ISS-treated implants were compared to conventionally placed pedicle screws in ex-vivo cadaver bones (2 sheep spines, n = 6 implants per spine, total 12 screws) and in-vivo in a spinal sheep model (Swiss alpine sheep, n = 5, 4 implants per animal, total 20 screws). The primary stability of ISS-treated pedicle screws was increased in ex-vivo bone (+24% insertion torque (IT)) and in-vivo (+32.9% IT) in sheep spine. Removal torque (RT) was lower in the in PAS tested for 8 weeks in-vivo. The ISS technology demonstrated improved anchorage of pedicle screws in ex-vivo cadaver bones as well as in-vivo studies in sheep spine.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Immediate stabilization of pedicle screws ; volume:9 ; number:1 ; year:2023 ; pages:13-16 ; extent:4
Current directions in biomedical engineering ; 9, Heft 1 (2023), 13-16 (gesamt 4)

Urheber
Wild, Michael de
Zimmermann, Simon
Schlottig, Falko
Hasler, Carol
Klein, Karina
Steffen, Thomas
Rechenberg, Brigitte von

DOI
10.1515/cdbme-2023-1004
URN
urn:nbn:de:101:1-2023092214152447654300
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:46 MESZ

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Beteiligte

  • Wild, Michael de
  • Zimmermann, Simon
  • Schlottig, Falko
  • Hasler, Carol
  • Klein, Karina
  • Steffen, Thomas
  • Rechenberg, Brigitte von

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