PMID- 22196385 OWN - NLM STAT- MEDLINE DCOM- 20120423 LR - 20141120 IS - 1936-9727 (Electronic) IS - 1936-9719 (Linking) VI - 69 IP - 4 DP - 2011 TI - Biomechanical comparison of translaminar screw versus pedicle screw supplementation of anterior femoral ring allografts in one-level lumbar spine fusion. PG - 298-302 AB - Pedicle screws (PS) can provide initial stabilization of anterior interbody femoral ring allograft (FRA) lumbar constructs. Translaminar screws (TLS) have also been advocated for this procedure. The objective of this study was to use an in vitro human cadaveric model to compare the stability of one-level anterior interbody lumbar constructs stabilized with PS and those stabilized with TLS. Five human cadaveric spinal motion segments (L4-S2) were biomechanically evaluated in the intact condition and using the follow- ing methods of stabilization: anterior interbody fusion with FRA, anterior FRA supplemented with PS, and anterior FRA supplemented with TLS. Stability was determined for each construct by measuring construct displacement as a function of applied load under the following conditions: compression, flexion, extension, lateral bending to each side, and axial torsion. There were no statistically significant differences in construct stability between FRA supplemented with PS and FRA supplemented with TLS under any of the loading conditions. In selected cases, supplementation of anterior femoral ring allograft with translaminar screws is a viable alternative to supplementation with pedicle screws. FAU - Razi, Afshin E AU - Razi AE AD - Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York, USA. afshin.razi@nyumc.org FAU - Spivak, Jeffrey M AU - Spivak JM FAU - Kummer, Frederick J AU - Kummer FJ FAU - Hersh, David S AU - Hersh DS FAU - Goldstein, Jeffrey A AU - Goldstein JA LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Bull NYU Hosp Jt Dis JT - Bulletin of the NYU hospital for joint diseases JID - 101300541 SB - IM MH - Biomechanical Phenomena MH - *Bone Screws MH - *Bone Transplantation/adverse effects MH - Cadaver MH - Femur/*transplantation MH - Humans MH - In Vitro Techniques MH - Joint Instability/etiology/physiopathology MH - Lumbar Vertebrae/physiopathology/*surgery MH - Range of Motion, Articular MH - Spinal Fusion/adverse effects/*instrumentation MH - Transplantation, Homologous EDAT- 2011/12/27 06:00 MHDA- 2012/04/24 06:00 CRDT- 2011/12/27 06:00 PHST- 2011/12/27 06:00 [entrez] PHST- 2011/12/27 06:00 [pubmed] PHST- 2012/04/24 06:00 [medline] PST - ppublish SO - Bull NYU Hosp Jt Dis. 2011;69(4):298-302.