Only little knowledge exists concerning the loads on internal spinal f
ixation devices during walking. In this study, forces and moments were
measured in two patients using telemeterized spinal fixators. Althoug
h implant loads differed strongly before and after anterior fusion as
well as between the two patients, some results were consistent. In eve
ry test series, implant loads were higher in walking than in lying, si
tting or standing. Walking speed had little influence on implant loads
. Staircase walking put slightly higher loads on the implants than nor
mal lever walking. Normal use of two crutches reduced implant loads on
ly slightly, whereas a wheeled invalid walker reduced them by about 25
%. Copyright (C) 1996 Elsevier Science Ltd.