Sg. Gilbert et al., RELATION OF VERTEBRAL BONE SCREW AXIAL PULLOUT STRENGTH TO QUANTITATIVE COMPUTED TOMOGRAPHIC TRABECULAR BONE-MINERAL CONTENT, Journal of spinal disorders, 6(6), 1993, pp. 513-521
Noninvasive prediction of the maximum axial load that a spinal bone sc
rew will be able to withstand after anterior surgical placement would
be highly useful. To investigate if this is feasible, we first perform
ed preliminary experiments to distinguish the trabecular and cortical
contributions to overall stiffness; the trabecular component was found
to dominate. We then used a commercial computed tomography bone miner
al package to determine the mineral density of the trabecular region o
f 41 porcine vertebrae in terms of equivalent K2HPO4 concentration; va
lues ranged from 104 to 343 mg/cm(3). A 6.5-mm diameter cancellous bon
e screw was then inserted laterally in each vertebra, and the ultimate
tensile strength (UTS) of the screw/bone interface was measured using
a tensile testing machine. The UTS values ranged from 589 to 2,620 Ne
wtons. A superlinear relation was found between UTS and the projected
K2HPO4 concentration in the direction of the screw axis, expressed in
units of mg/cm(2).