Lumbar Intervertebral Spacer With Cement Augmentation of Endplates and Integrated Screws as a Fixation Device in an Osteoporotic Model: An In Vitro Kinematic and Load-to-Failure Study

Comparison of novel stabilisation device with various stabilisation approaches: A finite element based biomechanical analysis

The treatment of spinal failure requires suitable instrumentation, which is based on numerous concepts such as rigid fixation, semi-rigid and dynamic stabilisation. In the present work, the biomechanical investigation of various fixation systems on the lumbar segment L2-L3 was performed employing finite element analysis. Different devices were considered: novel stabilisation device (NSD), rigid implant (RI) and existing dynamic stabilisation device (EDSD). All instrumented models were loaded with a condition of 400 N compressive force with a moment of 10Nm during flexion, extension, lateral bending and axial rotation. The results of range of motion change (RMC), von-Mises stress and strain were compared. The spinal biomechanics post instrumentation resulted significantly sensitive to the geometrical feature of the implant. The obtained results showed that NSD has intermediate motion characteristics in between dynamic stabilisation and rigid fixation. However, the optimum features of a novel stabilisation device for the treatment of spinal failure still need to be verified employing in-vivo, in-vitro studies.