Structural of Pedicle Screw on Biomechanical Characteristics of Spinal Scoliosis Correction Deformation
Abstract
Scoliosis correction methods often involve orthopedic procedures such as implant placement to stabilize movement and correct spinal deformity. The choice of surgical method is highly dependent on the location and nature of the fracture. Fractures with significant damage require a different approach compared to cases of minor injuries. Three dimensional finite element model of C1–L6 spine was used to simulate conditions with single cylindrical implant fixation under a vertical downward loading force 50 N and cylindrical screw types made of titanium alloy. The human spine, encompassing the cervical, thoracic, and lumbar regions, exhibits a complex biomechanical response when subjected to physiological loads. Displacement that occurs due to axial force can be the result of pedicle screw movement with vertebrae of the spine. Installation of 4 (four) rows of pedicle screws reduces the release of pedicle screws from the spine. The use of more fixation can reduce the stress distribution on the vertebrae of the spine.
References
[2] Haddas, R., Xu, M., Lieberman, I. & Yang, J. (2019). Finite element based-analysis for pre and post lumbar fusion of adult degenerative scoliosis patients. Spine Deformity, 7(4), 543-552.
[3] Roth, K.A., Beheshtiha, S.A., van der Meer, R., Willems, C.P., Arts, J.J., Ito, K. & van Rietbergen, B. (2021). Validation of a finite element model of the thoracolumbar spine to study instrumentation level variations in early onset scoliosis correction. Procedia CIRP, 99, 25–28.
[4] Kamal, Z., Rouhi, G., Arjmand, N. & Adeeb, S. (2019). Stability-based model of a growing spine with adolescent idiopathic scoliosis: A combination of musculoskeletal and finite element approaches. Medical Engineering & Physics, 64, 46–55. https://doi.org/10.1016/j.medengphy.2018.12.018.
[5] Weriono, W., Rusli, M., Sahputra, R.E. & Dahlan, H. (2024). Pedicle screw bond strength and resistance characteristics with various mineral quality. TEM Journal, 13(1), 809–813.
[6] Yu, J., Li, L., Wang, T., Sheng, L., Huo, Y. & Yin, Z. (2015). Intramedullary nail versus plate treatments for distal tibial fractures: A meta-analysis. International Journal of Surgery, 16, 60–68. https://doi.org/10.1016/j.ijsu.2015.02.058.
[7] Newcomb, A., Baek, S., Kelly, B.P. & Crawford, N.R. (2017). Effect of screw position on load transfer in lumbar pedicle screws: A non-idealized finite element analysis. Computer Methods in Biomechanics and Biomedical Engineering, 20, 182–192. https://doi.org/10.1080/10255842.2016.1205040.
[8] Benzel, E.C. (2015). Biomechanics of Spine Stabilization (3rd ed.). Elsevier.
[9] Casstevens, C.M., Le, T. & Wyrick, J. (2012). Management of extra-articular fractures of the distal tibia: Intramedullary nailing versus plate fixation. Journal of the American Academy of Orthopaedic Surgeons, 20(11), 675–683.
[10] Palanca, M., Oliviero, S. & Dall’Ara, E. (2022). Micro FE models of porcine vertebrae with induced bone focal lesions: Validation of predicted displacements with digital volume correlation. Journal of the Mechanical Behavior of Biomedical Materials, 125, 104872. https://doi.org/10.1016/j.jmbbm.2021.104872.
[11] Veldhuizen, A.G., Wever, D.J., & Webb, P.J. (2000). The aetiology of idiopathic scoliosis: Biomechanical and neuromuscular factors. European Spine Journal, 9, 178–184. https://doi.org/10.1007/s005860000228.
[12] Weriono, W., Rusli, M., Sahputra, R.E. & Dahlan, H. (2022). Finite element analysis of stress on thoracic and pedicle screw interface with various loading and bone quality. AIP Conference Proceedings, 2545, 020013. https://doi.org/10.1063/5.0108783.
[13] Hashemi, A., Bednar, D. & Ziada, S. (2009). Pullout strength of pedicle screws augmented with particulate calcium phosphate: An experimental study. The Spine Journal, 9, 404–410. https://doi.org/10.1016/j.spinee.2008.02.002.
[14] Nowak, B. (2019). Experimental study on the loosening of pedicle screws implanted to synthetic bone vertebra models and under non-pull-out mechanical loads. Journal of the Mechanical Behavior of Biomedical Materials, 98, 200–204. https://doi.org/10.1016/j.jmbbm.2019.06.015.
[15] Song, X.X., Jin, L.Y., Li, X.F., Qian, L., Shen, H.X., Liu, Z.D. & Yu, B.W. (2018). Effects of low bone mineral status on biomechanical characteristics in idiopathic scoliotic spinal deformity. World Neurosurgery, 110, e321-e329. https://doi.org/10.1016/j.wneu.2018.03.129.
[16] Bunmaprasert, T., Chaibhuddanugul, N., Keeratiruangrong, J., Raphitphan, R., Sugandhavesa, N. & Liawrungrueang, W. (2021). Corrective osteotomy of global sagittal imbalance in the neglected fracture-dislocation thoracic spine. Journal of Orthopaedic Surgery and Research, 16(1), Article 315. https://doi.org/10.1186/s13018-021-02561-3.












