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A Comparative Biomechanical Investigation of Anterior Lumbar Interbody Cages: Central and Bilateral Approaches* by THOMAS R. OXLAND, ZOLTAN HOFFER, THOMAS.

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Presentation on theme: "A Comparative Biomechanical Investigation of Anterior Lumbar Interbody Cages: Central and Bilateral Approaches* by THOMAS R. OXLAND, ZOLTAN HOFFER, THOMAS."— Presentation transcript:

1 A Comparative Biomechanical Investigation of Anterior Lumbar Interbody Cages: Central and Bilateral Approaches* by THOMAS R. OXLAND, ZOLTAN HOFFER, THOMAS NYDEGGER, GABOR C. RATHONYI, and LUTZ-P. NOLTE J Bone Joint Surg Am Volume 82(3):383-93 March 1, 2000 ©2000 by The Journal of Bone and Joint Surgery, Inc.

2 Figs. 1-A, 1-B, and 1-C: Anteroposterior and lateral radiographs of the two types of interbody cages and the translaminar screw fixation used in the current study. THOMAS R. OXLAND et al. J Bone Joint Surg Am 2000;82:383-93 ©2000 by The Journal of Bone and Joint Surgery, Inc.

3 Fig. 1-B The SynCage is a porous titanium device with contoured surfaces, which was placed centrally into the disc space. THOMAS R. OXLAND et al. J Bone Joint Surg Am 2000;82:383-93 ©2000 by The Journal of Bone and Joint Surgery, Inc.

4 Fig. 1-C Translaminar screw fixation consists of two bone screws crossing through the lamina and the facet joints. THOMAS R. OXLAND et al. J Bone Joint Surg Am 2000;82:383-93 ©2000 by The Journal of Bone and Joint Surgery, Inc.

5 Fig. 2 Anteroposterior views of three different setups for multidirectional flexibility testing. THOMAS R. OXLAND et al. J Bone Joint Surg Am 2000;82:383-93 ©2000 by The Journal of Bone and Joint Surgery, Inc.

6 Fig. 3-A Average moment-rotation curves in flexion-extension for all specimen conditions are shown for the BAK device (Fig. 3-A) and the SynCage device (Fig. 3-B). THOMAS R. OXLAND et al. J Bone Joint Surg Am 2000;82:383-93 ©2000 by The Journal of Bone and Joint Surgery, Inc.

7 Fig. 3-B Average moment-rotation curves in flexion-extension for all specimen conditions are shown for the BAK device (Fig. 3-A) and the SynCage device (Fig. 3-B). THOMAS R. OXLAND et al. J Bone Joint Surg Am 2000;82:383-93 ©2000 by The Journal of Bone and Joint Surgery, Inc.

8 Fig. 4-A Average moment-rotation curves in axial rotation for all specimen conditions are shown for the BAK device (Fig. 4-A) and the SynCage device (Fig. 4-B). THOMAS R. OXLAND et al. J Bone Joint Surg Am 2000;82:383-93 ©2000 by The Journal of Bone and Joint Surgery, Inc.

9 Fig. 4-B Average moment-rotation curves in axial rotation for all specimen conditions are shown for the BAK device (Fig. 4-A) and the SynCage device (Fig. 4-B). THOMAS R. OXLAND et al. J Bone Joint Surg Am 2000;82:383-93 ©2000 by The Journal of Bone and Joint Surgery, Inc.

10 Fig. 5-A Average moment-rotation curves in lateral bending for all specimen conditions are shown for the BAK device (Fig. 5-A) and the SynCage device (Fig. 5-B). THOMAS R. OXLAND et al. J Bone Joint Surg Am 2000;82:383-93 ©2000 by The Journal of Bone and Joint Surgery, Inc.

11 Fig. 5-B Average moment-rotation curves in lateral bending for all specimen conditions are shown for the BAK device (Fig. 5-A) and the SynCage device (Fig. 5-B). THOMAS R. OXLAND et al. J Bone Joint Surg Am 2000;82:383-93 ©2000 by The Journal of Bone and Joint Surgery, Inc.

12 Fig. 6 Box-stem plot comparing the two cage designs. THOMAS R. OXLAND et al. J Bone Joint Surg Am 2000;82:383-93 ©2000 by The Journal of Bone and Joint Surgery, Inc.

13 Fig. 7 Box-stem plot summarizing the effect, on spinal stabilization, of insertion of a cage alone and a cage with supplementary translaminar screw fixation (TLS). THOMAS R. OXLAND et al. J Bone Joint Surg Am 2000;82:383-93 ©2000 by The Journal of Bone and Joint Surgery, Inc.


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