Biomechanical testing of a new design for Schanz pedicle screws

J Orthop Trauma. 1993;7(4):375-80. doi: 10.1097/00005131-199308000-00015.

Abstract

Standard 5-mm AO Schanz pedicle screws were biomechanically compared with a new design, featuring 6-mm threads with a 5-mm core diameter continuous with the shaft. One each of the two screw designs was surgically inserted into the matching pedicles of 32 cadaveric vertebrae. The pull-out strengths of the screws were then determined by recording the peak force values during extraction under servohydraulic displacement control. The screws were also tested in three-point bending, varying the inner load point with respect to the shaft thread junction, within a clinically anticipated range. The mean pull-out strength for the 6-mm screw was 597 N, which was significantly greater than the mean strength of 405 N for the 5 mm screw (p = 0.002). The 6-mm screw was also stronger in three-point bending, and failed at the point of inner load application, with no evidence of a stress-raising effect at the shaft/thread junction. In contrast, the 5-mm screw withstood lower loads, and failed at the shaft/thread junction, regardless of the point of loading. Pedicle screw breakage and pull-out are the recognized modes of failure of spinal implants, which are dependent on pedicle screw fixation. The results suggest distinct biomechanical advantages for the 6-mm screw, which should be used whenever clinically feasible.

Publication types

  • Comparative Study

MeSH terms

  • Absorptiometry, Photon
  • Aged
  • Biomechanical Phenomena
  • Bone Screws / classification
  • Bone Screws / standards*
  • Female
  • Fracture Fixation, Internal / instrumentation*
  • Fracture Fixation, Internal / methods
  • Humans
  • Lumbar Vertebrae / injuries*
  • Lumbar Vertebrae / physiology
  • Male
  • Materials Testing
  • Prosthesis Design
  • Prosthesis Failure
  • Radionuclide Imaging
  • Spinal Fractures / diagnostic imaging
  • Spinal Fractures / physiopathology
  • Spinal Fractures / surgery*
  • Stress, Mechanical
  • Tensile Strength
  • Thoracic Vertebrae / injuries*
  • Thoracic Vertebrae / physiology
  • Weight-Bearing