Scoliosiscorrectiveforceestimationfromtheimplantedrod.PDFVIP

Abe et al. Scoliosis 2015, 10(Suppl 2):S2 /content/10/S2/S2 RESEARCH Open Access Scoliosis corrective force estimation from the implanted rod deformation using 3D-FEM analysis 1* 2 3 4 5 5 Yuichiro Abe , Manabu Ito , Kuniyoshi Abumi , Hideki Sudo , Remel Salmingo , Shigeru Tadano From 10th International Research Society of Spinal Deformities (IRSSD) Sapporo, Japan. 29 June - 2 July 2014 Abstract Background: Improvement of material property in spinal instrumentation has brought better deformity correction in scoliosis surgery in recent years. The increase of mechanical strength in instruments directly means the increase of force, which acts on bone-implant interface during scoliosis surgery. However, the actual correction force during the correction maneuver and safety margin of pull out force on each screw were not well known. In the present study, estimated corrective forces and pull out forces were analyzed using a novel method based on Finite Element Analysis (FEA). Methods: Twenty adolescent idiopathic scoliosis patients (1 boy and 19 girls) who underwent reconstructive scoliosis surgery between June 2009 and Jun 2011 were included in this study. Scoliosis correction was performed with 6mm diameter titanium rod (Ti6Al7Nb) using the simultaneous double rod rotation technique (SDRRT) in all cases. The pre-maneuver and post-maneuver rod geometry was collected from intraoperative tracing and postoperative 3D-CT images, and 3D-FEA was performed with ANSYS. Cobb angle of major curve, correction rate and thoracic kyphosis were measured on X-ray images. Results: Average age at surgery was 14.8, and average fusion length was 8.9 segments. Major curve was corrected from 63.1 to 18.1 degrees in aver