Abstract
This chapter seeks to explore how biomechanical studies positively influence clinical procedures by reviewing the literature relevant to three of the largest modalities in spinal surgery: anterior cervical plating, pedicle screws and rods, and interbody fusion devices. The area of focus within anterior cervical plating includes the introduction of plating systems to increase stability and the recent shift towards more dynamic systems. Furthermore, the differences between various pedicle screw and rod constructs as well as lumbar interbody fusion device configurations and approaches will be examined in detail to demonstrate the correlation between biomechanical results and clinical outcomes. The lessons garnered throughout this review will demonstrate how biomechanics can be best utilized to evaluate the efficacy of new devices, provide possible explanations to device complications, and refine design interactions to improve care and compare various device designs. Therefore, researchers and surgeons should be able to distill the important elements of using biomechanical and clinical data synergistically to prove both device and procedural success.
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Swink, I. et al. (2020). Lessons Learned from Positive Biomechanics and Positive Clinical Outcomes. In: Cheng, B. (eds) Handbook of Spine Technology. Springer, Cham. https://doi.org/10.1007/978-3-319-33037-2_28-1
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DOI: https://doi.org/10.1007/978-3-319-33037-2_28-1
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