Biomechanical Stability Evidence | Providence

Proven Biomechanical Stability

Demonstrated in Multiple Peer-Reviewed Publications

Posterior Cages vs. Plated ACDF

  • A biomechanical study of seven cadaveric cervical spine specimens.
  • Range of motion (ROM) assessed in flexion-extension, lateral bending, and axial rotation.
  • The biomechanical effectiveness of bilateral posterior cages in limiting cervical segmental motion is comparable to single-level plated ACDF.
  • Supplementing ACDF with bilateral posterior cervical cages significantly increases stability.

Comparable Stability to Plated ACDF

Improved Stability when compared to Plated ACDF

Posterior Cervical Cages vs. Lateral Mass Screw & Rod Construct

  • A biomechanical study of six cadaveric cervical spine specimens.
  • Range of motion (ROM) assessed in flexion-extension, lateral bending, and axial rotation.
  • Bilateral posterior cages provide similar cervical segmental stability to a lateral mass screw and rod construct.
  • Supplementing a lateral mass construct with bilateral posterior cervical cages significantly increases stability.

Comparable Stablility to LMS Screw & Rod

Improves Stability when combined with LMS Screw & Rod construct

Posterior Cervical Cages with Anterior Cervical Integrated Cages

  • A biomechanical study of seven cadaveric cervical spine specimens.
  • Range of motion (ROM) assessed in flexion-extension, lateral bending, and axial rotation.
  • Supplementing anterior integrated interbody cages with bilateral posterior cervical cages:
    • Significantly improves biomechanical stability
    • Decreases wedge angle
    • Increases posterior disc height
    • Increases foraminal height
  • The biomechanical effectiveness of bilateral posterior cages combined with an anterior integrated cage is comparable to a plated ACDF.

Stand-alone Posterior Cervical Cages

  • A biomechanical study of five cadaveric cervical spine specimens.
  • Range of motion (ROM) assessed in flexion, extension, lateral bending, and axial rotation.
  • Foraminal distraction measured using a 3D C-arm system and 2D rendered images of the in-plane foraminal space.
  • Bilateral posterior cervical cages decrease intervertebral motion, increases foraminal area, and maintain decompression during bending activities.
 

Facet Joints Offer Favorable Cervical Anatomy

  • Facet joints offer is comparable surface area to interbody.
  • Because the facet joint is a “saddle joint,” preventing translation of its articular surfaces can result in stabilization and reduced range of motion.
  • The axial load placed on the facets may also facilitate arthrodesis and bony fusion.
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