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dc.contributor.authorGömleksiz, Cengiz
dc.contributor.authorErbulut, Deniz Ufuk
dc.contributor.authorCan, Halil
dc.contributor.authorKodigudla, Manoj Kumar
dc.contributor.authorKelkar, Amey V.
dc.contributor.authorKasapoglu, Eser
dc.contributor.authorÖzer, Ali Fahir
dc.contributor.authorGoel, Vijay K.
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:47Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:47Z
dc.date.issued2020en_US
dc.identifier.citationGömleksiz, C., Erbulut, D., Can, H., Kodigudla, M., Kelkar, A., Kasapoglu, E. ... Goel, V. (2020). A new lumbar fixation device alternative to pedicle-based stabilization for lumbar spine: In vitro cadaver investigation. Journal of Spinal Cord Medicine, 43(1), 98-105. https://dx.doi.org/10.1080/10790268.2018.1495932en_US
dc.identifier.issn1079-0268
dc.identifier.urihttps://hdl.handle.net/20.500.12511/946
dc.identifier.urihttps://dx.doi.org/10.1080/10790268.2018.1495932
dc.description.abstractContext: To evaluate the stability provided by a new bilateral fixation technique using an in vitro investigation for posterior lumbar segmental instrumentation. Design: Experimental cadaver study. In this study, we propose an alternative technique for a posterior lumbar fixation technique called “inferior-oblique transdiscal fixation” (IOTF). Setting: Study performed at Engineering Center for Orthopedic Research Exellence (ECORE) in Toledo University-Ohio. Participants: Six human lumbar cadaveric specimen used in this study. Interventions: In this study, we propose an alternative technique for a posterior lumbar fixation technique called “inferior-oblique transdiscal fixation” (IOTF). As a novel contribution to the classical technique, the entry point of the screw is the supero-lateral point of the intersecting line drawn between the corpus and the pedicle of the upper vertebra. This approach enables the fixation of two adjacent vertebrae using a single screw on each side without utilizing connecting rods. Outcome Measures: Flexion (Flex), extension (Ext), right and left lateral bending (LB & RB), and right and left axial rotation (LR & RR), and the position data were captured at each load step using the Optotrak motion measurement system and compared for IOTF and posterior transpedicular stabilization. Results: The Posterior stabilization system (PSS) and IOTF significantly reduced the ROM of L4-L5 segment compared to intact segment’s ROM. During axial rotation (AR) IOTF fused index segment more than PSS. Besides this, addition of transforaminal lumbar interbody fusion (TLIF) cage improved the stabilization of IOTF system during flexion, extension and lateral bending. Whereas, PSS yielded better fusion results during extension compared to IOTF with and without interbody fusion cages. Conclusions: We hypothesized that the new posterior bilateral system would significantly decrease motion compared to the intact spine. This cadaver study showed that the proposed new posterior fusion technique IOTF fused the index segment in a similar fashion to the classical pedicle screw fusion technique.en_US
dc.description.sponsorshipNational Science Foundation (NSF)en_US
dc.description.sponsorshipUniversity of Toledo, Toledo, OHen_US
dc.language.isoengen_US
dc.publisherTaylor and Francis Ltd.en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBilateral Systemen_US
dc.subjectIn Vitro Lumbaren_US
dc.subjectLumbar Fusionen_US
dc.subjectLumbar Spineen_US
dc.subjectPedicle Screw Fixationen_US
dc.subjectPosterior Fixationen_US
dc.titleA new lumbar fixation device alternative to pedicle-based stabilization for lumbar spine: In vitro cadaver investigationen_US
dc.typearticleen_US
dc.relation.ispartofJournal of Spinal Cord Medicineen_US
dc.departmentİstanbul Medipol Üniversitesi, İMÜ Meslek Yüksekokulu, Bilgisayar Destekli Tasarım ve Animasyon Ana Bilim Dalıen_US
dc.identifier.volume43en_US
dc.identifier.issue1en_US
dc.identifier.startpage98en_US
dc.identifier.endpage105en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1080/10790268.2018.1495932en_US
dc.identifier.wosqualityQ4en_US
dc.identifier.scopusqualityQ3en_US


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