Foram realizados ensaios mecânicos com o objetivo de avaliar a influência do diâmetro do orifício piloto em relação ao diâmetro interno do parafuso na resistência ao arrancamento dos parafusos do sistema de fixação vertebral aplicados no corpo da vértebra. O estudo foi realizado em duas etapas. Na primeira etapa foram utilizados corpos de prova de poliuretana para a colocação de parafusos de 5mm e, 6mm , e na segunda etapa os parafusos foram inseridos na face lateral dos corpos das vértebras lombares de suínos. O orifício piloto foi realizado com brocas de diâmetro menor, igual ou maior que o diâmetro interno do parafuso. Foram realizados ensaios mecânicos de arrancamento em máquina universal de teste para a avaliação da força máxima de arrancamento dos implantes. Foi observado que o diâmetro do orifício piloto em relação ao diâmetro interno do parafuso influencia na resistência ao arrancamento dos implantes.
The purpose of this study was to investigate the effect of varying the outer diameter of screws of a vertebral fixation system by submitting them to mechanical tests and photoelasticity. The pullout mechanical test was performed in 20 swine lumbar vertebrae, divided into two groups based on the screw outer diameter: 5.0 and 6.0 mm. The maximal pullout strengths and stiffness were evaluated. For the photoelasticity, eight models were used and divided into the same groups. The maximal pullout strength was 974.12 ± 144.44 N in the 5.0 mm screws and 1537.42 ± 326.95 N in the 6.0 mm screws (P < 0.001). The stiffness was 418.60 ± 62.58 10 3 N/m in the 5.0 mm screws and 502.12 ± 133.45 10 3 N/m in the 6.0 mm screws (P = 0.09). The mean ± SD shear stress of the 5.0 mm screws was 12.90 ± 1.87 KPa and 11.99 ± 2.01 KPa for the 6.0 mm screws. Thus, the 5.0 mm screw had lower pullout and higher shear stress, suggesting that this screw is more susceptible to loosening.
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