Biomechanical Analysis of the Impact of Transverse Connectors of Pedicle-Screw-Based Fixation on Thoracolumbar Compression Fracture

Abstract

Contemporary clinical practice is progressively shifting towards percutaneous minimally invasive surgery. Conversely, the incorporation of transverse connectors in the design of spinal fixation systems is associated with more invasive open surgical procedures. The primary objective of this investigation was to evaluate the influence of transverse connectors in posterior spinal fixation system designs in cases involving vertebral compression fractures, specifically on selected mechanical parameters of the thoracolumbar spine in situations of instability. This research objective was achieved through a combination of experimental tests and numerical simulations. From the experimental tests conducted, critical mechanical parameters were ascertained, including the bending stiffness coefficient and energy dissipation. Numerical simulations were employed to determine additional parameters, such as the angular range of motion for individual spinal segments, intradiscal pressure within individual intervertebral discs, and stress distribution on the articular facets. Analyzing the impact of transverse connectors on the obtained results revealed that their inclusion in a fixation system results in a minor increase in stiffness and a decrease in mobility in comparison to fixation systems devoid of connectors. These findings create the potential for utilizing minimally invasive surgery as a viable alternative to open surgical procedures.