A finite element study and mathematical modeling of lumbar pedicle screw along with various design parameters

J Orthop Sci. 2023 Sep;28(5):992-1003. doi: 10.1016/j.jos.2022.08.008. Epub 2022 Sep 26.

Abstract

Background: Lumbar pedicle screw is one of the most common and important elements in the field of lumbar surgery. It plays a great role in rectifying the spinal alignment and stabilization providing strength and stability to the affected area of spine. In spinal surgery, minimally invasive techniques and minor incisions are made which makes it less painful for the patients than the traditional methods. Moreover, the screws are not needed to be removed after the surgery which is yet another great advantage of the pedicle screw.

Method: In this study, 3D Finite Element (FE) model of human L4 vertebrae is taken for analysis using image processing tool. Pedicle screw design with varying mechanical and geometrical properties has been carried out at different applied loads on it along with considering the effect of frictional forces between all contact surfaces.

Result: Mathematical relationship among stress, strain, pitch of the screw and diameter have been developed for different thread profiles which will be beneficial for researchers for further development of pedicle screw implants.

Conclusion: Results from the different analysis shows that bending stress on the screw for different loads at triangular pitch is higher than the trapezoidal. Hence, trapezoidal thread is efficacious than triangular thread. In case of vertebral bone, the magnitude of stress is less for trapezoidal screw than triangular and stress has a linear relationship with pitch length. In term of strain, triangular thread develops more strain than trapezoidal thread. A set of mathematical relation has been developed for different thread profile based on pitch length, stress and strain which gives the idea about von Mises stress and strain.

Keywords: Finite element analysis; Lumbar spine; Parametric design; Pedicle screw.

MeSH terms

  • Biomechanical Phenomena
  • Finite Element Analysis
  • Humans
  • Image Processing, Computer-Assisted
  • Lumbar Vertebrae / surgery
  • Pedicle Screws*
  • Spinal Fusion* / methods