Table 2. Overview of dynamic devices used in the included studies comparing dynamic stabilization with fusion.
Author | Dynamic device | Description | Proposed design benefit(s) |
---|---|---|---|
Kaner et al4 (2010) | Cosmic dynamic pedicular screw-rod system (Ulrich GmbH & co KG, Ulm, Germany) | Hinged-pedicle screws combined with rigid rods | Allows axial motion, reducing stress at the bone-screw interface |
Korovessis et al2 (2004) | Twinflex rod system (Eurosurgical, Ireland) Claris instrumentation (Eurosurgical, Ireland) | Two pairs of flexible stainless steel rods (2.5 mm) and flat connectors for each instrumented level Longitudinal, smooth “semirigid” rods (6 mm) connected transversely with a thin (2 mm) flat connector to the pedicle screw head |
Flexibility of the longitudinal connections allows the instrumentation to adapt to any screw placement in both alignment and direction Dynamic loading of the bone graft occurs as a result of the elasticity of the construct |
Lee et al6 (2010) | Interspinous soft stabilization (ISS) with tension band system (Ligament Vertebral de Renfort; Cousine Biotech, Wervicq-sud, France) | Composed of polyester, polyethylene terephthalate, and a central thread of barium, platinum radiopaque silicone | Achieve regional lumbar lordosis by placing the motion segment into extension |
Ozer et al5 (2010) | Dynamic (hinged) pedicle screw (Spahinaz, Medikon AS, Turkey) | Hinged-pedicle screws combined rigid rods | Allows axial motion, reducing stress at the bone-screw interface |