Mechanical non-destructive cyclical testing in rotation, axial
compression, and flexion were performed on twelve fresh spinal segments
from calves. Each segment contained five motion segments. Each spine was
destabilized with bilateral laminectomy and facetectomy of the fourth and
fifth lumbar vertebrae, resection of the pars interarticularis of the
fourth lumbar vertebra, and resection of the disc between the fourth and
fifth lumbar vertebrae. Sequential stabilization of each spine was used to
compare the stiffness of: (1) Harrington distraction instrumentation of
five levels, (2) Luque rectangular instrumentation of five levels, (3)
modified Steffee transpedicular notched-rod instrumentation of three and
five levels, and (4) Cotrel-Dubousset transpedicular instrumentation of
three and five levels with and without transverse approximating rods. This
in vitro study of a calf-spine model led to three reproducible conclusions:
(1) after laminectomy and discectomy, the instrumented spine was more
unstable in rotation and flexion than when it was subjected to axial
compressive loads; (2) the most rigid implant was the Cotrel-Dubousset
transpedicular instrumentation of five vertebral levels (p less than 0.05);
and (3) with the Steffee or the Cotrel-Dubousset transpedicular
instrumentation of three vertebral levels, it was possible to restore
torsional, compressive, and flexural rigidity to the destabilized spine of
the calf. Furthermore, transpedicular fixation of only three vertebral
levels provided more in vitro stability than either traditional Harrington
or Luque rectangular instrumentation, which require fixation of five
vertebral levels to stabilize a spine after laminectomy.