Thermomechanical effects of spine surgery rods composed of different metals and alloys.

STUDY DESIGN

A basic science study monitoring changes in the curvature of hand contoured commercially pure titanium (CPTi), titanium-aluminum-vanadium alloy (Ti-6Al-4V), and stainless steel (SS) rods maintained at different temperature conditions.

OBJECTIVE

To quantify changes in rod-shape at temperatures representative of those used in clinical practice.

SUMMARY OF BACKGROUND DATA

The shape of implanted rods can be displaced due to thermo-mechanical properties of the materials. Warmer temperatures likely initiate this effect. A study of shape loss characteristics of various rod implants may help eliminate undesirable outcomes caused by shape displacement.

METHODS

Three different types of rods (CPTi, SS, and Ti-6Al-4V) were hand contoured and then maintained in one of following temperature conditions for 35 days: (1) room temperature (20 °C-25 °C) without autoclaving before contouring; (2) preliminary autoclaving (1, 5, 10, 20 cycles) at 135.0 °C ± 2 °C before contouring followed by body temperature (37.2 °C ± 2 °C). Each rod was 5 mm in diameter and 200 mm long. The rods were mounted over graph paper in fixed positions and photographed to measure displacement of the tip as a function of the curvature. RESULTS.: Statistically significant shape loss of the rods manufactured from all the tested materials was found. The hand contoured CPTi rods displayed considerably higher loss of curvature over time than Ti-6Al-4V and SS rods at all tested temperature conditions. Preliminary autoclaving at 135 °C before contouring tended to amplify this effect, in particular 1 cycle of autoclaving. If the number of preliminary autoclaving cycles was higher (5-10), a tendency of decrease of shape loss effect was observed in Ti-6Al-4V and CPTi rods.

CONCLUSION

The shape of the hand contoured CPTi rods was the least stable of the rods across all applied temperature conditions. The SS and Ti-6Al-4V rods were more stable than CPTi rods. Autoclaving before handcontouring tended to increase rods' shape loss.