Influence of Screw Length and Bone Quality on Pedicle Screw Anchorage Under Cyclic Fatigue Loading

= .049).ConclusionsIn healthy vertebrae, screw anchorage is mainly pedicular, and extending screw length into the vertebral body adds no benefit. In osteoporotic bone, overall fixation strength declines, but vertebral body contribution increases, so longer screws provide significantly greater stability, whereas shorter screws remain adequate in healthy bone.

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Publication Details

Journal
Global Spine Journal
Published
2026-04-13
DOI
https://doi.org/10.1177/21925682261442309
Primary Topic
Spinal Fractures and Fixation Techniques
Type
article
Field-Weighted Citation Impact
0.00
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article

Influence of Screw Length and Bone Quality on Pedicle Screw Anchorage Under Cyclic Fatigue Loading

Betül Tekin, Paul Jonathan Roch, Marc‐Pascal Meier, Katharina Jäckle et al.
Global Spine Journal
Spinal Fractures and Fixation Techniques
article

Influence of Screw Length and Bone Quality on Pedicle Screw Anchorage Under Cyclic Fatigue Loading

Betül Tekin, Paul Jonathan Roch, Marc‐Pascal Meier, Katharina Jäckle, Friederike Sophie Klockner, Lukas Weiser, Hassan Awan Malik, W. Lehmann, Friederike Eva Roch
article en

Abstract

= .049).ConclusionsIn healthy vertebrae, screw anchorage is mainly pedicular, and extending screw length into the vertebral body adds no benefit. In osteoporotic bone, overall fixation strength declines, but vertebral body contribution increases, so longer screws provide significantly greater stability, whereas shorter screws remain adequate in healthy bone.

Global Spine Journal
University of Göttingen (DE)
Openalex Percentile: Top 28%
Spinal Fractures and Fixation Techniques
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