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The Effects of Rod Bending Method and Metal Type on Fatigue Strength and Corrosion in Posterolateral Lumbar Fusion
Journal article   Open access   Peer reviewed

The Effects of Rod Bending Method and Metal Type on Fatigue Strength and Corrosion in Posterolateral Lumbar Fusion

Samantha Corman, Yumeng Gao, Nicole DeVries Watson, Doug Fredericks and Catherine Olinger
Global spine journal
02/05/2026
DOI: 10.1177/21925682261422665
PMCID: PMC12875886
PMID: 41641751
url
https://doi.org/10.1177/21925682261422665View
Published (Version of record) Open Access

Abstract

Study Design Basic Science Study.Objectives To determine the impact of rod composition and bending method on metal debris production during fatigue testing of posterolateral lumbar fusion constructs.Methods Posterolateral lumbar fusion constructs were embedded into Ultra-High Molecular Weight Polyethylene (UHMW-PE) blocks and subject to fatigue testing, following a modified ASTM F1717-21 protocol including cycles of compression with novel axial rotation. Variations in constructs included rod bending methods of pre-bent (PB) and surgeon-bent (SB) and rod compositions of titanium alloy (Ti) or cobalt chromium alloy (CC). Constructs were wrapped in lactated ringer solution-soaked cotton, which was dissolved and analyzed for metal particulate using inductively coupled mass spectrometry (ICP-MS).Results Metal debris produced by surgeon-bent cobalt chromium and pre-bent cobalt chromium constructs did not have significant differences in quantity or quality. Pre-bent cobalt chromium alloy rods produced a larger amount of chromium and cobalt metal debris than pre-bent titanium alloy rods.Conclusions We find that cobalt chromium alloy rods produce more metal debris than titanium alloy rods. We find no evidence that rod bending method affects metal debris quality or quantity. In considering factors that impact susceptibility to corrosion and metallosis, our data supports that rod composition, but not bending method, contributes significantly to metal debris production.
Orthopedics Clinical Neurology Life Sciences & Biomedicine Neurosciences & Neurology Science & Technology

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