{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T16:46:44Z","timestamp":1791650804326,"version":"4.3.4"},"reference-count":76,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:p>Tribology, an interdisciplinary field concerned with the science of interactions between surfaces in contact and their relative motion, plays a well-established role in the design of orthopedic implants, such as knee and hip replacements. However, its applications in spine surgery have received comparatively less attention in the literature. Understanding tribology is pivotal in elucidating the intricate interactions between metal, polymer, and ceramic components, as well as their interplay with the native human bone. Numerous studies have demonstrated that optimizing tribological factors is key to enhancing the longevity of joints and implants while simultaneously reducing complications and the need for revision surgeries in both arthroplasty and spinal fusion procedures. With an ever-growing and diverse array of spinal implant devices hitting the market for static and dynamic stabilization of the spine, it is important to consider how each of these devices optimizes these parameters and what factors may be inadequately addressed by currently available technology and methods. In this comprehensive review, the authors\u2019 objectives were twofold: 1) delineate the unique challenges encountered in spine surgery that could be addressed through optimization of tribological parameters; and 2) summarize current innovations and products within spine surgery that look to optimize tribological parameters and highlight new avenues for implant design and research.<\/jats:p>","DOI":"10.3171\/2024.1.spine231047","type":"journal-article","created":{"date-parts":[[2024,3,23]],"date-time":"2024-03-23T02:00:42Z","timestamp":1711159242000},"page":"801-810","source":"Crossref","is-referenced-by-count":4,"title":["Exploring tribology and material contact science in spine surgery: implications for implant design"],"prefix":"10.3171","volume":"40","author":[{"given":"Gabrielle","family":"Scariano","sequence":"first","affiliation":[{"name":"Case Western Reserve University School of Medicine, Cleveland;"},{"name":"Departments of Orthopaedic Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth","family":"Meade","sequence":"additional","affiliation":[{"name":"Neurosurgery, and"},{"name":"Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio"},{"name":"Center for Spine Health, Cleveland Clinic Foundation, Cleveland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assem","family":"Sultan","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery and"},{"name":"Center for Spine Health, Cleveland Clinic Foundation, Cleveland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Shost","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine, Cleveland;"},{"name":"Neurosurgery, and"},{"name":"Center for Spine Health, Cleveland Clinic Foundation, Cleveland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward C.","family":"Benzel","sequence":"additional","affiliation":[{"name":"Neurosurgery, and"},{"name":"Center for Spine Health, Cleveland Clinic Foundation, Cleveland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajit","family":"Krishnaney","sequence":"additional","affiliation":[{"name":"Neurosurgery, and"},{"name":"Center for Spine Health, Cleveland Clinic Foundation, Cleveland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Mroz","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery and"},{"name":"Center for Spine Health, Cleveland Clinic Foundation, Cleveland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Steinmetz","sequence":"additional","affiliation":[{"name":"Neurosurgery, and"},{"name":"Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio"},{"name":"Center for Spine Health, Cleveland Clinic Foundation, Cleveland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghaith","family":"Habboub","sequence":"additional","affiliation":[{"name":"Neurosurgery, and"},{"name":"Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio"},{"name":"Center for Spine Health, Cleveland Clinic Foundation, Cleveland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Joint Replacement Technology","first-page":"31","article-title":"Tribology in joint replacement","author":"Jin Z","year":"2014","unstructured":"Jin Z, Fisher J. 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