{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:57:09Z","timestamp":1792097829909,"version":"4.4.0"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2019,6,6]],"date-time":"2019-06-06T00:00:00Z","timestamp":1559779200000},"content-version":"vor","delay-in-days":156,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinics"],"published-print":{"date-parts":[[2019]]},"DOI":"10.6061\/clinics\/2019\/e346","type":"journal-article","created":{"date-parts":[[2019,6,3]],"date-time":"2019-06-03T16:27:19Z","timestamp":1559579239000},"page":"e346","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":21,"special_numbering":"C","title":["Clinical evaluation of a bone cement-injectable cannulated pedicle screw augmented with polymethylmethacrylate: 128 osteoporotic patients with 42 months of follow-up"],"prefix":"10.1016","volume":"74","author":[{"given":"Zhengdong","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaoyao","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhigang","family":"Rong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xun","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zehua","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0434-5148","authenticated-orcid":false,"given":"Jianzhong","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7651-8549","authenticated-orcid":false,"given":"Fei","family":"Dai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"11","key":"10.6061\/clinics\/2019\/e346_bib1","doi-asserted-by":"crossref","first-page":"E212","DOI":"10.1097\/00007632-200406010-00020","article-title":"Augmentation of pedicle screw fixation strength using an injectable calcium phosphate cement as a function of injection timing and method","volume":"29","author":"Renner","year":"2004","journal-title":"Spine"},{"issue":"12","key":"10.6061\/clinics\/2019\/e346_bib2","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1097\/00007632-199806150-00015","article-title":"Revision pedicle screws. Bigger, longer shims\u2013what is best?","volume":"23","author":"Polly","year":"1998","journal-title":"Spine"},{"issue":"6","key":"10.6061\/clinics\/2019\/e346_bib3","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1016\/S1529-9430(01)00119-X","article-title":"Characteristics of pullout failure in conical and cylindrical pedicle screws after full insertion and back-out","volume":"1","author":"Abshire","year":"2001","journal-title":"Spine J"},{"issue":"2","key":"10.6061\/clinics\/2019\/e346_bib4","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/S1529-9430(01)00020-1","article-title":"Lumbosacral fixation using expandable pedicle screws. An alternative in reoperation and osteoporosis","volume":"1","author":"Cook","year":"2001","journal-title":"Spine J"},{"issue":"8","key":"10.6061\/clinics\/2019\/e346_bib5","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1016\/j.medengphy.2010.05.005","article-title":"The effect of screw insertion angle and thread type on the pullout strength of bone screws in normal and osteoporotic cancellous bone models","volume":"32","author":"Patel","year":"2010","journal-title":"Med Eng Phys"},{"issue":"19","key":"10.6061\/clinics\/2019\/e346_bib6","doi-asserted-by":"crossref","first-page":"E925","DOI":"10.1097\/BRS.0b013e3181c5fb21","article-title":"Effect of the degree of osteoporosis on the biomechanical anchoring strength of the sacral pedicle screws: an in vitro comparison between unaugmented bicortical screws and polymethylmethacrylate augmented unicortical screws","volume":"35","author":"Zhuang","year":"2010","journal-title":"Spine"},{"issue":"2","key":"10.6061\/clinics\/2019\/e346_bib7","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/BSD.0b013e31820ef9f7","article-title":"A study of low elastic modulus expandable pedicle screws in osteoporotic sheep","volume":"25","author":"Shi","year":"2012","journal-title":"J Spinal Disord Tech"},{"issue":"7","key":"10.6061\/clinics\/2019\/e346_bib8","doi-asserted-by":"crossref","first-page":"E351","DOI":"10.1097\/BSD.0b013e31828bfc85","article-title":"Biomechanical Comparison of Expansive Pedicle Screw and Polymethylmethacrylate-augmented Pedicle Screw in Osteoporotic Synthetic Bone in Primary Implantation: An Experimental Study","volume":"29","author":"Liu","year":"2016","journal-title":"Clin Spine Surg"},{"issue":"11","key":"10.6061\/clinics\/2019\/e346_bib9","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.1007\/s00586-008-0769-8","article-title":"Assessment of different screw augmentation techniques and screw designs in osteoporotic spines","volume":"17","author":"Becker","year":"2008","journal-title":"Eur Spine J"},{"issue":"1","key":"10.6061\/clinics\/2019\/e346_bib10","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.jspd.2012.07.004","article-title":"Calcium Triglyceride Versus Polymethylmethacrylate Augmentation: A Biomechanical Analysis of Pullout Strength","volume":"1","author":"Hickerson","year":"2013","journal-title":"Spine Deform"},{"issue":"15","key":"10.6061\/clinics\/2019\/e346_bib11","doi-asserted-by":"crossref","first-page":"2869","DOI":"10.1016\/j.jbiomech.2010.07.025","article-title":"Calcium phosphate cement augmentation of cancellous bone screws can compensate for the absence of cortical fixation","volume":"43","author":"Stadelmann","year":"2010","journal-title":"J Biomech"},{"issue":"4","key":"10.6061\/clinics\/2019\/e346_bib12","doi-asserted-by":"crossref","first-page":"305","DOI":"10.3340\/jkns.2009.46.4.305","article-title":"Polymethylmethacrylate-augmented screw fixation for stabilization of the osteoporotic spine: a three-year follow-up of 37 patients","volume":"46","author":"Moon","year":"2009","journal-title":"J Korean Neurosurg Soc"},{"issue":"5","key":"10.6061\/clinics\/2019\/e346_bib13","doi-asserted-by":"crossref","first-page":"960","DOI":"10.1002\/jbm.b.33424","article-title":"Biomechanical and finite element analyses of bone cement-injectable cannulated pedicle screw fixation in osteoporotic bone","volume":"104","author":"Liu","year":"2016","journal-title":"J Biomed Mater Res B Appl Biomater"},{"issue":"2","key":"10.6061\/clinics\/2019\/e346_bib14","doi-asserted-by":"crossref","first-page":"114","DOI":"10.6061\/clinics\/2015(02)08","article-title":"Surgical treatment of the osteoporotic spine with bone cement-injectable cannulated pedicle screw fixation: technical description and preliminary application in 43 patients","volume":"70","author":"Dai","year":"2015","journal-title":"Clinics"},{"issue":"8","key":"10.6061\/clinics\/2019\/e346_bib15","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1002\/jbmr.5650090802","article-title":"The diagnosis of osteoporosis","volume":"9","author":"Kanis","year":"1994","journal-title":"J Bone Miner Res"},{"issue":"24","key":"10.6061\/clinics\/2019\/e346_bib16","doi-asserted-by":"crossref","first-page":"2644","DOI":"10.1097\/BRS.0b013e31815a5238","article-title":"Operative management of Scheuermann's kyphosis in 78 patients: radiographic outcomes, complications, and technique","volume":"32","author":"Lonner","year":"2007","journal-title":"Spine"},{"issue":"46","key":"10.6061\/clinics\/2019\/e346_bib17","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000005323","article-title":"Characterization of radiographic features of consecutive lumbar spondylolisthesis","volume":"95","author":"Sun","year":"2016","journal-title":"Medicine"},{"issue":"18","key":"10.6061\/clinics\/2019\/e346_bib18","doi-asserted-by":"crossref","first-page":"1926","DOI":"10.1097\/00007632-199909150-00011","article-title":"Evaluation of pedicle screw position in thoracic and lumbar spine fixation using plain radiographs and computed tomography. A prospective study of 35 patients","volume":"24","author":"Sapkas","year":"1999","journal-title":"Spine"},{"issue":"4","key":"10.6061\/clinics\/2019\/e346_bib19","doi-asserted-by":"crossref","first-page":"E11","DOI":"10.3171\/foc.2001.10.4.12","article-title":"Surgical Interbody Research Group\u2013radiographic assessment of interbody fusion devices: fusion criteria for anterior lumbar interbody surgery","volume":"10","author":"Burkus","year":"2001","journal-title":"Neurosurg Focus"},{"issue":"4","key":"10.6061\/clinics\/2019\/e346_bib20","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/S0030-5898(05)70040-7","article-title":"Complications of spinal fusion in adult patients more than 60 years of age","volume":"29","author":"Fujita","year":"1998","journal-title":"Orthop Clin North Am"},{"issue":"203","key":"10.6061\/clinics\/2019\/e346_bib21","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1097\/00003086-198602000-00012","article-title":"A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine","author":"Zindrick","year":"1986","journal-title":"Clin Orthop Relat Res"},{"issue":"341","key":"10.6061\/clinics\/2019\/e346_bib22","first-page":"241","article-title":"Pullout strengths of cannulated and noncannulated cancellous bone screws","volume":"341","author":"Thompson","year":"1997","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"10.6061\/clinics\/2019\/e346_bib23","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.spinee.2012.01.014","article-title":"Assessment of pedicle screw pullout strength based on various screw designs and bone densities-an ex vivo biomechanical study","volume":"12","author":"Kim","year":"2012","journal-title":"Spine J"},{"issue":"296","key":"10.6061\/clinics\/2019\/e346_bib24","first-page":"278","article-title":"Effect of screw diameter, insertion technique, and bone cement augmentation of pedicular screw fixation strength","volume":"296","author":"Wittenberg","year":"1993","journal-title":"Clin Orthop Relat Res"},{"issue":"3","key":"10.6061\/clinics\/2019\/e346_bib25","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1097\/00007632-199402000-00017","article-title":"Repair of failed transpedicle screw fixation. A biomechanical study comparing polymethylmethacrylate, milled bone, and matchstick bone reconstruction","volume":"19","author":"Pfeifer","year":"1994","journal-title":"Spine"},{"issue":"6","key":"10.6061\/clinics\/2019\/e346_bib26","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1007\/s005860000169","article-title":"Augmentation of (pedicle) screws with calcium apatite cement in patients with severe progressive osteoporotic spinal deformities: an innovative technique","volume":"9","author":"Wuisman","year":"2000","journal-title":"Eur Spine J"},{"issue":"4","key":"10.6061\/clinics\/2019\/e346_bib27","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/S1529-9430(02)00207-3","article-title":"Evaluation of calcium sulfate paste for augmentation of lumbar pedicle screw pullout strength","volume":"2","author":"Rohmiller","year":"2002","journal-title":"Spine J"},{"issue":"406","key":"10.6061\/clinics\/2019\/e346_bib28","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1097\/00003086-200301000-00036","article-title":"Hydroxyapatite composite resin cement augmentation of pedicle screw fixation","author":"Turner","year":"2003","journal-title":"Clin Orthop Relat Res"},{"issue":"4","key":"10.6061\/clinics\/2019\/e346_bib29","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/j.spinee.2003.11.010","article-title":"Biomechanical study of pedicle screw fixation in severely osteoporotic bone","volume":"4","author":"Cook","year":"2004","journal-title":"Spine J"},{"key":"10.6061\/clinics\/2019\/e346_bib30","doi-asserted-by":"crossref","DOI":"10.1155\/2014\/748393","article-title":"Designs and techniques that improve the pullout strength of pedicle screws in osteoporotic vertebrae: current status","volume":"2014","author":"Shea","year":"2014","journal-title":"Biomed Res Int"},{"key":"10.6061\/clinics\/2019\/e346_bib31","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1186\/1471-2474-12-33","article-title":"Pullout strength of pedicle screws with cement augmentation in severe osteoporosis: a comparative study between cannulated screws with cement injection and solid screws with cement pre-filling","volume":"12","author":"Chen","year":"2011","journal-title":"BMC Musculoskelet Disord"},{"issue":"8","key":"10.6061\/clinics\/2019\/e346_bib32","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/j.clinbiomech.2009.05.002","article-title":"Pullout strength for cannulated pedicle screws with bone cement augmentation in severely osteoporotic bone: influences of radial hole and pilot hole tapping","volume":"24","author":"Chen","year":"2009","journal-title":"Clin Biomech"},{"issue":"3","key":"10.6061\/clinics\/2019\/e346_bib33","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1227\/01.NEU.0000290899.15567.68","article-title":"Segmental polymethylmethacrylate-augmented pedicle screw fixation in patients with bone softening caused by osteoporosis and metastatic tumor involvement: a clinical evaluation","volume":"61","author":"Frankel","year":"2007","journal-title":"Neurosurgery"},{"issue":"6","key":"10.6061\/clinics\/2019\/e346_bib34","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1016\/j.spinee.2017.01.009","article-title":"Risk of cement leakage and pulmonary embolism by bone cement-augmented pedicle screw fixation of the thoracolumbar spine","volume":"17","author":"Janssen","year":"2017","journal-title":"Spine J"},{"issue":"15","key":"10.6061\/clinics\/2019\/e346_bib35","doi-asserted-by":"crossref","first-page":"2231","DOI":"10.1097\/00007632-199311000-00015","article-title":"Complications associated with the technique of pedicle screw fixation. A selected survey of ABS members","volume":"18","author":"Esses","year":"1993","journal-title":"Spine"}],"container-title":["Clinics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1807593222006159?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1807593222006159?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T06:57:58Z","timestamp":1761721078000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1807593222006159"},"secondary":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1807-59322019000100234&lng=en&nrm=iso&tlng=en","label":"SCIELO"},{"URL":"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6537661\/","label":"PMC"},{"URL":"https:\/\/www.clinicsjournal.com\/article\/clinical-evaluation-of-a-bone-cement-injectable-cannulated-pedicle-screw-augmented-with-polymethylmethacrylate-128-osteoporotic-patients-with-42-months-of-follow-up\/","label":"CLINICS"}]},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":35,"alternative-id":["S1807593222006159"],"URL":"https:\/\/doi.org\/10.6061\/clinics\/2019\/e346","relation":{},"ISSN":["1807-5932"],"issn-type":[{"value":"1807-5932","type":"print"}],"subject":[],"published":{"date-parts":[[2019]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Clinical evaluation of a bone cement-injectable cannulated pedicle screw augmented with polymethylmethacrylate: 128 osteoporotic patients with 42 months of follow-up","name":"articletitle","label":"Article Title"},{"value":"Clinics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.6061\/clinics\/2019\/e346","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2019 CLINICS. Published by Elsevier Spain","name":"copyright","label":"Copyright"}],"article-number":"e346"}}