Spinal Implants and Radiation Therapy: The Effect of Various Configurations of Titanium Implant Systems in a

Single-Level Vertebral Metastasis Model

by Murat Pekmezci, Bahar Dirican, Bülent Yapici, Muharrem Yazici, Ahmet Alanay, and Salih Gürdalli

J Bone Joint Surg AmVolume 88(5):1093-1100

May 1, 2006

©2006 by The Journal of Bone and Joint Surgery, Inc.

Murat Pekmezci et al. J Bone Joint Surg Am 2006;88:1093-1100

©2006 by The Journal of Bone and Joint Surgery, Inc.

Murat Pekmezci et al. J Bone Joint Surg Am 2006;88:1093-1100

©2006 by The Journal of Bone and Joint Surgery, Inc.

Murat Pekmezci et al. J Bone Joint Surg Am 2006;88:1093-1100

©2006 by The Journal of Bone and Joint Surgery, Inc.

Murat Pekmezci et al. J Bone Joint Surg Am 2006;88:1093-1100

©2006 by The Journal of Bone and Joint Surgery, Inc.

Location of the reference points in the spinal canal, including the anterior aspect of the canal (1), the middle aspect of the canal (2), the posterior aspect of the canal (3), and the adjacent level (4).

Murat Pekmezci et al. J Bone Joint Surg Am 2006;88:1093-1100

©2006 by The Journal of Bone and Joint Surgery, Inc.

Illustration depicting the percent dose changes at the spinal canal with different implant combinations at two energy levels.

Murat Pekmezci et al. J Bone Joint Surg Am 2006;88:1093-1100

©2006 by The Journal of Bone and Joint Surgery, Inc.

Illustration depicting the percent dose changes at the reference points in AI-Ca and AI-Ce systems with cobalt-60 and linear LINAC irradiation.

Murat Pekmezci et al. J Bone Joint Surg Am 2006;88:1093-1100

©2006 by The Journal of Bone and Joint Surgery, Inc.