A Passive Wireless Smart Washer for Locking Force Monitoring on the Orthopedic Pedicle Screw

Abstract

A pedicle screw is a component for fixation in spine fusion surgery, often for patients with osteoporosis. Spine fusion condition highly depends on whether the pedicle screw is tightly fixed on spine, if not, spine fusion will not work properly. After the surgery, the first 3 months is the most crucial period, and bone healing situation cannot be shown through X-ray before the first radiologic images taken around the sixth week. Therefore, it is helpful to have a nonradiative method to monitor the locking force of the pedicle screw after surgery, especially during the early stage. Here a passive wireless force sensor is developed for monitoring the locking force of the pedicle screw, as we call it a smart washer. By integrating a capacitive ring-shape force sensor with an inductor, a passive LC sensor can be built by measuring the resonant frequency wirelessly. The smart washer is designed and calibrated to establish the relation between the locking force and resonant frequency, and then it is fixed with a screw in a porcine femur, with and without medium between the reader and inductor. When the locking force decreases from 8.3 to 0.9 N, the error is less than 0.5 N, and the maximum wireless sensing distance is 72 mm. However, the medium between the reader and the sensor inductor will affect the resonant frequency, but not the sensitivity. Therefore, the locking force variation can still be calculated by the resonant frequency shift accurately. Furthermore, by designing another five LC sensors with different operating resonant frequency ranges, it is possible to identify locking forces at different locations for more pedicle screws. To our knowledge, no LC force sensor was proposed to monitor the locking force of pedicle screws after surgery in the past.