“…In fact, none of the 10 medially breached screws from this study would have been identified as such, based on screw stimulation alone [i.e., thresholds ranged between 11.8 and .30 mA, all exceeding the "accepted" upper cutoff of 6-11 mA reported by a number of previous studies (Calancie et al, 1994;Clements et al, 1996;Glassman et al, 1995;Kim et al, 2004;Lewis et al, 2001;Maguire et al, 1995;Raynor et al, 2003, Reidy et al, 2001Rodriguez-Olaverri et al, 2008;Samdani et al, 2010)]. Titanium, both alloyed and commercially pure, spontaneously forms a thin (,10 nm) native oxide when exposed to oxygen-containing media (e.g., air, blood) (Donley and Gillette, 1991;Hrapovic et al, 2001;Huang et al, 2003;Milosev et al, 2000;Scharnweber et al, 2002;Sul et al, 2001;Velten et al, 2002). Titanium, both alloyed and commercially pure, spontaneously forms a thin (,10 nm) native oxide when exposed to oxygen-containing media (e.g., air, blood) (Donley and Gillette, 1991;Hrapovic et al, 2001;Huang et al, 2003;Milosev et al, 2000;Scharnweber et al, 2002;Sul et al, 2001;Velten et al, 2002).…”