Lumbosacral pedicle screw placement using a fluoroscopic pedicle axis view and a cannulated tapping device

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Lumbosacral pedicle screw placement using a fluoroscopic pedicle axis view and a cannulated tapping device

BACKGROUND Pedicle screw insertions are commonly used for posterior fixation to treat various spine disorders. However, the misplacement of pedicle screws can lead to disastrous complications. Inaccurate pedicle screw placement is relatively common even when placement is performed under fluoroscopic control. In order to improve the accuracy of the screw placement, we applied a technique using g...

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Accuracy of Percutaneous Lumbosacral Pedicle Screw Placement Using the Oblique Fluoroscopic View Based on Computed Tomography Evaluations

STUDY DESIGN Retrospective. PURPOSE This study aims to investigate the accuracy of the oblique fluoroscopic view, based on preoperative computed tomography (CT) images for accurate placement of lumbosacral percutaneous pedicle screws (PPS). OVERVIEW OF LITERATURE Although PPS misplacement has been reported as one of the main complications in minimally invasive spine surgery, there is no com...

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Pedicle screw placement in patients with variant atlas pedicle

OBJECTIVE To investigate how the anatomy of variant atlas vertebra impacts on the strategy used to place pedicle screws used to treat atlantoaxial instability. METHODS The study enrolled patients with cervical instability who had a posterior arch pedicle height <3.5 mm at the anchor point, a vertebral artery groove height <3.5 mm, or both. Pedicle screws were fitted according to the anatomy o...

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Thoracic pedicle screw placement: free-hand technique.

Thoracic pedicle screws provide a number of advantages over other methods of spinal fixation in treating a variety of conditions including: better pull-out strength and greater control in the sagittal, coronal and rotational planes due to increased stability to axial, bending and rotational forces by three-column fixation, fewer vertebral motion segments arthrodesed, no or lessened need for pos...

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Cervical Pedicle Screw Placement Using Medial Funnel Technique

OBJECTIVE Cervical pedicle screw (CPS) placement is very challenging due to high risk of neurovascular complications. We devised a new technique (medial funnel technique) to improve the accuracy and feasibility of CPS placement. METHODS We reviewed 28 consecutive patients undergoing CPS instrumentation using the medial funnel technique. Their mean age was 51.4 years (range, 30-81 years). Preo...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery and Research

سال: 2015

ISSN: 1749-799X

DOI: 10.1186/s13018-015-0225-5