Pedicle screw fixation in spinal disorders: A European view

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Pedicle screw surface coatings improve fixation in nonfusion spinal constructs.

STUDY DESIGN Biomechanical and histologic analysis. OBJECTIVE To compare the strength of the bone-screw interface of standard uncoated pedicle screws with screws treated with hydroxyapatite (HA), titanium plasma spray (TPS), and a composite HA-TPS coating. SUMMARY OF BACKGROUND DATA Transpedicular screw fixation has become the gold standard in the treatment of various thoracolumbar spinal c...

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Design and performance of spinal fixation pedicle screw system.

Pedicle screw-rod bilateral constructions are extensively used in spinal fixation. In this study, the common cause for failure of bilateral constructions has been determined to be the high stress concentration at the rod-setscrew interface. In order to overcome this problem, a design modification has been made by using a supplementary part (shoe) between rod and setscrew. Performance comparison...

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Pedicle screw fixation in the spine.

In August 1993, in the USA, an FDA advisory committee of experts reviewed the scientific data on pedicle screws and decided that not enough was known about the shortterm problems or the long-term safety and effectiveness of these devices to allow their use to be approved. Manufacturers were therefore forbidden to promote the use of screws in the spine, and patients were warned that pedicle scre...

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A biomechanical comparison of a novel thoracic screw fixation method: transarticular screw fixation vs traditional pedicle screw fixation.

BACKGROUND Transarticular screw fixation is used in the upper cervical and lumbar spine to achieve posterior spinal stability, and its biomechanical performance has been proven to be similar to that of pedicle screw fixation. However, few studies have reported the use of transarticular screw fixation in the upper thoracic spine. OBJECTIVE To biomechanically compare transarticular screws with ...

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A comparative analysis of the efficacy of short-segment pedicle screw fixation with that of long-segment pedicle screw fixation for unstable thoracolumbar spinal burst fractures

The indications for operative treatment and type of stabilization procedures for the treatment of thoracolumbar burst fracture remain controversial. As surgical reconstruction for the thoracolumbar burst fracture, both long-segment pedicle screw fixation and short-segment pedicle screw fixation including fractured vertebral body have been used widely. The present study evaluated the efficacy of...

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ژورنال

عنوان ژورنال: European Spine Journal

سال: 1997

ISSN: 0940-6719,1432-0932

DOI: 10.1007/bf01676569