Simple technique for removing broken pedicular screw with plain and serviceable screwdriver

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Simple Technique for Removing Broken Pedicular Screws

The procedure for removing a broken pedicle screw should ideally be technically easy and minimally invasive, as any damage to the pedicle, during removal of the broken screw, may weaken the pedicle, thus compromising on the success of re-instrumentation. We describe the case of a 32-year old man who had undergone surgery for traumatic third lumbar vertebral body fracture three years prior to cu...

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Accuracy Assessment of Freehand Pedicular Screw Placement

Background: The purpose of this prospective study was to determine the accuracy of pedicular screw insertion withoutthe use of fluoroscopy.Methods: This study was conducted on patients with spinal diseases in need of pedicular screw fixation and fusion.The included patients suffered from such conditions as vertebral fracture, spinal stenosis, kyphosis, tumor, and pelvicf...

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Automated surgical screwdriver: automated screw placement.

The use of power screwdrivers and drills for tapping and screw insertion in surgery is becoming more common. It has been established from clinical observations that the use of a small air drill for inserting self-tapping screws provides improved coaxial alignment and precision, and that the drill should be stopped before the screw head is completely seated on the plate, presumably to reduce the...

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Removing broken locking bolts

Removal of broken locking bolts requires careful planning. The following tips facilitate the procedure and reduce operation time. Positioning the patient supine without traction allows optimal adduction. Early screw removal will leave the nail rotationally unstable; apply the jig beforehand. If direct palpation is not possible, access the end cap by a guided drill (Fig 1). Use screw holders (Fi...

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Anatomical considerations for insertion of pedicular screw in cervicothoracic junction

Background: This study aimed to investigate the pedicle dimension and angulation in cervicothoracic junction (CTJ) using the findings of computed tomographic (CT) to help accurate insertion of pedicular screw. Methods: Forty three patients with high quality CT images of CTJ were evaluated. Pedicle width (PW), pedicle height (PH), pedicle axis length (PAL), transverse angle (TA) and sagittal ang...

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ژورنال

عنوان ژورنال: European Spine Journal

سال: 2008

ISSN: 0940-6719,1432-0932

DOI: 10.1007/s00586-008-0650-9