Thoracolumbar Cortical Screw Placement with Interbody Fusion: Technique and Considerations

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Thoracolumbar Cortical Screw Placement with Interbody Fusion: Technique and Considerations

A surge in interest in cortical bone trajectory (CBT), first described by Santoni in 2009, may be a result of its numerous advantages, including reduced surgical incision length and lateral dissection, limited disruption of the facet joints, and decreased blood loss. In addition, CBT offers improved screw pullout strength and the ability to perform hybrid constructs with pedicle screws using mi...

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Accuracy of pedicle screw placement in thoracolumbar spine with conventional open technique.

AIM To demonstrate the incidence of screw misplacement and revision rates in a group of 72 patients that underwent pedicle screw fixation for spinal pathologies using the conventional, fluoroscopy-guided open technique. MATERIAL AND METHODS Data from 72 consecutive patients with spinal instability that received 472 screws between April 2011 and May 2013 were reviewed and pedicle wall breach w...

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Percutaneous Transpedicular Interbody Fusion Technique in Percutaneous Pedicle Screw Stabilization for Pseudoarthrosis Following Pyogenic Spondylitis.

This report introduces a percutaneous transpedicular interbody fusion (PTPIF) technique in posterior stabilization using percutaneous pedicle screws (PPSs). An 81-year-old man presented with pseudoarthrosis following pyogenic spondylitis 15 months before. Although no relapse of infection was found, he complained of obstinate low back pain and mild neurological symptoms. Radiological evaluations...

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Short-Term Results of Transforaminal Lumbar Interbody Fusion Using Pedicle Screw with Cortical Bone Trajectory Compared with Conventional Trajectory

STUDY DESIGN Case-control study. PURPOSE To evaluate clinical and radiological results of transforaminal lumbar interbody fusion (TLIF) performed with cortical bone trajectory (CBT) pedicle screw insertion with those of TLIF using 'conventional' or percutaneous pedicle screw insertion. OVERVIEW OF LITERATURE CBT is a new trajectory for pedicle screw insertion in the lumbar spine; clinical a...

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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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ژورنال

عنوان ژورنال: Cureus

سال: 2017

ISSN: 2168-8184

DOI: 10.7759/cureus.1419