Percutaneous translaminar facet pedicle screw fixation following anterior lumbar interbody fusion
Journal Title: Eklem Hastaliklari ve Cerrahisi - Year 2005, Vol 16, Issue 2
Abstract
Objectives: This retrospective study was conducted to describe a novel minimally invasive translaminar facet pedicle screw fixation technique that was modified from the Magerl’s method and to assess its technical feasibility and clinical efficacy. Patients and methods: Twenty consecutive patients (19 females, 1 male; mean age 54 years; range 41 to 68 years) with degenerative spinal disease underwent anterior lumbar interbody fusion (ALIF) and supplementary percutaneous translaminar facet screw fixation under fluoroscopic guidance, in which the screw was directed to purchase with the pedicle while traversing the laminae and transfixing the facet. Spinal fusion was performed at 1, 2, and 3 levels in 10, 7, and 3 patients, respectively. The results were evaluated with the use of the visual analog scale (VAS) and the Oswestry Disability Index (ODI). The patients were evaluated by computed tomography (CT) and radiographs immediately after the operation and at the last follow-up. The mean follow-up period was 19.5 months (range 10 to 28 months). Results: A total of 65 screws were inserted. Seven screws (10.8%) were found to have violated laminae walls on immediate postoperative CT scans. Screw-associated direct neural injury or neural compression did not occur. Facet purchases were successful in all the screws, but pedicle purchases were successful in 55 screws (84.6%). Radiologic fusion occurred in all the cases. The mean preoperative ODI score decreased from 52% to 26%, and the mean preoperative VAS scores for pain and leg pain decreased from 8.5 to 4.5 and from 6.25 to 2.3, respectively. The mean operation time was 57 minutes per level for ALIF and 47 minutes per level for percutaneous translaminar transfacet screw fixation. There was only one complication related to facet screw fixation that necessitated revision. Conclusion: Percutaneous translaminar facet pedicle screw fixation with the use of fluoroscopy is a technically feasible minimally invasive posterior augmentation method following anterior lumbar interbody fusion.
Authors and Affiliations
Chan Shim, Sang-Ho Lee, Byungjoo Jung, Sun-Hee Park, Song-Woo Shin
Keywords
Related Articles
- EP ID EP112863
- DOI -
- Views 117
- Downloads 0
Lateral ayak bileği yaralanmalarında Icefeel® ve Cryocuff® uygulamalarının karşılaştırılması
Amaç: Akut lateral ayak bileği yaralanmalarının tedavisinde Icefeel® soğuk bandaj ve Cryocuff® uygulamalarının tedavideki etkinlikleri karşılaştırıldı. Hastalar ve yöntemler: Çalışmaya evre I-II lateral ayak bileği yara...
Perkütan endoskopik lomber diskektomi sonrasında nadir bir komplikasyon olarak gelişen pyojenik psoas apsesi ve spondilodiskit: Olgu sunumu
Perkütan endoskopik lomber diskektomi (PELD), çok düşük komplikasyon oranı olan güvenli bir prosedür olarak bilinmektedir. Yirmi dokuz yaşında bir kadın hastada PELD sonrasında pyojenik psoas apsesi saptandı. Erken drena...
New surgical techniques of percutaneous endoscopic lumbar discectomy for migrated disc herniation
Objectives: Although percutaneous endoscopic lumbar discectomy (PELD) offers a favorable outcome for protruded discs, there have been difficulties for migrated discs. The purpose of this study was to present new surgical...
Bir olguda statik volar interkalar segment instabilitesine yol açan akut lunotrikuetral ayrışma
Elli sekiz yaşında bir erkek hastada, sol el bileği üzerine düşme sonucu, dorsumun hiperfleksiyona gelmesiyle lunotrikuetral ayrışma ve beraberinde statik volar interkalar segment instabilitesi gelişti. El bileği hareket...
Identification of substance P receptors on fibroblast-like cells derived from the periosteum: an in vitro cell culture study
Objectives: Substance P (SP) is a neuromediator that influences development, growth, and formation of bone. Substance P receptors have not been specified on osteoblast-like cells. It is assumed that the neural network wi...