Fluoroscopically assisted percutaneous translaminar facet screw fixation following anterior lumbar interbody fusion : Technical report
A technical report of fluoroscopically assisted percutaneous translaminar facet screw fixation after anterior lumbar interbody fusion (ALIF). To describe a minimally invasive translaminar facet screw fixation technique that was modified from the Magerl method, and to assess its technical feasibility...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2005-04, Vol.30 (7), p.838-843 |
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| container_title | Spine (Philadelphia, Pa. 1976) |
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| creator | CHAN SHIK SHIM LEE, Sang-Ho JUNG, Byungjoo SIVASABAAPATHI, Palanisamy PARK, Sun-Hee SHIN, Song-Woo |
| description | A technical report of fluoroscopically assisted percutaneous translaminar facet screw fixation after anterior lumbar interbody fusion (ALIF).
To describe a minimally invasive translaminar facet screw fixation technique that was modified from the Magerl method, and to assess its technical feasibility and clinical efficacy.
There is no previous study in the literature on percutaneous translaminar facet screw fixation assisted only by fluoroscopy without using any specially designed guiding device. Also, there is no previous study involving a screw insertion technique in which the screw is directed to purchase the pedicle while traversing the lamina and transfixing the facet joint.
A total of 20 patients with degenerative spinal disease underwent ALIF and supplementary percutaneous translaminar facet screw fixation under fluoroscopic guidance from 2001 through 2002. Their clinical and radiologic data were collected and analyzed.
A total of 65 screws were inserted. Seven screws (10.8%) were found to have violated laminae walls but none injured or compressed neural structures directly. The purchases of the facet joints were all successful, but insertion into the pedicle in perfect position was successful in 55 screws (84.6%). Radiologic fusion occurred in all fused levels (100%). Estimated blood loss was 222.5 mL (100-520), and no blood transfusions were needed in any of the cases. There was only one complication related to facet screw fixation, in which the distal tip of a superior articular process was fractured caused by repeated drilling with a K-wire.
Percutaneous translaminar facet screw fixation using fluoroscopy is technically feasible. It seems that the fluoroscopically assisted percutaneous translaminar facet pedicle screw fixation is a useful, minimally invasive posterior augmenting method following ALIF. |
| doi_str_mv | 10.1097/01.brs.0000157473.17313.6f |
| format | Article |
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To describe a minimally invasive translaminar facet screw fixation technique that was modified from the Magerl method, and to assess its technical feasibility and clinical efficacy.
There is no previous study in the literature on percutaneous translaminar facet screw fixation assisted only by fluoroscopy without using any specially designed guiding device. Also, there is no previous study involving a screw insertion technique in which the screw is directed to purchase the pedicle while traversing the lamina and transfixing the facet joint.
A total of 20 patients with degenerative spinal disease underwent ALIF and supplementary percutaneous translaminar facet screw fixation under fluoroscopic guidance from 2001 through 2002. Their clinical and radiologic data were collected and analyzed.
A total of 65 screws were inserted. Seven screws (10.8%) were found to have violated laminae walls but none injured or compressed neural structures directly. The purchases of the facet joints were all successful, but insertion into the pedicle in perfect position was successful in 55 screws (84.6%). Radiologic fusion occurred in all fused levels (100%). Estimated blood loss was 222.5 mL (100-520), and no blood transfusions were needed in any of the cases. There was only one complication related to facet screw fixation, in which the distal tip of a superior articular process was fractured caused by repeated drilling with a K-wire.
Percutaneous translaminar facet screw fixation using fluoroscopy is technically feasible. It seems that the fluoroscopically assisted percutaneous translaminar facet pedicle screw fixation is a useful, minimally invasive posterior augmenting method following ALIF.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/01.brs.0000157473.17313.6f</identifier><identifier>PMID: 15803090</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Bone Screws - adverse effects ; Cerebrospinal fluid. Meninges. Spinal cord ; Female ; Fluoroscopy ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - pathology ; Lumbar Vertebrae - surgery ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Orthopedic surgery ; Spinal Diseases - diagnosis ; Spinal Diseases - surgery ; Spinal Fusion ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery, Computer-Assisted ; Tomography, X-Ray Computed ; Traumas. Diseases due to physical agents</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2005-04, Vol.30 (7), p.838-843</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-a0677c6c13689df5dbb8fc508338a820da75951c0a1aa218e88ff48005a09fd93</citedby><cites>FETCH-LOGICAL-c376t-a0677c6c13689df5dbb8fc508338a820da75951c0a1aa218e88ff48005a09fd93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16733243$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15803090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CHAN SHIK SHIM</creatorcontrib><creatorcontrib>LEE, Sang-Ho</creatorcontrib><creatorcontrib>JUNG, Byungjoo</creatorcontrib><creatorcontrib>SIVASABAAPATHI, Palanisamy</creatorcontrib><creatorcontrib>PARK, Sun-Hee</creatorcontrib><creatorcontrib>SHIN, Song-Woo</creatorcontrib><title>Fluoroscopically assisted percutaneous translaminar facet screw fixation following anterior lumbar interbody fusion : Technical report</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>A technical report of fluoroscopically assisted percutaneous translaminar facet screw fixation after anterior lumbar interbody fusion (ALIF).
To describe a minimally invasive translaminar facet screw fixation technique that was modified from the Magerl method, and to assess its technical feasibility and clinical efficacy.
There is no previous study in the literature on percutaneous translaminar facet screw fixation assisted only by fluoroscopy without using any specially designed guiding device. Also, there is no previous study involving a screw insertion technique in which the screw is directed to purchase the pedicle while traversing the lamina and transfixing the facet joint.
A total of 20 patients with degenerative spinal disease underwent ALIF and supplementary percutaneous translaminar facet screw fixation under fluoroscopic guidance from 2001 through 2002. Their clinical and radiologic data were collected and analyzed.
A total of 65 screws were inserted. Seven screws (10.8%) were found to have violated laminae walls but none injured or compressed neural structures directly. The purchases of the facet joints were all successful, but insertion into the pedicle in perfect position was successful in 55 screws (84.6%). Radiologic fusion occurred in all fused levels (100%). Estimated blood loss was 222.5 mL (100-520), and no blood transfusions were needed in any of the cases. There was only one complication related to facet screw fixation, in which the distal tip of a superior articular process was fractured caused by repeated drilling with a K-wire.
Percutaneous translaminar facet screw fixation using fluoroscopy is technically feasible. It seems that the fluoroscopically assisted percutaneous translaminar facet pedicle screw fixation is a useful, minimally invasive posterior augmenting method following ALIF.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Bone Screws - adverse effects</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Orthopedic surgery</subject><subject>Spinal Diseases - diagnosis</subject><subject>Spinal Diseases - surgery</subject><subject>Spinal Fusion</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery, Computer-Assisted</subject><subject>Tomography, X-Ray Computed</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkc-KFDEQh4Mo7rj6ChIEvXWbdCb_9iaLq8KCl_UcqtOJRtKdNkmzOy_gc5txBiaXIvBVFfX7EHpHSU-Jlh8J7cdcetIe5XIvWU8lo6wX_hnaUT6ojlKun6MdYWLohj0TV-hVKb8bLxjVL9EV5YowoskO_b2LW8qp2LQGCzEeMJQSSnUTXl22W4XFpa3gmmEpEeawQMYerKu42OwesQ9PUENasE8xpsew_MSwVJdDyjhu89jwcPyPaTpgv5UjeoMfnP21HBfi7NaU62v0wkMs7s25XqMfd58fbr9299-_fLv9dN9ZJkXtgAgprbCUCaUnz6dxVN5yohhToAYygeSaU0uAAgxUOaW83ytCOBDtJ82u0YfT3DWnP5sr1cyhWBfj6UwjJBeakqGBNyfQtnBKdt6sOcyQD4YSc7RgCDXNgrlYMP8tGOFb89vzlm2c3XRpPcfegPdnAEoLwbdwbSgXTkjGmjf2D8SKlYo</recordid><startdate>20050401</startdate><enddate>20050401</enddate><creator>CHAN SHIK SHIM</creator><creator>LEE, Sang-Ho</creator><creator>JUNG, Byungjoo</creator><creator>SIVASABAAPATHI, Palanisamy</creator><creator>PARK, Sun-Hee</creator><creator>SHIN, Song-Woo</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050401</creationdate><title>Fluoroscopically assisted percutaneous translaminar facet screw fixation following anterior lumbar interbody fusion : Technical report</title><author>CHAN SHIK SHIM ; LEE, Sang-Ho ; JUNG, Byungjoo ; SIVASABAAPATHI, Palanisamy ; PARK, Sun-Hee ; SHIN, Song-Woo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-a0677c6c13689df5dbb8fc508338a820da75951c0a1aa218e88ff48005a09fd93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Bone Screws - adverse effects</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Orthopedic surgery</topic><topic>Spinal Diseases - diagnosis</topic><topic>Spinal Diseases - surgery</topic><topic>Spinal Fusion</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery, Computer-Assisted</topic><topic>Tomography, X-Ray Computed</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHAN SHIK SHIM</creatorcontrib><creatorcontrib>LEE, Sang-Ho</creatorcontrib><creatorcontrib>JUNG, Byungjoo</creatorcontrib><creatorcontrib>SIVASABAAPATHI, Palanisamy</creatorcontrib><creatorcontrib>PARK, Sun-Hee</creatorcontrib><creatorcontrib>SHIN, Song-Woo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CHAN SHIK SHIM</au><au>LEE, Sang-Ho</au><au>JUNG, Byungjoo</au><au>SIVASABAAPATHI, Palanisamy</au><au>PARK, Sun-Hee</au><au>SHIN, Song-Woo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fluoroscopically assisted percutaneous translaminar facet screw fixation following anterior lumbar interbody fusion : Technical report</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2005-04-01</date><risdate>2005</risdate><volume>30</volume><issue>7</issue><spage>838</spage><epage>843</epage><pages>838-843</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>A technical report of fluoroscopically assisted percutaneous translaminar facet screw fixation after anterior lumbar interbody fusion (ALIF).
To describe a minimally invasive translaminar facet screw fixation technique that was modified from the Magerl method, and to assess its technical feasibility and clinical efficacy.
There is no previous study in the literature on percutaneous translaminar facet screw fixation assisted only by fluoroscopy without using any specially designed guiding device. Also, there is no previous study involving a screw insertion technique in which the screw is directed to purchase the pedicle while traversing the lamina and transfixing the facet joint.
A total of 20 patients with degenerative spinal disease underwent ALIF and supplementary percutaneous translaminar facet screw fixation under fluoroscopic guidance from 2001 through 2002. Their clinical and radiologic data were collected and analyzed.
A total of 65 screws were inserted. Seven screws (10.8%) were found to have violated laminae walls but none injured or compressed neural structures directly. The purchases of the facet joints were all successful, but insertion into the pedicle in perfect position was successful in 55 screws (84.6%). Radiologic fusion occurred in all fused levels (100%). Estimated blood loss was 222.5 mL (100-520), and no blood transfusions were needed in any of the cases. There was only one complication related to facet screw fixation, in which the distal tip of a superior articular process was fractured caused by repeated drilling with a K-wire.
Percutaneous translaminar facet screw fixation using fluoroscopy is technically feasible. It seems that the fluoroscopically assisted percutaneous translaminar facet pedicle screw fixation is a useful, minimally invasive posterior augmenting method following ALIF.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>15803090</pmid><doi>10.1097/01.brs.0000157473.17313.6f</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0362-2436 |
| ispartof | Spine (Philadelphia, Pa. 1976), 2005-04, Vol.30 (7), p.838-843 |
| issn | 0362-2436 1528-1159 |
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| subjects | Adult Aged Biological and medical sciences Bone Screws - adverse effects Cerebrospinal fluid. Meninges. Spinal cord Female Fluoroscopy Humans Injuries of the nervous system and the skull. Diseases due to physical agents Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - pathology Lumbar Vertebrae - surgery Magnetic Resonance Imaging Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neurology Orthopedic surgery Spinal Diseases - diagnosis Spinal Diseases - surgery Spinal Fusion Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery, Computer-Assisted Tomography, X-Ray Computed Traumas. Diseases due to physical agents |
| title | Fluoroscopically assisted percutaneous translaminar facet screw fixation following anterior lumbar interbody fusion : Technical report |
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