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International Orthopaedics

Erschienen in:

01.10.2008 | Original Paper

Ideal entry point for the thoracic pedicle screw during the free hand technique

verfasst von: Kook Jin Chung, Seung Woo Suh, Sameer Desai, Hae Ryong Song

Erschienen in: International Orthopaedics | Ausgabe 5/2008

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Abstract

We have attempted to determine the spatial orientation of the base of the superior articular process in relation to the centre of the pedicle and then measure the transverse and sagittal screw angles using this ideal pedicle screw entry point – the base of the superior articular process at the junction of the lateral one-third and medial two-thirds. The proposed advantages of this technique are the easily identifiable entry point, the well-defined transverse and sagittal screw angles and a very low incidence of medial and inferior pedicle violation.

Assaker R, Reyns N, Vinchon M, Demondion X, Louis E (2001) Transpedicular screw placement: image-guided versus lateral-view fluoroscopy: in vitro simulation. Spine 26:2160–2164PubMedCrossRef

Berlemann U, Cripton PA, Rincon L et al (1996) Pull-out strength of pedicle hooks with screw fixation screws: influence of screw length and angulation. Eur Spine J 5:71–73PubMedCrossRef

Cinotti G, Gumina S, Ripani M, Postacchini F (1999) Pedicle instrumentation in the thoracic spine. A morphometric and cadaveric study for placement of screws. Spine 24:114–119PubMedCrossRef

Ebraheim NA, Jabaly G, Xu R et al (1997) Anatomic relations of the thoracic pedicle to the adjacent neural structures. Spine 22:1160–1164CrossRef

Hart RA, Hansen BL, Shea M, Hsu F, Anderson GJ (2005) Pedicle screw placement in the thoracic spine: a comparison of image-guided and manual techniques in cadavers. Spine 30:E326–E331PubMedCrossRef

Heini P, Scholl E, Wyler D et al (1998) Fatal cardiac tamponade associated with posterior spinal instrumentation: a case report. Spine 23:2226–2230PubMedCrossRef

Kim KD, Johnson JP, Bloch O, Masciopinto JE (2001) Computer assisted thoracic pedicle screw placement. Spine 26:360–364PubMedCrossRef

Kim YJ, Lenke LG, Bridwell KH, Cho YS, Riew KD (2004) Free hand pedicle screw placement in the thoracic spine: Is it safe? Spine 29:333–342PubMedCrossRef

Kim YJ, Lenke LG, Cheh G, Riew KD (2004) Defining the learning curve of free hand pedicle screw placement for adolescent idiopathic scoliosis surgery: sixty-seven consecutive cases. Poster presentation. Int Meet Adv Spine Technol, Bermuda

10.

Krag MH, Weaver DL, Beynnon BD, Haugh LD (1998) Morphometry of the thoracic and lumbar spine related to transpedicular screw placement for surgical spinal fixation. Spine 13:27–32CrossRef

11.

Lehman RA Jr, Kuklo TR (2003) Use of the anatomic trajectory for thoracic pedicle screw salvage after failure/violation using the straight-forward technique: a biomechanical analysis. Spine 28:2072–2077PubMedCrossRef

12.

Liljenqvist U, Hackenberg L, Link T, Halm H (2001) Pullout strength of pedicle screws versus pedicle and laminar hooks in the thoracic spine. Acta Orthop Belg 67:157–163PubMed

13.

Parent S, Labelle H, Skalli W, de Guise J (2004) Thoracic pedicle morphometry in vertebrae from scoliotic spines. Spine 29:239–248PubMedCrossRef

14.

Rampersaud YR, Simon DA, Foley KT (2001) Accuracy requirements for image guided spinal pedicle screw placement. Spine 26:352–359PubMedCrossRef

15.

Skinner R, Maybee J, Transfeldt et al (1990) Experimental pullout testing and comparison of variables in transpedicular screw fixation: a biomechanical study. Spine 15:195–201PubMedCrossRef

16.

Suk SI, Kim WJ, Lee SM, Kim JH, Chung ER (2001) Thoracic pedicle screw fixation in spinal deformities: are they really safe? Spine 26:2049–2057PubMedCrossRef

17.

Vaccaro AR, Rizzolo SJ, Balderstone R et al (1995) Placement of pedicle screws in the thoracic spine. Part I: Morphometric analysis of the thoracic vertebrae. J Bone Joint Surg Am 77:1193–1199PubMed

18.

Vaccaro AR, Rizzolo SJ, Balderston RA et al (1995) Placement of pedicle screws in the thoracic spine. Part II: An anatomical and radiographic assessment. J Bone Joint Surg Am 77:1200–1206PubMed

19.

Yingsakmonkol W, Karaikovic E, Gains RW (2002) The accuracy of pedicle screw placement in the thoracic spine using the funnel technique. J Spinal Disord 6:445–449

20.

Zindrick MR, Wiltse LL, Doornik A, Widell EH, Knight GW, Patwardhan AG, Thomas JC, Rothman SL, Fields BT (1987) Analysis of the morphometric characteristics of the thoracic and lumbar pedicles. Spine 12:160–166PubMedCrossRef

Titel: Ideal entry point for the thoracic pedicle screw during the free hand technique
verfasst von: Kook Jin Chung
Seung Woo Suh
Sameer Desai
Hae Ryong Song
Publikationsdatum: 01.10.2008
Verlag: Springer-Verlag
Erschienen in: International Orthopaedics / Ausgabe 5/2008
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-007-0363-4

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