Abstract:
STUDY DESIGN:This was a cadaver study assessing the accuracy of cervical pedicle screw placement. OBJECTIVE:To evaluate the accuracy of the funnel technique of screw placement. SUMMARY OF BACKGROUND DATA:Although excellent results have been reported in clinical studies, with no major neurovascular injuries, several cadaveric studies have shown a high pedicle perforation rate during screw placement. METHODS:Ten fresh frozen cervical spines (C2-C7) were used (120 pedicles, 20 pedicles per level). The average specimen age was 79.6 years (range 65-97); the average height was 159 cm (range 155-175). The male-to-female ratio was 3:7. Pedicle width and angulation were measured on preoperative axial computed tomography (1-mm slices). By use of four bony landmarks and the funnel technique, screws were placed under direct vision. Critical perforations (documented contact of a screw with, or an injury to, a spinal cord, nerve root, or vertebral artery) and noncritical perforations (a perforation with no critical contact) were recorded. RESULTS:In seven pedicles (5.8%) the procedure was aborted because of a small or nonexistent pedicle medullary canal. Ninety-four pedicle screws (83.2%) were placed correctly, whereas 11 pedicles (9.7%) had noncritical perforations and 8 pedicles (7.1%) had critical perforations. The majority of the critical and noncritical perforations were at C3, C4, and C5. CONCLUSIONS:Axial computed tomography is necessary for the preoperative planning. Because of the small diameter and steep angulation of cervical pedicles, every spine surgeon who intends to use pedicle screws should first master the technique on cadavers.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Karaikovic EE,Yingsakmongkol W,Gaines RW Jrdoi
10.1097/00007632-200111150-00012keywords:
subject
Has Abstractpub_date
2001-11-15 00:00:00pages
2456-62issue
22eissn
0362-2436issn
1528-1159journal_volume
26pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Lumbar spine kinematic response to a 1.0 body weight compressive load was measured in vivo by comparison of relaxed and loaded magnetic resonance image sets in the sagittal plane. OBJECTIVES:To identify and measure acute response mechanisms of the lumbar spine during compression loading. SUMMARY OF BACKG...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200109150-00004
更新日期:2001-09-15 00:00:00
abstract:STUDY DESIGN:A prospective observational study with an 11-year follow-up period was performed. OBJECTIVE:To investigate the influence of education and socioeconomic position on the incidence of permanent disability retirement from back pain. SUMMARY OF BACKGROUND DATA:Early retirement because of back pain is the extr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200010010-00010
更新日期:2000-10-01 00:00:00
abstract:STUDY DESIGN:A retrospective cohort study of a prospectively collected surgical database. OBJECTIVE:The aim of this study was to investigate the effect of smoking on 30-day morbidity and mortality in patients undergoing surgery for adult spinal deformity (ASD). SUMMARY OF BACKGROUND DATA:There is conflicting evidence...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000001795
更新日期:2017-04-01 00:00:00
abstract:STUDY DESIGN:Retrospective review and prospective validation study. OBJECTIVE:To develop a classification system of lumbar lateral listhesis that suggests different likelihoods of having radiculopathy in adult scoliosis. SUMMARY OF BACKGROUND DATA:The association of lumbar lateral listhesis with radiculopathy remains...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002986
更新日期:2019-07-15 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:To describe a rare case of tenosynovial giant cell tumor, diffuse type/pigmented villonodular synovitis (PVNS) in a pars defect in a patient with lumbar spondylolysis. SUMMARY OF BACKGROUND DATE:PVNS rarely occurred in lumbar spine, and no studies in the English literature have rep...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000923
更新日期:2015-06-15 00:00:00
abstract:STUDY DESIGN:Ten cadavers were dissected to describe the cutaneous branches of the dorsal rami nerves that should be identified and protected throughout the thoracoplasty procedure. OBJECTIVE:To identify the anatomic distribution of the cutaneous branches of the dorsal rami in the thoracic spine. SUMMARY OF BACKGROUN...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000253606.82387.96
更新日期:2007-02-01 00:00:00
abstract::Twenty-one cervical facet capsules, taken from three normal human subjects, were examined to determine the type, density, and distribution of mechanoreceptive nerve endings in these tissues. Clearly identifiable mechanoreceptors were found in 17 of 21 specimens and were classified according to the scheme for encapsula...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199403000-00001
更新日期:1994-03-01 00:00:00
abstract::The evaluation of the clinical utility of the clinical diagnostic tests and procedures, what works in spinal disorders, and for whom and how treatment affects a patient's symptoms and function are key questions of outcomes research. This paper describes the advantages and limitations of the main study approaches used....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199409151-00004
更新日期:1994-09-15 00:00:00
abstract::Trends in rates of low-back strains, low-back impact injuries, and non-low-back injuries among field employees of a petroleum drilling company, 1979-1985, were examined to investigate the relationship between economic factors and the incidence of low-back and other injuries. Economic indicators included the rate of re...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199107000-00025
更新日期:1991-07-01 00:00:00
abstract:STUDY DESIGN:A retrospective cohort study. OBJECTIVE:We performed a retrospective study of patients treated at our institution over the last 7 years to ascertain whether gene expression signatures in patients with advanced metastatic disease are associated with survival, when the disease has progressed to the spine. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002683
更新日期:2018-11-01 00:00:00
abstract:STUDY DESIGN:Prospective study. OBJECTIVE:To identify the impact of laminoplasty on range of motion (ROM) and sagittal alignment of the cervical spine. SUMMARY OF BACKGROUND DATA:Cervical laminoplasty is an effective procedure decompressing multilevel spinal cord compression. Preoperative lordosis of the cervical spi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318158c573
更新日期:2007-11-01 00:00:00
abstract::Thirty-one consecutive patients underwent anterior interbody fusion of 40 levels of the lumbar spine using autogenous, autologous, or mixed iliac crest graft. Each patient's disc space height was measured preoperatively, immediately postoperatively, and an average of 29 months postoperatively. The immediate postoperat...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198908000-00019
更新日期:1989-08-01 00:00:00
abstract:STUDY DESIGN:Single-center retrospective case series. OBJECTIVE:The purpose of this study was to assess the safety and accuracy of three-dimensional (3D)-printed individualized drill guides for pedicle and lateral mass screw insertion in the cervical and upper-thoracic region, by comparing the preoperative 3D surgical...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003747
更新日期:2021-02-01 00:00:00
abstract:STUDY DESIGN:An in vivo model of scoliosis was established in immature goats. OBJECTIVE:To assess the feasibility, reliability, and complications of the innovative animal model. SUMMARY OF BACKGROUND DATA:Among the methods of creating a scoliotic model, posterior asymmetric tethering of spine yielded encouraging resu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b1fdd0
更新日期:2009-10-01 00:00:00
abstract:STUDY DESIGN:Randomized controlled animal study. OBJECTIVE:Test the effectiveness of a single-strip demineralized bone matrix with hyaluronan and gelatin. SUMMARY OF BACKGROUND DATA:Demineralized bone matrix is widely used to augment spinal fusion, however, the effect of changing the physical characteristic and carri...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000250982.41666.55
更新日期:2007-01-01 00:00:00
abstract::The influences of age, sex, disc level, and degree of degenration on the mechanical behavior of 42 fresh cadaver lumbar motion segments are reported. The motions and intradiscal pressure changes that result from the application of flexion, extension, lateral bending, and torsional moments; compression; and anterior, p...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-197901000-00001
更新日期:1979-01-01 00:00:00
abstract:STUDY DESIGN:A numerical study was conducted by simulating in situ contouring (ISC) surgery. OBJECTIVE:To quantify intraoperative correction during ISC surgery. SUMMARY OF BACKGROUND DATA:Surgical techniques correcting scoliosis, like the ISC one, lead to a complex 3-dimensional correction of the spine. Using motion ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b8eaca
更新日期:2010-02-15 00:00:00
abstract:STUDY DESIGN:This study compared the incidence of facet joint asymmetry between adult and juvenile patients with lumbar intervertebral disc herniation. OBJECTIVES:To determine the different distribution of the facet joint asymmetry between the adult and juvenile patients. SUMMARY OF BACKGROUND DATA:As early as 1967, ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199709010-00012
更新日期:1997-09-01 00:00:00
abstract:STUDY DESIGN:Fabrication and characterization of a regenerative intervertebral disc (IVD) cartilaginous endplate (CEP) based on tissue culturing on biomimetic scaffolds. OBJECTIVE:To fabricate a regenerative CEP to support nutrients and metabolites exchange between IVD and the milieu interior. SUMMARY OF BACKGROUND D...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001791
更新日期:2017-03-01 00:00:00
abstract:STUDY DESIGN:A prospective and controlled comparative study. OBJECTIVES:To verify the difference in morphologic appearance between a group of adolescents with progressive adolescent idiopathic scoliosis and a control group of normal adolescents. SUMMARY OF BACKGROUND DATA:In a previous retrospective study, the possib...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199711010-00013
更新日期:1997-11-01 00:00:00
abstract:STUDY DESIGN:Posterolateral lumbar fusions were performed in nicotine-exposed, New Zealand white rabbits. Animals that developed a pseudarthrosis were then regrafted with no graft, autograft, or osteogenic protein-1 (OP-1). OBJECTIVES:To establish a model of pseudarthrosis repair and to evaluate the ability of OP-1 to...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000129028.25671.96
更新日期:2004-07-01 00:00:00
abstract:STUDY DESIGN:Bench-top and retrospective radiographical analyses to determine apical vertebral rotation based on differential rod curvature on the postoperative lateral radiograph. OBJECTIVE:To develop a clinically relevant methodology for measuring apical vertebral rotation on postoperative lateral radiographs in pat...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318258aa17
更新日期:2012-08-15 00:00:00
abstract:STUDY DESIGN:Twenty-seven patients underwent instrumented transforaminal lumbar interbody fusion (TLIF) procedures using bioresorbable implants as interbody spacers. The greater than 2-year clinical and radiographic results of this series are presented along with as a review of relevant preclinical and preliminary clin...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.brs.0000175185.46433.7a
更新日期:2005-09-01 00:00:00
abstract:STUDY DESIGN:This is a biomechanical study using sheep thoracic spine to investigate the probability of mechanical failure of the thoracic spine with various sizes or locations of tumor metastasis. OBJECTIVE:The objectives of this study were to investigate biomechanical effects of not only tumor sizes within the thora...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200405010-00008
更新日期:2004-05-01 00:00:00
abstract:STUDY DESIGN:This study was an exploratory repeated measures design comparing patients undergoing two magnitudes of surgery in the lumbar spine: lumbar herniated disc repair and posterior lumbar fusion. OBJECTIVE:The present study evaluated and compared the effect of perceived pain, perceived stress, anxiety, and mood...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000231795.85409.87
更新日期:2006-08-15 00:00:00
abstract:STUDY DESIGN:Effectiveness of a pre-employment worker fitness evaluation in a sample of grocery warehouse order selectors was studied retrospectively. Implementation of the program began in March 1990 and as of September 10, 1993, 1100 prospective employees have been tested. OBJECTIVES:Identification of prospective em...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199409150-00001
更新日期:1994-09-15 00:00:00
abstract:STUDY DESIGN:A retrospective case series. OBJECTIVE:The aim of this study was to evaluate patients with cervical spine osteomyelitis who underwent multilevel (≥2) subaxial corpectomies and anterior column reconstruction and plating. SUMMARY OF BACKGROUND DATA:Neglected multilevel subaxial cervical osteomyelitis is a ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001557
更新日期:2016-09-15 00:00:00
abstract:STUDY DESIGN:A prospective cohort study. OBJECTIVE:To evaluate the effects of epidural steroid injections (ESIs) on blood glucose levels in patients with diabetes mellitus. SUMMARY OF BACKGROUND DATA:ESIs are commonly used in the treatment of multiple spinal disorders. Corticosteroid injections have been evaluated in...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/BRS.0b013e31821fd21f
更新日期:2012-01-01 00:00:00
abstract:STUDY DESIGN:In vitro study to characterize the flexibility of a new total posterior-element system when instrumented to L4-L5 segments. OBJECTIVE:The goal of this in vitro study was to investigate whether an optimized version of the TOPS implant (Impliant Ltd., Ramat Poleg, Israel) is capable to restore the physiolog...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000245872.45554.c0
更新日期:2006-11-15 00:00:00
abstract:STUDY DESIGN:Retrospective analysis of a prospective registry. OBJECTIVE:We utilized the Quality Outcomes Database (QOD) registry to investigate the "July Effect" at QOD spondylolisthesis module sites with residency trainees. SUMMARY OF BACKGROUND DATA:There is a paucity of investigation on the long-term outcomes fol...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003903
更新日期:2020-12-24 00:00:00