Free Hand Pedicle Screw Placement in the Thoracic Spine without Any Radiographic Guidance: Technical Note, a Cadaveric Study

被引：26
|
作者：
Hyun, Seung-Jae [2 ]
Kim, Yongjung J. [1 ]
Cheh, Gene [3 ]
Yoon, Seung Hwan [4 ]
Rhim, Seung-Chul [1 ,5 ]
机构：
[1] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Neurosurg, Seoul 138736, South Korea
[2] Seoul Natl Univ, Coll Med, Bundang Hosp, Dept Neurosurg,Spine Ctr, Songnam, South Korea
[3] Wooridul Spine Hosp, Dept Orthoped Surg, Seoul, South Korea
[4] Inha Univ, Dept Neurosurg, Coll Med, Inchon, South Korea
[5] Columbia Univ Coll Phys & Surg, Dept Orthopaed Surg, Spine Serv, New York, NY 10032 USA
来源：
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY | 2012年 / 51卷 / 01期
关键词：
Pedicle screw placement; Thoracic spine; Surgical anatomy; Free hand technique; Surgical technique; Cadaveric study; COMPLICATIONS; LUMBAR; FIXATION;
D O I：
10.3340/jkns.2012.51.1.66
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Thoracic pedicle screw fixation techniques are still controversial for thoracic deformities because of possible complications including neurologic deficit. Methods to aid the surgeon in appropriate screw placement have included the use of intraoperative fluoroscopy and/or radiography as well as image-guided techniques. We describe our technique for free hand pedicle screw placement in the thoracic spine without any radiographic guidance and present the results of pedicle screw placement analyzed by computed tomographic scan in two human cadavers. This free hand technique of thoracic pedicle screw placement performed in a step-wise, consistent, and compulsive manner is an accurate, reliable, and safe method of insertion to treat a variety of spinal disorders, including spinal deformity.
引用
收藏
页码：66 / 70
页数：5
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