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Percutaneous Facet Screws

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Minimally Invasive Spine Surgery Techniques

Abstract

This technique is useful mostly at L4–5 and L5–S1 as supplemental fixation after an anterior approach (ALIF or AxiaLIF) and has the advantage of a minimal midline skin incision and soft tissue disruption. While biomechanically not as strong as the pedicle screw/rod constructs, the facet screws are mostly designed to block rotation.

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References

  1. Agarwala A, Bucklen B, Muzumdar A, Moldavsky M, Khalil S. Do facet screws provide the required stability in lumbar fixation? A biomechanical comparison of the Boucher technique and pedicular fixation in primary and circumferential fusions. Clin Biomech (Bristol, Avon). 2012;27:64–70. https://doi.org/10.1016/j.clinbiomech.2011.07.007.

    Article  Google Scholar 

  2. Best NM, Sasso RC. Efficacy of translaminar facet screw fixation in circumferential interbody fusions as compared to pedicle screw fixation. J Spinal Disord Tech. 2006;19:98–103. https://doi.org/10.1097/01.bsd.0000179244.76244.5e.

    Article  PubMed  Google Scholar 

  3. Buttermann GR, Thorson TM, Mullin WJ. Outcomes of posterior facet versus pedicle screw fixation of circumferential fusion: a cohort study. Eur Spine J. 2014;23:347–55. https://doi.org/10.1007/s00586-013-2999-7.

    Article  PubMed  Google Scholar 

  4. Ferrara LA, et al. A biomechanical comparison of facet screw fixation and pedicle screw fixation: effects of short-term and long-term repetitive cycling. Spine. 2003;28:1226–34. https://doi.org/10.1097/01.brs.0000065485.46539.17.

    PubMed  Google Scholar 

  5. Zhan Y, Tian D. Do translaminar facet screws have the same stability as pedicle screws in two-level anterior lumbar interbody fusion? A biomechanical study. Turk Neurosurg. 2012;22:630–3. https://doi.org/10.5137/1019-5149.jtn.5825-12.0.

    PubMed  Google Scholar 

  6. Awad BI, et al. Bilateral pedicle screw fixation versus unilateral pedicle and contralateral facet screws for minimally invasive transforaminal lumbar interbody fusion: clinical outcomes and cost analysis. Global Spine J. 2013;3:225–30. https://doi.org/10.1055/s-0033-1349399.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Cao Y, et al. The combined use of unilateral pedicle screw and contralateral facet joint screw fixation in transforaminal lumbar interbody fusion. Eur Spine J. 2015;24:2607–13. https://doi.org/10.1007/s00586-015-4120-x.

    Article  PubMed  Google Scholar 

  8. Hsiang J, Yu K, He Y. Minimally invasive one-level lumbar decompression and fusion surgery with posterior instrumentation using a combination of pedicle screw fixation and transpedicular facet screw construct. Surg Neurol Int. 2013;4:125. https://doi.org/10.4103/2152-7806.119007.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Jang JS, Lee SH. Minimally invasive transforaminal lumbar interbody fusion with ipsilateral pedicle screw and contralateral facet screw fixation. J Neurosurg Spine. 2005;3:218–23. https://doi.org/10.3171/spi.2005.3.3.0218.

    Article  PubMed  Google Scholar 

  10. Luo B, et al. Biomechanical study of unilateral pedicle screw combined with contralateral translaminar facet screw in transforaminal lumbar interbody fusion. Clin Biomech (Bristol, Avon). 2015;30:657–61. https://doi.org/10.1016/j.clinbiomech.2015.05.009.

    Article  Google Scholar 

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Percutaneous L5–S1 facet screws supplementing an AxiaLIF (MP4 20949 kb)

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Eggart, M.D., Gesheva, S., Crutcher, C., Tender, G. (2018). Percutaneous Facet Screws. In: Tender, G. (eds) Minimally Invasive Spine Surgery Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-71943-6_11

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  • DOI: https://doi.org/10.1007/978-3-319-71943-6_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71942-9

  • Online ISBN: 978-3-319-71943-6

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