Skip to main content
SpringerLink
Log in

Pedicle Screw Fixation in Thoracic or Thoracolumbar Burst Fractures

  • Chapter
Book cover Biomechanics and Biomaterials in Orthopedics

  • 898 Accesses

Abstract

When the decision is made to perform a posterior stabilization procedure for a thoracic or thoracolumbar burst fracture, pedicle screw fixation is a valuable assistance. Pedicle screw fixation of the spine, first described by Boucher [1] in 1959 and popularized by Roy-Camille [2,3] in the 1960s, has evolved through an era of pedicle screw and plate to today’s modern pedicle screw and rod system. As it offers rigid fixation unparalleled by other fixation methods enabling a reliable fixation even in a vertebra with posterior element defects or severe osteoporosis, it has now become one of the most widely employed fixation devices in the field of spinal surgery, including spine fractures [4–6].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Boucher HH. A method of spinal fusion. J Bone Joint Surg 1959;41B:248.

    Google Scholar 

  2. Roy-Camille R, Saillant G, Mazel C. Internal fixation of the lumbar spine with pedicle screw plating. Clin Orthop 1986;203:7.

    PubMed  Google Scholar 

  3. Roy-Camille R, Saillant G, Mazel C. Plating of thoracic, thoracolumbar, and lumbar injuries with pedicle screw plates. Orthop Clin North Am 1986;17(1):147.

    PubMed  CAS  Google Scholar 

  4. Boos N, Webb JK. Pedicle screw fixation in spinal disorders: a European view. Eur Spine J 1997;6:2.

    Article  PubMed  CAS  Google Scholar 

  5. Suk, SI, Lee CK, Kim WJ, Chung YJ, Park YB. Segmental pedicle screw fixation in the treatment of thoracic idiopathic scoliosis. Spine 1995;20:1399.

    PubMed  CAS  Google Scholar 

  6. Vaccaro AR, Garfin SR. Internal fixation (pedicle screw fixation) for fusions of the lumbar spine. Spine 1995; 20:157S.

    Google Scholar 

  7. Cheffer MM, Currier BL. Thoracolumbar burst fractures. In: Levine AM, Eismont FJ, Garfin SR, Zigler JE, editors. Spine Trauma. Philadelphia: WB Saunders, 1998.

    Google Scholar 

  8. Weidenbaum M, Farcy JPC. Surgical management of thoracic and lumbar burst fracture. In: Bridwell KH, DeWald RL, editors. The Textbook of Spinal Surgery, 2nd ed. Philadelphia: Lippincott-Raven, 1997.

    Google Scholar 

  9. Krag MH, Weaver DL, Beynnon BD, Haugh LD. Morphometry of the thoracic and lumbar spine related to transpedicular screw placement for surgical spinal fixation. Spine 1988;13:27.

    Article  PubMed  CAS  Google Scholar 

  10. Suk SI, Lee JH. A study of the diameter and change of the vertebral pedicle after screw insertion. Presented at 3rd international meeting SIROT. Boston, MA, 1994.

    Google Scholar 

  11. Zindrick MR, Wiltse LL, Doornik A, Widell EH, Knight GW, Patwardhan AG et al. Analysis of the morphomet-ric characteristics of the thoracic and lumbar pedicles. Spine 1987;12:160.

    Article  PubMed  CAS  Google Scholar 

  12. Dickson RA, Deacon P. Spinal growth. J Bone Joint Surg Br 1987;69:690.

    PubMed  CAS  Google Scholar 

  13. Misenhimer GR, Peek RD, Wiltse LL, Rothman SL, Widell EH Jr. Anatomic analysis of pedicle cortical and cancellous diameter as related to screw size. Spine 1989;14:367.

    Article  PubMed  CAS  Google Scholar 

  14. Suk SI, Cha SI, Lee CK, Kim WJ. A study on the pullout strength of pedicle screws in relation to the size of the drill holes and inserted screws. Presented at the 30th Annual Meeting of the Scoliosis Rearch Society, Asheville, NC, 1995.

    Google Scholar 

  15. Skinner R, Maybee J, Transfeldt E, Venter R, Chalmers W. Experimental pullout testing and comparison of variables in transpedicular screw fixation. A bio-mechanical study. Spine 1990; 15:195.

    Article  PubMed  CAS  Google Scholar 

  16. Zindrick MR, Wiltse LL, Widell EH, Thomas JC, Holland WR, Field BT et al. A biomechanical study of intra-peduncular screw fixation in the lumbosacral spine. Clin Orthop 1986;203:99.

    PubMed  Google Scholar 

  17. Magerl FP. Stabilization of the lower thoracic and lumbar spine with external skeletal fixation. Clin Orthop 1984;189:125.

    PubMed  Google Scholar 

  18. Hirano T, Hasegawa K, Takahashi HE, Uchiyama S, Hara T, Washio T et al. Structural characteristics of the pedicle and its role in screw stability. Spine 1997;22: 2504.

    Google Scholar 

  19. Maat GJ, Matricali B, van Persijn, van Meerten EL. Postnatal development and structure of the neuro central junction. Its relevance for spinal surgery. Spine 1996; 21:661.

    Article  PubMed  CAS  Google Scholar 

  20. George DC, Krag MH, Johnson CC, Van Hal ME, Haugh LD, Grobler LJ. Hole preparation techniques for transpedicle screws. Effect on pull-out strength from human cadaveric vertebrae. Spine 1991;16:181.

    PubMed  CAS  Google Scholar 

  21. Zdeblick TA, Kunz DN, Cooke ME, McCabe R. Pedicle screw pullout strength. Correlation with insertional torque. Spine 1993;18:1673.

    Article  PubMed  CAS  Google Scholar 

  22. Resina J, Alves AF. A technique of correction and internal fixation for scoliosis. J Bone Joint Surg Br 1977; 59:159.

    PubMed  CAS  Google Scholar 

  23. Lee CS, Suk SI, Sung KS. Biomechanical study on multiple hooks and screws fixation in the long posterior spinal instrumentation. J Korean Spine Surg 1997;4: 212.

    Google Scholar 

  24. Dick JC, Zdeblick TA, Bartel BD, Kunz DN. Mechanical evaluation of cross-link designs in rigid pedicle screw systems. Spine 1997;22:370.

    Article  PubMed  CAS  Google Scholar 

  25. Lim TH, Eck JC, An HS, Hong JH, Ahn JY, You JW Biomechanics of transfixation in pedicle screw instrumentation. Spine 1996;21:2224.

    Google Scholar 

  26. Suk SI, Kim MD, Shin JW, Lee SJ, Kim WJ. A numerical investigation of the axial rotational stability of trans-fixation in pedicle screw instrumentation. Presented at 8th international congress of SIROT. Sydney, Australia, 1999.

    Google Scholar 

  27. McCormack T, Karaikovic E, Gaines RW. The load-sharing classification of spine fractures. Spine 1994; 19: 1741.

    Article  PubMed  CAS  Google Scholar 

  28. McLain RF, Sparling E, Benson DR. Early failure of short-segment pedicle instrumentation for thoracolumbar fractures. A preliminary report. J Bone Joint Surg Am 1993;75:162.

    PubMed  CAS  Google Scholar 

  29. Suk SI, Shin BJ, Lee CS, Lee MC: Cotrel-Dubousset pedicular screw in the treatment of unstable dorsolum-bar fracture. Comparison with Harrington SSI. J Korean Society Fracture 1989;2:91.

    Google Scholar 

  30. Suk SI, Kim JH, Kim WJ, Lee SM, Chung ER. Treatment of congenital scoliosis with pedicle screw fixation. Presented at the 33rd Annual Meeting of the Scoliosis Research Society. New York, 1998.

    Google Scholar 

  31. Suk SI, Kim WJ, Kim JH, Lee SM. Restoration of thoracic kyphosis in the hypokyphotic spine: a comparison between multiple-hook and segmental pedicle screw fixation in adolescent idiopathic scoliosis. J Spinal Disord 1999;12:489.

    Article  PubMed  CAS  Google Scholar 

  32. Suk SI, Kim WJ, Lee SM, Kim JH, Chung ER. Thoracic pedicle screw fixation in spinal deformities: are they really safe? Spine 2001;26:2049.

    Article  PubMed  CAS  Google Scholar 

  33. Suk SI, Kim JH, Lee SM, Chung ER, Lee JH. Anteriorposterior surgery versus posterior closing wedge osteotomy in posttraumatic kyphosis with neurologic compromised osteoporotic fracture. Spine 2003;28:2170.

    Article  PubMed  Google Scholar 

  34. Olerud S, Karlstrom G, Sjostrom L. Transpedicular fixation of thoracolumbar vertebral fractures. Clin Orthop 1988;227:44.

    PubMed  CAS  Google Scholar 

  35. Maiman DJ, Larson SJ, Luck E, El-Ghatit A. Lateral extracavitary approach to the spine for thoracic disc herniation: report of 23 cases. Neurosurgery 1984; 14: 178.

    Article  PubMed  CAS  Google Scholar 

  36. Heinig CF, Boyd BM. One-stage vertebrectomy or eggshell procedure. Orthop Trans 1985:9:130.

    Google Scholar 

  37. Levy WJ Jr, York DH. Evoked potentials from the motor tracts in humans. Neurosurgery 1983; 12:422.

    Article  PubMed  Google Scholar 

  38. Nash CL Jr, Lorig RA, Schatzinger LA, Brown RH. Spinal cord monitoring during operative treatment of the spine. Clin Orthop 1977; 126:100.

    PubMed  Google Scholar 

  39. Kim C, Suk SI, Hong KH, Kim JH, Kim WJ, Lee CH et al. Intraoperative monitoring using somatosensory evoked potential during spinal deformity surgery. J Koren Acad of Rehab Med 1999;23:581.

    Google Scholar 

  40. Kwok AW, Finkelstein JA, Woodside T, Hearn TC, Hu RW. Insertional torque and pull-out strengths of conical and cylindrical pedicle screws in cadaveric bone. Spine 1996;21:2429.

    Google Scholar 

  41. Suk SI. Application of Diapason reduction screws. Presented in Stryker Spinal Invitational Symposium. Cheju, Korea, 1998.

    Google Scholar 

  42. Suk SI, Kim JH, Kim WJ, Lee SM, Chung ER, Nah KH. Posterior vertebral column resection for severe spinal deformities. Spine. 2002;27:2374.

    Google Scholar 

  43. Puno RM, Bechtold JE, Byrd JA 3rd, Winter RB, Ogilvie JW, Bradford DS. Biomechanical analysis of transpedicular rod systems. A preliminary report. Spine 1991; 16:973.

    Article  PubMed  CAS  Google Scholar 

  44. Stauber MH, Bassett GS. Pedicle screw placement with intraosseous endoscopy. Spine 1994; 19:57.

    Article  PubMed  CAS  Google Scholar 

  45. Darden BV 2nd, Wood KE, Hatley MK, Owen JH, Kostuik J. Evaluation of pedicle screw insertion monitored by intraoperative evoked electromyography. J Spinal Disord 1996;9:8.

    PubMed  Google Scholar 

  46. Darden BV 2nd, Owen JH, Hatley MK, Kostuik J, Tooke SM. A comparison of impedance and electromyogram measurements in detecting the presence of pedicle wall breakthrough. Spine 1998;23:256.

    Article  PubMed  Google Scholar 

  47. Kuner EH, Kuner A, Schlickewei W, Mullaji AB. Ligamentotaxis with an internal spinal fixator for thoracolumbar fractures. J Bone Joint Surg Br 1994;76: 107–12.

    PubMed  CAS  Google Scholar 

  48. Suk SI, Kim WJ. Treatment of fixed lumbosacral kyphosis by all posterior vertebral column resection. Presented at the 5th IMAST meeting. Sorrento, Italy, 1998.

    Google Scholar 

Download references

Authors
  1. S.-I. Suk
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. W.-J. Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Service de Chirurgie Orthopédique et de Traumatologie, Centre Hospitalo-Universitaire Nord, Marseille Cedex 20, France

    Dominique G. Poitout MD (Professeur à l’Université de la Mediterranée, Chef de Service) (Professeur à l’Université de la Mediterranée, Chef de Service)

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag London

About this chapter

Cite this chapter

Suk, SI., Kim, WJ. (2004). Pedicle Screw Fixation in Thoracic or Thoracolumbar Burst Fractures. In: Poitout, D.G. (eds) Biomechanics and Biomaterials in Orthopedics. Springer, London. https://doi.org/10.1007/978-1-4471-3774-0_42

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-3774-0_42

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3776-4

  • Online ISBN: 978-1-4471-3774-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation