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Percutaneous Pedicle Screws in the Lumbar Spine

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Minimally Invasive Surgery of the Lumbar Spine

Abstract

Spinal fixation with transpedicular screw instrumentation has come a long way in the last four decades. Ever since the first description of transpedicular screws with posterior plates in 1970 by Roy-Camille, who reported on his experience with the technique since 1963, a substantial amount of research has gone into improvement of the hardware and refinement of operative technique and indications [1].

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References

  1. Roy-Camille R, Demeulenaere C. Osteosynthese du rachis dorsal, lombaire et lombosacree par plaque metalliques vissees dans les pedicles vertebraux et les apophyses articulaires. Presse Med. 1970;78:1447–8.

    PubMed  CAS  Google Scholar 

  2. Roy-Camille R. Current trends in surgery of the spine. Int Orthop. 1989;13(2):81–7.

    Article  PubMed  CAS  Google Scholar 

  3. Vaccaro AR, Garfin SR. Internal fixation (pedicle screw fixation) for fusions of the lumbar spine. Spine (Phila Pa 1976). 1995;20(24 Suppl):157S–65.

    CAS  Google Scholar 

  4. Boos N, Webb JK. Pedicle screw fixation in spinal disorders: a European view. Eur Spine J. 1997;6(1):2–18.

    Article  PubMed  CAS  Google Scholar 

  5. Michelsen C, Jackson R, Lowe T, Farcy JP, Deinlein D. A multi-center prospective study of the CD spinal system in patients with degenerative disc disease. J Spinal Disord. 1998;11(6):465–70.

    Article  PubMed  CAS  Google Scholar 

  6. Gaines Jr RW. The use of pedicle-screw internal fixation for the operative treatment of spinal disorders. J Bone Joint Surg Am. 2000;82-A(10):1458–76.

    PubMed  Google Scholar 

  7. Dickman CA, Detwiler PW, Porter RW. The role of pedicle screw fixation for lumbar spinal stabilization and fusion. Clin Neurosurg. 2000;47:495–513.

    PubMed  CAS  Google Scholar 

  8. Park P, Garton HJ, Gala VC, Hoff JT, McGillicuddy JE. Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature. Spine (Phila Pa 1976). 2004;29(17):1938–1944.

    Article  Google Scholar 

  9. Polly Jr DW, Santos ER, Mehbod AA. Surgical treatment for the painful motion segment: matching technology with the indications: posterior lumbar fusion. Spine (Phila Pa 1976). 2005;30(16 Suppl):S44–51.

    Article  Google Scholar 

  10. Kawaguchi Y, Matsui H, Tsuji H. Back muscle injury after posterior lumbar spine surgery. Part 1: histologic and histochemical analyses in rats. Spine. 1994;19:2590–7.

    Article  PubMed  CAS  Google Scholar 

  11. Kong WZ, Goel VK, Gilbertson LG, Weinstein JN. Effects of muscle dysfunction on lumbar spine mechanics. A finite element study based on a two motion segment model. Spine. 1996;21:2197–206.

    Article  PubMed  CAS  Google Scholar 

  12. Bogduk N. A reappraisal of the anatomy of the human lumbar erector spinae. J Anat. 1980;131:525–40.

    PubMed  CAS  Google Scholar 

  13. Kalimo H, Rantanen J, Viljianen T, et al. Lumbar muscles: structure and function. Ann Med. 1989;21:353–9.

    Article  PubMed  CAS  Google Scholar 

  14. Mathews HH, Long BH. Endoscopy assisted percutaneous anterior interbody fusion with subcutaneous suprafascial internal fixation: evolution, techniques and surgical considerations. Orthop Int Ed. 1995;3:496–500.

    Google Scholar 

  15. Lowery GL, Kulkarni SS. Posterior percutaneous spine instrumentation. Eur Spine J. 2000;9 Suppl 1:S126–30.

    Article  PubMed  Google Scholar 

  16. Foley KT, Gupta SK, Justis JR, Sherman MC. Percutaneous pedicle screw fixation of the lumbar spine. Neurosurg Focus. 2001;15:10(4).

    Google Scholar 

  17. Hsieh PC, Koski TR, Sciubba DM, et al. Maximizing the potential of minimally invasive spine surgery in complex spinal disorders. Neurosurg Focus. 2008;25(2):E19.

    Article  PubMed  Google Scholar 

  18. Mobbs RJ, Sivabalan P, Li J. Minimally invasive surgery compared to open spinal fusion for the treatment of degenerative lumbar spine pathologies. J Clin Neurosci. 2012;19(6):829–35.

    Article  PubMed  Google Scholar 

  19. Molina CA, Gokaslan ZL, Sciubba DM. A systematic review of the current role of minimally invasive spine surgery in the management of metastatic spine disease. Int J Surg Oncol. 2011;2011:598148.

    PubMed  Google Scholar 

  20. Park Y, Ha JW. Comparison of one-level posterior lumbar interbody fusion performed with a minimally invasive approach or a traditional open approach. Spine (Phila Pa 1976). 2007;32(5):537–43.

    Article  Google Scholar 

  21. Adorer O, Parker SL, Bydon A, Cheng J, McGirt MJ. Comparative effectiveness of minimally invasive versus open transforaminal lumbar interbody fusion: 2-year assessment of narcotic use, return to work, disability, and quality of life. J Spinal Disord Tech. 2011;24(8):479–84.

    Google Scholar 

  22. Ni W-F, Huang Y-X, Chi Y-L, et al. Percutaneous pedicle screw fixation for neurologic intact thoracolumbar burst fractures. J Spinal Disord Tech. 2010;23:530–7.

    Article  PubMed  Google Scholar 

  23. Verlaan JJ, Diekerhof CH, Buskens E, et al. Surgical treatment of traumatic fractures of the thoracic and lumbar spine. Spine. 2004;29:803–14.

    Article  PubMed  CAS  Google Scholar 

  24. Adogwa O, Parker SL, Bydon A, et al. Comparative effectiveness of minimally invasive versus open transforaminal lumbar interbody fusion 2-year assessment of narcotic use return to work, disability, and quality of life. J Spinal Disord Tech. 2011;24:479–84.

    PubMed  Google Scholar 

  25. Rouben D, Casnellie M, Ferguson M, et al. Long-term durability of minimal invasive posterior transforaminal lumbar interbody fusion a clinical and radiographic follow-up. J Spinal Disord Tech. 2011;24:288–96.

    Article  PubMed  Google Scholar 

  26. Payer M. “Minimally invasive” lumbar spine surgery: a critical review. Acta Neurochir (Wien). 2011;153(7):1455–9.

    Article  Google Scholar 

  27. Jindal N, Sankhala SS, Bachhal V. The role of fusion in the management of burst fractures of the thoracolumbar spine treated by short segment pedicle screw fixation: a prospective randomised trial. J Bone Joint Surg Br. 2012;94(8):1101–6.

    PubMed  CAS  Google Scholar 

  28. Dai LY, Jiang LS, Jiang SD. Posterior short-segment fixation with or without fusion for thoracolumbar burst fractures. A five to seven-year prospective randomized study. J Bone Joint Surg Am. 2009;91(5):1033–41.

    Article  PubMed  Google Scholar 

  29. Wang ST, Ma HL, Liu CL, Yu WK, Chang MC, Chen TH. Is fusion necessary for surgically treated burst fractures of the thoracolumbar and lumbar spine? A prospective, randomized study. Spine (Phila Pa 1976). 2006;31(23):2646–52; discussion 2653.

    Article  Google Scholar 

  30. Rampersaud YR, Foley KT, Shen AC, Williams S, Solomito M. Radiation exposure to the spine surgeon during fluoroscopically assisted pedicle screw insertion. Spine (Phila Pa 1976). 2000;25(20):2637–45.

    Article  CAS  Google Scholar 

  31. Mehlman CT, DiPasquale TG. Radiation exposure to the orthopaedic surgical team during fluoroscopy: “how far away is far enough?”. J OrthopTrauma. 1997;11(6):392–8.

    CAS  Google Scholar 

  32. Kim MC, Chung HT, Cho JL, et al. Factors affecting the accurate placement of percutaneous pedicle screws during minimally invasive transforaminal lumbar interbody fusion. Eur Spine J. 2011;20(10):1635–43.

    Article  PubMed  Google Scholar 

  33. Knox JB, Dai 3rd JM, Orchowski JR. Superior segment facet joint violation and cortical violation after minimally invasive pedicle screw placement. Spine J. 2011;11(3):213–7.

    Article  PubMed  Google Scholar 

  34. Patel RD, Graziano GP, Vanderhave KL, et al. Facet violation with the placement of percutaneous pedicle screws. Spine (Phila Pa 1976). 2011;36(26):E1749–52.

    Article  Google Scholar 

  35. Smith ZA, Sugimoto K, Lawton CD, Fessler RG. Incidence of lumbar spine pedicle breach following percutaneous screw fixation: a radiographic evaluation of 601 screws in 151 patients. J Spinal Disord Tech. 2012 Jun 7 [Epub ahead of print].

    Google Scholar 

  36. Ravi B, Zaharai A, Rampersaud R. CLinical accuracy of computer-assisted two-dimensional fluoroscopy for the percutaneous placement of lumbosacral pedicle screws. Spine. 2001;36(1):84–91.

    Google Scholar 

  37. Villavicencio AT, Burneikiene S, Bulsara KR, et al. Utility of computerized isocentric fluoroscopy for minimally invasive spinal surgical techniques. J Spinal Disord Tech. 2055;18(4):369–75.

    Article  Google Scholar 

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Correspondence to Nicola Di Lorenzo MD .

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Di Lorenzo, N., Cacciola, F. (2014). Percutaneous Pedicle Screws in the Lumbar Spine. In: Menchetti, P. (eds) Minimally Invasive Surgery of the Lumbar Spine. Springer, London. https://doi.org/10.1007/978-1-4471-5280-4_9

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  • DOI: https://doi.org/10.1007/978-1-4471-5280-4_9

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5279-8

  • Online ISBN: 978-1-4471-5280-4

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