Download PDF
Indian Journal of Neurotrauma 2005; 02(02): 143-148
DOI: 10.1016/S0973-0508(05)80032-2
Techniques in Neurotrauma
Thieme Medical and Scientific Publishers Private Ltd.

Percutaneous Pedicle Screw and Rod Insertion for Fracture of the Lumbar Spine

Prafulla Kumar Sahoo
Subject Editor:
Further Information

Publication History

Publication Date:
05 April 2017 (online)

  PDF Download  Permissions and Reprints

Abstract

Standard techniques for lumbar pedicle screw and rod fixation involve open exposure and extensive muscle dissection. The purpose of this study was to report the indications, operative techniques and preliminary experiences with percutaneous lumbar pedicle screw and rod insertion for internal fixation of the lumbar spine. Fifteen patients underwent percutaneous pedicle screw and rod fixation. Spondylolisthesis was present in six patients, compression fracture in four, chronic discogenic pain in four and tuberculosis of the spine was present in one patient. All patients underwent successful percutaneous single level fusions. The follow up period ranged from 6 to 12 months. Percutaneous lumbar pedicle screw and rod insertion can be performed in a straight forward manner through percutaneous stab wounds. This procedure minimises the morbidity associated with traditional open approaches without compromising the quality of spinal fixation. Preliminary experiences with this device has been encouraging

Keywords

Percutaneous Surgery - Lumbar Spine - Pedicle Screw Fixation
 

  • References

  • 1 Gaines RW. The use of peidcle-screw internal fixation for the operative treatment of spinal disorders. J Bone Joint Surg (Am) 82-A 2000; 1458-1476
    PubMedGoogle Scholar
  • 2 Yuan HA, Garfin SR, Dickman CA. A historical cohort study of pedicle screw fixation in thoracic, lumbar and sacral spine fusions. Spine 19 (Suppl. 20) 1994; 2279S-2296S
    CrossrefPubMedGoogle Scholar
  • 3 Thomsen K, Christensen FB, Eiskjaer Sp. et al The effect of pedicle screw instrumentation in functional outcome and fusion rates in posterolateral lumbar spinal fusion: a prospective, randomized clinical study. Spine 22 1977; 2813-2822
    PubMedGoogle Scholar
  • 4 Magerl F. External skeletal fixation of the lower thoracic and the lumbar spine. in Uhthoff HK, Stahl E. (eds) : Current concepts of external fixation of fractures. 1982. Springer-Verlag; New York: 353-366
    Google Scholar
  • 5 Mathews HH, Long BH. Endoscopy assisted percutaneuous anterior interbody fusion with subcutaneuos suprafascial internal fixation: evolution of technique and surgical considerations. Orthop Int Ed 03 1995; 496-500
    PubMedGoogle Scholar
  • 6 Lowery GL, Kulkarni SS. Posterior percutaneous spine instrumentation. Eur Spine J 09 (Suppl. 01) 2000; S126-S130
    CrossrefPubMedGoogle Scholar
  • 7 Foley KT, Simon DA, Rampersaud YR. Virtual fluoroscopy. Op Tech Orthop 10 2000; 77-81
    CrossrefPubMedGoogle Scholar
  • 8 Foley KT, Simon DA. Computer assisted fluroscopic navigation. Spine 26 2001; 347-351
    CrossrefPubMedGoogle Scholar
  • 9 Foley KT, Smith MM. Microendoscopic discectomy. Tech Neurosurg 03 1997; 301-307
    PubMedGoogle Scholar
  • 10 Albee FH. Transplantation of a portion of the tibia into the spine for pott's disease. JAMA 57 1911; 885-886
    PubMedGoogle Scholar
  • 11 Hibbs RA. An operation for progressive spinal deformities. NY Med J 93 1911; 1013-1016
    PubMedGoogle Scholar
  • 12 Boucher HH. A method of spinal fusion. J Bone Joint Surg 41-B 1959; 248-259
    PubMedGoogle Scholar
  • 13 Roy-Camille R, Saillant G, Mazel C. Internal fixation of the lumbar spine with pedicle screw plating. Clin Orthop 203 1986; 7-17
    PubMedGoogle Scholar
  • 14 Gejo R, Matsui H, Kawaguchi Y. Serial changes in trunk muscle performance after posterior lumbar surgery. Spine 24 (10) 1999; 1023-1028
    CrossrefPubMedGoogle Scholar
  • 15 Kawaguchi Y, Matsui H, Tsuji H. : Back muscle injury after posterior lumbar spine surgery. Part 2:Histologic and histochemical analyses in humans. Spine 19 1994; 2598-2602
    CrossrefPubMedGoogle Scholar
  • 16 Kawaguchi Y, Matsui H, Tsuji H. Back muscle injury after posterior lumbar spine surgery. Part 2: Histologic and histochemical analyses in humans. Spine 19 1994; 2598-2602
    CrossrefPubMedGoogle Scholar
  • 17 Styf JR, Willen J. The effects of external compression by three different retractors on pressure in the erector spine muscles during and after posterior lumbar spine surgery in humans. Spine 23 1998; 354-358
    CrossrefPubMedGoogle Scholar
  • 18 Rantanen J, Hurme M, Falck B, Alaranta H, Nykvist F, Lehto M, Einola S, Kalimo H. The lumbar multifidus muscle five years after surgery for a lumbar intervertebral disc herniation. Spine 18 1993; 568-574
    CrossrefPubMedGoogle Scholar
  • 19 Sihvonen T, Herno A, Paljivarvi L, Airaksienen O, Partanen J, Tapaninaho A. Local denervation atrophy of paraspinal muscles in postoperative failed back syndrome. Spine 18 1993; 575-581
    CrossrefPubMedGoogle Scholar
  • 20 foley KT, Gupta SK, Justis JR, Sherman MC. Percutaneous pedicle screw fixation of the lumbar spine. Neurosurg Focus 10 2001; 1-8
    CrossrefPubMedGoogle Scholar