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Transpedicular Screw-rod Fixation of the Lumbar Spine: Operative Technique and Outcome in 104 Cases by Curtis A. Dickman; Richard G. Fessler; Michael MacMillan; Regis W. Haid is a Medicine article available to read on EtoBox.
What is Transpedicular Screw-rod Fixation of the Lumbar Spine: Operative Technique and Outcome in 104 Cases about?
✓ A total of 104 patients underwent transpedicular spinal instrumentation using the Cotrel-Dubousset (71 cases) or the Texas Scottish Rite Hospital (33) screw-rod system. Surgery was performed for lumbar vertebral column instability secondary to fractures (28 cases), spondylolisthesis (29), tumors (four), vertebral osteomyelitis (two), or postoperative causes (41). Pseudoarthrodesis due to failure of a prior fusion was present in 37 cases. The 55 men and 49 women (mean age 47 years, range 18 to 87 years) all presented with severe back pain. Signs or symptoms of neural compression were noted in 96 patients. Surgery consisted of neural decompression, internal fixation, and autogenous iliac bone grafting. Spondylolistheses were fused__in situ__, without reduction; otherwise, major spinal deformities were corrected. A total of 516 pedicle screws were placed. The mean extent of fusion was 2.7 motion segments (range one to six motion segments). A 96% fusion rate was obtained with a mean follow-up period of 20 months. There were no operative deaths. Major complications included one spinal epidural hematoma, three isolated nerve root deficits (two transient, one permanent), and three wound
Who reads Transpedicular Screw-rod Fixation of the Lumbar Spine: Operative Technique and Outcome in 104 Cases?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Curtis A. Dickman; Richard G. Fessler; Michael MacMillan; Regis W. Haid
- Publisher
- Journal of Neurosurgery Publishing Group (JNSPG)
- Published
- 1992
- Language
- EN
- Field
- Medicine (Health Sciences)
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