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Published in: International Orthopaedics 5/2007

01-10-2007 | Original Paper

Facet joint violation during pedicle screw insertion: a cadaveric study of the adult lumbosacral spine comparing the two pedicle screw insertion techniques

Authors: Kook Jin Chung, Seung Woo Suh, Keny Swapnil, Jae Hyuk Yang, Hae Ryong Song

Published in: International Orthopaedics | Issue 5/2007

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Abstract

This article analyses the incidence of facet joint violation by pedicle screws inserted via the two most commonly used techniques, intersection and mammillary. Pedicle screws were inserted on each side of fresh-frozen human cadevaric specimen lumbosacral spines using the two techniques. All facet joints which were violated were found to be on the right side, where the mamillary process technique was employed. The incidence of facet joint violation was higher in the mammillary technique, which was statistically significant. The intersection technique appears to be safer than the mamillary with respect to violation of the adjacent superior facet joint.
Literature
1.
go back to reference Boucher HH (1959) A method of spinal fusion. J Bone Joint Surg 41:248–259 Boucher HH (1959) A method of spinal fusion. J Bone Joint Surg 41:248–259
2.
go back to reference Davne SH, Myers DL (1992) Complication of lumbar spinal fusion with transpedicular instrumentation. Spine 17(suppl):184–189CrossRef Davne SH, Myers DL (1992) Complication of lumbar spinal fusion with transpedicular instrumentation. Spine 17(suppl):184–189CrossRef
3.
go back to reference Enker P, Steffee AD; Interbody fusion and instrumentation (1994) Clin Orthop 300:90–101PubMed Enker P, Steffee AD; Interbody fusion and instrumentation (1994) Clin Orthop 300:90–101PubMed
4.
go back to reference Esses SI, Sachs BL, Dreyzin V (1993) Complications associated with the technique of pedicle screw fixation: a selected survey of ABS members. Spine 18:2231–2239PubMed Esses SI, Sachs BL, Dreyzin V (1993) Complications associated with the technique of pedicle screw fixation: a selected survey of ABS members. Spine 18:2231–2239PubMed
5.
go back to reference Gaines RW (2000) The use of pedicle screw internal fixation for the operative treatment of spinal disorders. J Bone Joint Surg Am 82-A:1458–1476PubMed Gaines RW (2000) The use of pedicle screw internal fixation for the operative treatment of spinal disorders. J Bone Joint Surg Am 82-A:1458–1476PubMed
6.
go back to reference Hanley EN Jr (1995) The indications for lumbar spinal fusion with and without instrumentation Spine 20(suppl):143–153 Hanley EN Jr (1995) The indications for lumbar spinal fusion with and without instrumentation Spine 20(suppl):143–153
7.
8.
go back to reference Krag MH, Beynnon BD, Pope MH et al (1986) An internal fixator for posterior application to short segments of thoracic, lumbar, or lumbosacral spine: design and testing. Clin Orthop 203:75–98PubMed Krag MH, Beynnon BD, Pope MH et al (1986) An internal fixator for posterior application to short segments of thoracic, lumbar, or lumbosacral spine: design and testing. Clin Orthop 203:75–98PubMed
9.
go back to reference Louis R (1986) Fusion of the lmbar and sacral spine by internal fixation with screw plates. Clin Orthop 203:18–33PubMed Louis R (1986) Fusion of the lmbar and sacral spine by internal fixation with screw plates. Clin Orthop 203:18–33PubMed
10.
go back to reference Masferrer R, Gomez CH, Karahalios DG, Sonntag VKH (1998) Efficacy of pedicle screw fixation in the treatment of instability and failed back surgery: a 5-year review. J Neurosurg 89:371–377PubMedCrossRef Masferrer R, Gomez CH, Karahalios DG, Sonntag VKH (1998) Efficacy of pedicle screw fixation in the treatment of instability and failed back surgery: a 5-year review. J Neurosurg 89:371–377PubMedCrossRef
11.
go back to reference Matsuzaki H, Tokuhashi Y, Matsmoto F et al (1990) Problems and solutions of pedicle screw plate fixation of lumbar spine. Spine 15:1159–1165PubMedCrossRef Matsuzaki H, Tokuhashi Y, Matsmoto F et al (1990) Problems and solutions of pedicle screw plate fixation of lumbar spine. Spine 15:1159–1165PubMedCrossRef
12.
go back to reference Okuyama K, Abe E, Suzuki T, Tamura Y, Chiba M, Sato K (1999) Posterior lumbar interbody fusion. A retrospective study of complications after facet joint excision and pedicle screw fixation in 148 cases. Acta Orthop Scand 70:327–334 Okuyama K, Abe E, Suzuki T, Tamura Y, Chiba M, Sato K (1999) Posterior lumbar interbody fusion. A retrospective study of complications after facet joint excision and pedicle screw fixation in 148 cases. Acta Orthop Scand 70:327–334
13.
go back to reference Pihlajamaki H, Myllyen P, Bostman O (1997) Complications of transpedicular lumbosacral fixation for non-traumatic disorders. J Bone Joint Surg Br 79-B:183–189CrossRef Pihlajamaki H, Myllyen P, Bostman O (1997) Complications of transpedicular lumbosacral fixation for non-traumatic disorders. J Bone Joint Surg Br 79-B:183–189CrossRef
14.
go back to reference Ray CD (1997) Threaded titanium cages for the lumbar interbody fusions. Spine 22:667–679; discussion 679–680PubMedCrossRef Ray CD (1997) Threaded titanium cages for the lumbar interbody fusions. Spine 22:667–679; discussion 679–680PubMedCrossRef
15.
go back to reference Roy-Camille R, Saillant G, Mazel C (1986) Internal fixation of the lumbar spine with pedicle screw plating. Clin Orthop 203:7–17PubMed Roy-Camille R, Saillant G, Mazel C (1986) Internal fixation of the lumbar spine with pedicle screw plating. Clin Orthop 203:7–17PubMed
16.
go back to reference Shah RR, Mohammed S, Saifuddin A, Taylor BA (2003) Radiologic evaluation of adjacent superior segment facet joint violation following transpedicular instrumentation of lumbar spine. Spine 28:272–275PubMedCrossRef Shah RR, Mohammed S, Saifuddin A, Taylor BA (2003) Radiologic evaluation of adjacent superior segment facet joint violation following transpedicular instrumentation of lumbar spine. Spine 28:272–275PubMedCrossRef
17.
go back to reference Sjostrom L, Jacobson O, Karlstrom G et al (1993) CT analysis of pedicles and screw tracts after implant removal in thoracolumbar fractures. J Spinal Disord 6:225–231PubMedCrossRef Sjostrom L, Jacobson O, Karlstrom G et al (1993) CT analysis of pedicles and screw tracts after implant removal in thoracolumbar fractures. J Spinal Disord 6:225–231PubMedCrossRef
18.
go back to reference Steffe AD, Biscup RS, Sitkowski DJ (1986) Segmental spine plates with pedicle screw dixation: a new internal fixation device for disorders of the lumbar and thoracolumbar spine. Clin Orthop 203:45–53 Steffe AD, Biscup RS, Sitkowski DJ (1986) Segmental spine plates with pedicle screw dixation: a new internal fixation device for disorders of the lumbar and thoracolumbar spine. Clin Orthop 203:45–53
19.
go back to reference Weinstein JN, Spratt KF, Rauschning W (1992) Anatomic and technical considerations of pedicle screw fixation. Clin Orthop 284:34–46PubMed Weinstein JN, Spratt KF, Rauschning W (1992) Anatomic and technical considerations of pedicle screw fixation. Clin Orthop 284:34–46PubMed
20.
go back to reference West JL III, Bradford DS, Ogilvie JW (1991) Complications of the variable screw plate pedicle screw fixation. Spine 16:576–579PubMedCrossRef West JL III, Bradford DS, Ogilvie JW (1991) Complications of the variable screw plate pedicle screw fixation. Spine 16:576–579PubMedCrossRef
21.
go back to reference Vaccaro AR, Garfin SR (1995) Internal fixation (pedicle screw fixation) for fusions of the lumbar spine. Spine 20(suppl):157–165 Vaccaro AR, Garfin SR (1995) Internal fixation (pedicle screw fixation) for fusions of the lumbar spine. Spine 20(suppl):157–165
22.
go back to reference Zucherman J, Hsu K, White A et al (1988) Early results if spinal fusion using variable spine plating system. Spine 13:570–579PubMedCrossRef Zucherman J, Hsu K, White A et al (1988) Early results if spinal fusion using variable spine plating system. Spine 13:570–579PubMedCrossRef
Metadata
Title
Facet joint violation during pedicle screw insertion: a cadaveric study of the adult lumbosacral spine comparing the two pedicle screw insertion techniques
Authors
Kook Jin Chung
Seung Woo Suh
Keny Swapnil
Jae Hyuk Yang
Hae Ryong Song
Publication date
01-10-2007
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 5/2007
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-006-0249-x

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