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European Spine Journal

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01-02-2014 | Original Article

Outcomes of posterior facet versus pedicle screw fixation of circumferential fusion: a cohort study

Authors: Glenn R. Buttermann, Tague M. Thorson, William J. Mullin

Published in: European Spine Journal | Issue 2/2014

Abstract

Purpose

To compare single-level circumferential spinal fusion using pedicle (n = 27) versus low-profile minimally invasive facet screw (n = 35) posterior instrumentation.

Method

A prospective two-arm cohort study with 5-year outcomes as follow-up was conducted. Assessment included back and leg pain, pain drawing, Oswestry disability index (ODI), pain medication usage, self-assessment of procedure success, and >1-year postoperative lumbar magnetic resonance imaging.

Results

Significantly less operative time, estimated blood loss and costs were incurred for the facet group. Clinical improvement was significant for both groups (p < 0.01 for all outcomes scales). Outcomes were significantly better for back pain and ODI for the facet relative to the pedicle group at follow-up periods >1 year (p < 0.05). Postoperative magnetic resonance imaging found that 20 % had progressive adjacent disc degeneration, and posterior muscle changes tended to be greater for the pedicle screw group.

Conclusion

One-level circumferential spinal fusion using facet screws proved superior to pedicle screw instrumentation.

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Title: Outcomes of posterior facet versus pedicle screw fixation of circumferential fusion: a cohort study
Authors: Glenn R. Buttermann
Tague M. Thorson
William J. Mullin
Publication date: 01-02-2014
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 2/2014
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-013-2999-7

2024 ASCO Annual Meeting

Springer Medicine

Outcomes of posterior facet versus pedicle screw fixation of circumferential fusion: a cohort study

Abstract

Purpose

Method

Results

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Purpose

Method

Results

Conclusion

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