SavedAdd your journal

Journals / Journal of Turkish Spinal Surgery / 2017 / Cilt: 28 - Sayı: 3

PERCUTANEOUS SACROPLASTY FOR THE TREATMENT OF SACRAL PEDICLE SCREW LOOSENING IN AN OSTEOPOROTIC PATIENT

İlker COVEN
Fikret SAHINTURK
Pages
187–190
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

As an alternative to open, major revision surgeries for failed and/or loosened instrumentation systems, we suggest minimally invasive cement augmentation procedure under local anesthesia.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Pedicle screw loosening is a major concern especially in the osteoporotic spine.
📊
Key Findings & Data:It results from the loss of metal-bone interface integrity.
💡
Conclusion & Impact:As an alternative to open, major revision surgeries for failed and/or loosened instrumentation systems, we suggest minimally invasive cement augmentation procedure under local anesthesia.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Pedicle screw loosening is a major concern especially in the osteoporotic spine. It results from the loss of metal-bone interface integrity. Once a screw pullout occurs, the surgeon should revise the implant. Different salvage techniques exist such as using larger screws, screws with a larger thread depth and pitch, expandable screws, screws with bicortical purchase, milled bone graft impacted into the pilot hole, or PMMA augmented screws. We describe a new, minimally invasive salvage technique that could be an alternative to open revision surgeries. As an alternative to open, major revision surgeries for failed and/or loosened instrumentation systems, we suggest minimally invasive cement augmentation procedure under local anesthesia.

🔖

Cite This Article

COVEN, İ., SAHINTURK, F. (2017). PERCUTANEOUS SACROPLASTY FOR THE TREATMENT OF SACRAL PEDICLE SCREW LOOSENING IN AN OSTEOPOROTIC PATIENT. Journal of Turkish Spinal Surgery, Cilt: 28 - Sayı: 3, 187–190. https://ajindex.com/articles/199947

References (13)

  1. Akinola B, Lutchman L, Barker P, et al. Pulmonary cement embolism during cement augmentation of pedicle screw fixation: a case report. J Orthop Surg (Hong Kong) 2010; 18(3): 364-366
  2. Aydogan M, Ozturk C, Karatoprak O, Tezer M, Aksu N, Hamzaoglu A. The pedicle screw fixation with vertebroplasti augmentation in the surgical treatment of the severe osteoporotic spines. J Spinal Disord Tech 2009; 6: 444-447
  3. Fleischer GD, Kim YJ, Ferrara LA, et al. Biomechanical analysis of sacral screw strain and range of motion in long posterior spinal fixation constructs: effects of lumbosacral fixation strategies in reducing sacral screw strains. Spine 2011. [Epub ahead of print]
  4. Frankel BM, Jones T, Wang C. Segmental polymethylmethacrylate-augmented pedicle screw fixation in patients with bone softening caused by osteoporosis and metastatic tumor involvement: a clinical evaluation. Neurosurgery 2007; 61: 531-537; discussion: 537-538
  5. Gautschi OP, Schatlo B, Schaller K, Tessitore E. Clinically relevant complications related to pedicle screw placement in thoracolumbar surgery and their management: a literature review of 35,630 pedicle screws. Neurosurg Focus 2011; 31(4): E8
  6. Harrington PR, Tullos HS. Reduction of severe spondylolisthesis in children. South Med J 1969; 62: 1-7
  7. Hirabayashi S, Kumano K, Kuroki T. Cotrel-Dubousset pedicle screw system for various spinal disorders. Merits and problems. Spine 1991; 16: 1298-1304
  8. Hu MH, Wu HT, Chang MC, Yu W-K, Wang S-T, Liu C-L. Polymethylmethacrylate augmentation of the pedicle screw: the cement distribution in the vertebral body. Eur Spine J 2011; 20(8): 1281-1288
  9. Kang SH, Kim KT, Park SW, Kim YB. A case of pedicle screw loosening treated by modified transpedicular screw augmentation with polymethylmethacrylate. J Korean Neurosurg Soc 2011; 49(1): 75-78
  10. McLachlin SD, Al Saleh K, Gurr KR, et al. Comparative assessment of sacral screw loosening augmented with PMMA versus a calcium triglyceride bone cement. Spine 2011; 36(11): E699-704
  11. Pihlajamaki H, Myllynen P, Böstman O. Complications of transpedicular lumbosacral fixation for non-traumatic disorders. J Bone Joint Surg 1997; 79-B: 183-189
  12. Sanden B, Olerud C, Petren-Mallmin M, Johansson C, Larsson S. The significance of radiolucent zones surrounding pedicle screws: definition of screw loosening in spinal instrumentation. J Bone Joint Surg 2004; 86: 457-463
  13. Sonmez E, Yilmaz C, Caner H. Development of lumbar disc herniation followi