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Journals / Turkish Neurosurgery / 2016 / Cilt: 26 - Sayı: 6

Local Tissue Electrical Resistances in Transpedicular Screw Application in the Thoracolumbar Region

YAHYA TURAN
Murat SAYIN
Alaattin YURT
Tevfik YILMAZ
Füsun ÖZER DEMİRÇİVİ
Cüneyt TEMİZ
Pages
937–943
DOI
—
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⚡ TL;DR(Too Long; Didn't Read)

RESUlTS: Our results indicated that local tissue electrical resistance changes were statistically significant in both human and sheep cadaver.

📌 3 Key Takeaways

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Objective & Hypothesis:AIm: To determine local tissue electrical resistance differences generated during a screw pass from the pedicle to another tissue rather than determining all individual electrical tissue resistance values. mATERIAl and mEThODS: We attempted to measure electrical resistance values of regional tissues in addition to fluoroscopic imaging during application of fixation via a transpedicular screw.
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Key Findings & Data:For this purpose, local tissue electrical resistances of 10 transpedicular tracks opened with standard track openers bilaterally in 5 vertebrae, and of spinal cord accessed by puncturing the medial walls of three vertebrae in a cadaver were measured.
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Conclusion & Impact:RESUlTS: Our results indicated that local tissue electrical resistance changes were statistically significant in both human and sheep cadaver.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

AIm: To determine local tissue electrical resistance differences generated during a screw pass from the pedicle to another tissue rather than determining all individual electrical tissue resistance values. mATERIAl and mEThODS: We attempted to measure electrical resistance values of regional tissues in addition to fluoroscopic imaging during application of fixation via a transpedicular screw. We also attempted to detect local tissue electrical resistance alterations in case of malposition of the screw inside the pedicle. For this purpose, local tissue electrical resistances of 10 transpedicular tracks opened with standard track openers bilaterally in 5 vertebrae, and of spinal cord accessed by puncturing the medial walls of three vertebrae in a cadaver were measured. These resistance differences were not only measured in human cadaveric tissue but also in 36 pedicles belonging to a total of 18 vertebrae between Th 1-S1 vertebrae of a sheep cadaver. Both medial and lateral walls were drilled to measure local tissue resistance differences in a sheep cadaver. RESUlTS: Our results indicated that local tissue electrical resistance changes were statistically significant in both human and sheep cadaver. CONClUSION: It is possible to prevent screw malposition using a simple and cheap electrical resistance measurement. Local tissue electrical resistance measurement during transpedicular screw insertion is a safe, simple, cheap, and practical method.

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Cite This Article

TURAN, Y., SAYIN, M., YURT, A., YILMAZ, T., DEMİRÇİVİ, F. Ö., TEMİZ, C. (2016). Local Tissue Electrical Resistances in Transpedicular Screw Application in the Thoracolumbar Region. Turkish Neurosurgery, Cilt: 26 - Sayı: 6, 937–943. https://ajindex.com/articles/404671

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References (1)

  1. Baumgartner RN, Chumlea WC, Roche AF: Bioelectric impedance for body composition. Exerc Sport Sci Rev 18:193-224, 1990 2. Bolger C, Carozzo C, Roger T, McEvoy L, Nagaria J, Vanacker G, Bourlion M: A preliminary study of reliability of impedance measurement to detect iatrogenic initial pedicle perforation (in the porcine model). Eur Spine J 15(3): 316-320, 2006 3. Bolger C, Kelleher MO, McEvoy L, Brayda-Bruno M, Kaelin A, Lazennec JY, Le Huec JC, Logroscino C, Mata P, Moreta P, Saillant G, Zeller R: Electrical conductivity measurement: A new technique to detect iatrogenic initial pedicle perforation. Eur Spine J 16(11): 1919-1924, 2007 4. Chumlea WC, Guo SS: Bioelectrical impedance and body composition: Present status and future directions. Nutr Rev 52(4): 123-131, 1994 5. Darden BV, 2nd, Owen JH, Hatley MK, Kostuik J, Tooke SM: A comparison of impedance and electromyogram measurements in detecting the presence of pedicle wall breakthrough. Spine (Phila Pa 1976) 23(2): 256-262, 1998 6. Davne SH, Myers DL: Complications of lumbar spinal fusion with transpedicular instrumentation. Spine (Phila Pa 1976) 17 Suppl 6: S184-189, 1992 7. Ebraheim NA, Xu R, Darwich M, Yeasting RA: Anatomic relations between the lumbar pedicle and the adjacent neural structures. Spine (Phila Pa 1976) 22(20): 2338-2341, 1997 8. Esses SI, Sachs BL, Dreyzin V: Complications associated with the technique of pedicle screw fixation. A selected survey of ABS members. Spine (Phila Pa 1976) 18(15): 2231-2238; discussion 2238-2239, 1993 9. Garfin SR: Spinal fusion: The use of bone screws in the vertebral pedicles. Summation. Spine (Phila Pa 1976) 19 Suppl 20: 2300S-2305S, 1994 10. Gertzbein SD, Robbins SE: Accuracy of pedicular screw placement in vivo. Spine (Phila Pa 1976) 15(1):11-14, 1990 11. Glossop ND, Hu RW, Randle JA: Computer-aided pedicle screw placement using frameless stereotaxis. Spine (Phila Pa 1976) 21(17): 2026-2034, 1996 12. Gundanna M, Eskenazi M, Bendo J, Spivak J, Moskovich R: Somatosensory evoked potential monitoring of lumbar pedicle screw placement for in situ posterior spinal fusion. Spine J 3(5): 370-376, 2003 13. Houtkooper LB, Lohman TG, Going SB, Howell WH: Why bioelectrical impedance analysis should be used for estimating adiposity. Am J Clin Nutr 64 Suppl 3: 436S-448S, 1996 14. Journee HL, Polak HE, de Kleuver M: Influence of electrode impedance on threshold voltage for transcranial electrical stimulation in motor evoked potential monitoring. Med Biol Eng Comput