KaydedilenlerDerginizi ekleyin

Dergiler / Journal of Turkish Spinal Surgery / 2018 / Cilt: 29 - Sayı: 3

IS EARLY RADIOLOGICAL IMAGING REQUIRED FOLLOWING SPINAL FUSION OPERATIONS?

Okan TÜRK
İbrahim Burak ATCI
Sayfa
173–176
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Conclusion: Indication-free postoperative lumbar CT imaging for patients without any clinical finding will decrease in case A-P and lateral fluoroscopy utilization and, in particular, the interpretation of images are taught to other surgeons by spinal surgeons in clinics.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objective: This study aims to determine the effect of lumbar computed tomography of the cases subjected to early postoperative lumbar fusion surgery on the re-operation rate and to establish the rate of early malposition.
📊
Temel Bulgular & Veri:Material and methods: Sixty-five cases, which underwent posterior stabilization according to indications with the operations carried out in our department between 2014 and 2017, and 476 transpedicular screws files with 238 levels were evaluated retrospectively.
💡
Sonuç & Katkı:Conclusion: Indication-free postoperative lumbar CT imaging for patients without any clinical finding will decrease in case A-P and lateral fluoroscopy utilization and, in particular, the interpretation of images are taught to other surgeons by spinal surgeons in clinics.
🔬Tür:Araştırma Makalesi
📍Kapsam:2014 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: This study aims to determine the effect of lumbar computed tomography of the cases subjected to early postoperative lumbar fusion surgery on the re-operation rate and to establish the rate of early malposition. Material and methods: Sixty-five cases, which underwent posterior stabilization according to indications with the operations carried out in our department between 2014 and 2017, and 476 transpedicular screws files with 238 levels were evaluated retrospectively. Results: It was found out that, 37 cases were operated under anterior- and posterior-controlled fluoroscopy (A-P) and that only 28 cases underwent operation with laterally controlled fluoroscopy. Lumbar thin-slice bone tomography was produced for all the cases as postoperative control. It was found out that single level transpedicular screw moved from safe range to medial in seven cases, and four of these patients were taken to revision surgery due to postoperative leg pain. Two cases were determined to have single transpedicular screws moved to lateral, and revision surgery was not deemed necessary for no clinical finding was present. It was determined that nine instruments with screw malposition developed only in laterally controlled fluoroscopy cases. The length of hospital stay was calculated to be 3.1 ± 0.7 days. The screw malposition rate was 0.1 %. Conclusion: Indication-free postoperative lumbar CT imaging for patients without any clinical finding will decrease in case A-P and lateral fluoroscopy utilization and, in particular, the interpretation of images are taught to other surgeons by spinal surgeons in clinics.

🔖

Bu Makaleye Atıf Yap

TÜRK, O., ATCI, İ. B. (2018). IS EARLY RADIOLOGICAL IMAGING REQUIRED FOLLOWING SPINAL FUSION OPERATIONS?. Journal of Turkish Spinal Surgery, Cilt: 29 - Sayı: 3, 173–176. https://ajindex.com/articles/271373

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (10)

  1. Gaines RW Jr. The use of pedicle-screw internal fixation for the operative treatment of spinal disorders. J Bone Joint Surg 2000; 82-A: 1458-1476.
  2. Greiner-Perth R, Boehm H, Allam Y, Elsaghir H, Franke J. Reoperation rate after instrumented posterior lumbar inter body fusion: a report on 1680 cases. Spine 2004; 29: 2516-2520.
  3. Halvorson TL, Kelley LA, Thomas KA, Whitecloud TS 3rd, Cook SD. Effects of bone mineral density on pedicle screw fixation. Spine 1994; 19: 2415-2420. Katz JN. Lumbar spinal fusion: Surgical rates, costs and complications. Spine 1995; 20; 78-83. Kim YJ,Lenke LG,Bridwell KH.Free hand pedicle screw placement in the thoracic spine: is it safe? Spine 2004; 29: 333–342.
  4. Martin SC, Dabbous BO, Ridgeon EE, Magdum SA, Cadoux-Hudson TA, Pereira EA. Routine ra- diographs one day after anterior cervical discectomy and fusion are neither necessary nor cost-effective. Br J Neurosurg 2017; 31(1): 50-53.
  5. McCormack RA, Hunter T, Ramos N, Michels R, Hut- zler L, Bosco JA. An analysis of causes of readmission after spine surgery. Spine 2012; 37(14): 1260–1266.
  6. Molinari RW, Hunter JG, McAssey RW. In-hospital postoperative radiographs for instrumented single-level degenerative spinal fusions: utility after intraoperative fluoroscopy. Spine J 2012; 12(7): 559-567.
  7. Myers BS, Belmont PJ Jr, Richardson WJ, Yu JR, Harper KD, Nightingale RW: The role of imaging and in situ biomechanical testing in assessing pedicle screw pull-out strength. Spine 1996; 21: 1962-1968.
  8. Pechlivanis I, Kiriyanthan G, Engelhardt M, Scholz M, Lücke S, Harders A. Percutaneous placement of pedicles crews in the lumbar spine using a bone mounted min- iature robotic system: first experiences and accuracy of screw placement. Spine 2009; 34: 392–398.
  9. Ringel F, Stüer C, Reinke A, Preuss A, Behr M, Auer F. Accuracy of robot-assisted placement of lumbar and sacral pedicles crews: a prospective randomized compar- ison to conventional free hand screw implantation. Spine 2012; 37: E496–E501. Skinner R, Maybee J, Transfeldt E, Venter R, Chalmers W. Experimental pull out testing and comparison of variables in transpedicular screw fixation. A biomechan- ical study. Spine 1990; 15: 195-201.
  10. Suk SI, Kim WJ, Lee SM. Thoracic pedicle screw fixa- tion in spinal deformities: are they safe? Spine 2001; 26: 2049–2057.