RELATIONSHIP BETWEEN VERTEBRAL VESSELS AND CORTICAL PATH SCREWS IN CORTICAL TRANSFIXATION

ABSTRACT Introduction: This study aims to evaluate the safety of using the cortical path screw with transfixation of the second cortical bone in relation to the vascular structures. Methods: This retrospective observational study (level of evidence: III, study of non-consecutive patients) analyzed...

Full description

Bibliographic Details
Main Authors: Renato de Mello Guimarães, Rogério Lúcio Chaves de Resende, Jefferson Soares Leal, Luiz Claudio de Moura França, Guilherme Ribeiro Almeida
Format: Article
Language:English
Published: Sociedade Brasileira de Coluna (SBC) 2022-04-01
Series:Coluna/Columna
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000100209&tlng=en
_version_ 1811284663672504320
author Renato de Mello Guimarães
Rogério Lúcio Chaves de Resende
Jefferson Soares Leal
Luiz Claudio de Moura França
Guilherme Ribeiro Almeida
author_facet Renato de Mello Guimarães
Rogério Lúcio Chaves de Resende
Jefferson Soares Leal
Luiz Claudio de Moura França
Guilherme Ribeiro Almeida
author_sort Renato de Mello Guimarães
collection DOAJ
description ABSTRACT Introduction: This study aims to evaluate the safety of using the cortical path screw with transfixation of the second cortical bone in relation to the vascular structures. Methods: This retrospective observational study (level of evidence: III, study of non-consecutive patients) analyzed data from the medical records of patients who underwent computed angiotomography scans of the abdomen at Hospital Mater Dei, measuring, in millimeters, the distance between the point of the lumbar vertebra considered the anatomical reference for the transfixation of the second cortical bone and the vascular structures adjacent to the spine (abdominal aorta, inferior vena cava, iliac vessels, segmental lumbar arteries). Results: Forty-eight patients were evaluated, with a mean age of 60 years (±8 years, 41-75), of whom 52% were male and 48% female. The measurements obtained between the pre-vertebral vessels and the possible screw exit points did not demonstrate contact in any of the vertebrae studied. Conclusions: The measurements obtained suggest the safety of using the cortical path screw transfixing the second cortical bone. Knowing the position of the vessels is essential to reduce intra- and postoperative complications related to spinal instrumentation. Level of evidence III; Study of non-consecutive patients.
first_indexed 2024-04-13T02:32:54Z
format Article
id doaj.art-6c1cfad1125b45deb3e39426057f04e4
institution Directory Open Access Journal
issn 2177-014X
language English
last_indexed 2024-04-13T02:32:54Z
publishDate 2022-04-01
publisher Sociedade Brasileira de Coluna (SBC)
record_format Article
series Coluna/Columna
spelling doaj.art-6c1cfad1125b45deb3e39426057f04e42022-12-22T03:06:30ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X2022-04-0121110.1590/s1808-185120222101250506RELATIONSHIP BETWEEN VERTEBRAL VESSELS AND CORTICAL PATH SCREWS IN CORTICAL TRANSFIXATIONRenato de Mello Guimarãeshttps://orcid.org/0000-0003-4863-9367Rogério Lúcio Chaves de Resendehttps://orcid.org/0000-0002-9952-5151Jefferson Soares Lealhttps://orcid.org/0000-0003-1058-3804Luiz Claudio de Moura Françahttps://orcid.org/0000-0001-6327-1260Guilherme Ribeiro Almeidahttps://orcid.org/0000-0003-1006-1459ABSTRACT Introduction: This study aims to evaluate the safety of using the cortical path screw with transfixation of the second cortical bone in relation to the vascular structures. Methods: This retrospective observational study (level of evidence: III, study of non-consecutive patients) analyzed data from the medical records of patients who underwent computed angiotomography scans of the abdomen at Hospital Mater Dei, measuring, in millimeters, the distance between the point of the lumbar vertebra considered the anatomical reference for the transfixation of the second cortical bone and the vascular structures adjacent to the spine (abdominal aorta, inferior vena cava, iliac vessels, segmental lumbar arteries). Results: Forty-eight patients were evaluated, with a mean age of 60 years (±8 years, 41-75), of whom 52% were male and 48% female. The measurements obtained between the pre-vertebral vessels and the possible screw exit points did not demonstrate contact in any of the vertebrae studied. Conclusions: The measurements obtained suggest the safety of using the cortical path screw transfixing the second cortical bone. Knowing the position of the vessels is essential to reduce intra- and postoperative complications related to spinal instrumentation. Level of evidence III; Study of non-consecutive patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000100209&tlng=enCortical boneSpinal fusionManipulationlumbar; Spinal fractures
spellingShingle Renato de Mello Guimarães
Rogério Lúcio Chaves de Resende
Jefferson Soares Leal
Luiz Claudio de Moura França
Guilherme Ribeiro Almeida
RELATIONSHIP BETWEEN VERTEBRAL VESSELS AND CORTICAL PATH SCREWS IN CORTICAL TRANSFIXATION
Coluna/Columna
Cortical bone
Spinal fusion
Manipulation
lumbar; Spinal fractures
title RELATIONSHIP BETWEEN VERTEBRAL VESSELS AND CORTICAL PATH SCREWS IN CORTICAL TRANSFIXATION
title_full RELATIONSHIP BETWEEN VERTEBRAL VESSELS AND CORTICAL PATH SCREWS IN CORTICAL TRANSFIXATION
title_fullStr RELATIONSHIP BETWEEN VERTEBRAL VESSELS AND CORTICAL PATH SCREWS IN CORTICAL TRANSFIXATION
title_full_unstemmed RELATIONSHIP BETWEEN VERTEBRAL VESSELS AND CORTICAL PATH SCREWS IN CORTICAL TRANSFIXATION
title_short RELATIONSHIP BETWEEN VERTEBRAL VESSELS AND CORTICAL PATH SCREWS IN CORTICAL TRANSFIXATION
title_sort relationship between vertebral vessels and cortical path screws in cortical transfixation
topic Cortical bone
Spinal fusion
Manipulation
lumbar; Spinal fractures
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000100209&tlng=en
work_keys_str_mv AT renatodemelloguimaraes relationshipbetweenvertebralvesselsandcorticalpathscrewsincorticaltransfixation
AT rogerioluciochavesderesende relationshipbetweenvertebralvesselsandcorticalpathscrewsincorticaltransfixation
AT jeffersonsoaresleal relationshipbetweenvertebralvesselsandcorticalpathscrewsincorticaltransfixation
AT luizclaudiodemourafranca relationshipbetweenvertebralvesselsandcorticalpathscrewsincorticaltransfixation
AT guilhermeribeiroalmeida relationshipbetweenvertebralvesselsandcorticalpathscrewsincorticaltransfixation