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...
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Format: | Article |
Language: | English |
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Sociedade Brasileira de Coluna (SBC)
2022-04-01
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Series: | Coluna/Columna |
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Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000100209&tlng=en |
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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 |
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