Percutaneous Transpedicular Fixation: Technical tips and Pitfalls of Sextant and Pathfinder Systems
Study DesignThe efficacy of the operative techniques, possible benefits as well as pitfalls and limitations of the techniques are discussed. Potential drawbacks are also detected.PurposeThis study aims to report indications, techniques, and our experience with the use of the Sextant and PathFinder p...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2016-02-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-10-111.pdf |
| _version_ | 1819075653282037760 |
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| author | Mohamed M. Mohi Eldin Ahmed Salah Aldin Hassan |
| author_facet | Mohamed M. Mohi Eldin Ahmed Salah Aldin Hassan |
| author_sort | Mohamed M. Mohi Eldin |
| collection | DOAJ |
| description | Study DesignThe efficacy of the operative techniques, possible benefits as well as pitfalls and limitations of the techniques are discussed. Potential drawbacks are also detected.PurposeThis study aims to report indications, techniques, and our experience with the use of the Sextant and PathFinder percutaneous transpedicular screw fixation systems.Overview of LiteraturePercutaneous pedicle screw insertion is a novel technique. Successful percutaneous placement of pedicle screws requires surgical skill and experience because of lack of anatomic surface landmarks. Fluoroscopy-guided percutaneous placement of pedicle screws is effective. Many systems are now available.MethodsWe conducted a prospective operative and postoperative analysis of 40 patients with absolute indication for thoracic or lumbar instability between January 2009 and June 2013. All procedures were performed with the Sextant (group A) and PathFinder (group B) systems under fluoroscopic guidance. Operative techniques are discussed and the results compared.ResultsPercutaneous transpedicular screw fixation minimizes the morbidity associated with open techniques without compromising the quality of fixation. A total of 190 screws were inserted. There was no additional morbidity. Postoperative computed tomography images and plain X-rays were analyzed. Reduction of visual analog scale scores of back pain was evident.ConclusionsFluoroscopy-guided percutaneous pedicular screws are feasible and can be safely done. Current systems allow multi-segmental fixation with significantly less difficulties. The described techniques have acceptable intra- and postoperative complication rates, and overall sufficient pain control with early mobilization of patients. |
| first_indexed | 2024-12-21T18:28:50Z |
| format | Article |
| id | doaj.art-be74692074a4406b9bf993ce22069370 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-21T18:28:50Z |
| publishDate | 2016-02-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-be74692074a4406b9bf993ce220693702022-12-21T18:54:20ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462016-02-0110111112210.4184/asj.2016.10.1.11137Percutaneous Transpedicular Fixation: Technical tips and Pitfalls of Sextant and Pathfinder SystemsMohamed M. Mohi Eldin0Ahmed Salah Aldin Hassan1Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt.Department of Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt.Study DesignThe efficacy of the operative techniques, possible benefits as well as pitfalls and limitations of the techniques are discussed. Potential drawbacks are also detected.PurposeThis study aims to report indications, techniques, and our experience with the use of the Sextant and PathFinder percutaneous transpedicular screw fixation systems.Overview of LiteraturePercutaneous pedicle screw insertion is a novel technique. Successful percutaneous placement of pedicle screws requires surgical skill and experience because of lack of anatomic surface landmarks. Fluoroscopy-guided percutaneous placement of pedicle screws is effective. Many systems are now available.MethodsWe conducted a prospective operative and postoperative analysis of 40 patients with absolute indication for thoracic or lumbar instability between January 2009 and June 2013. All procedures were performed with the Sextant (group A) and PathFinder (group B) systems under fluoroscopic guidance. Operative techniques are discussed and the results compared.ResultsPercutaneous transpedicular screw fixation minimizes the morbidity associated with open techniques without compromising the quality of fixation. A total of 190 screws were inserted. There was no additional morbidity. Postoperative computed tomography images and plain X-rays were analyzed. Reduction of visual analog scale scores of back pain was evident.ConclusionsFluoroscopy-guided percutaneous pedicular screws are feasible and can be safely done. Current systems allow multi-segmental fixation with significantly less difficulties. The described techniques have acceptable intra- and postoperative complication rates, and overall sufficient pain control with early mobilization of patients.http://www.asianspinejournal.org/upload/pdf/asj-10-111.pdfPercutaneousTranspedicularScrew fixationMinimally invasive |
| spellingShingle | Mohamed M. Mohi Eldin Ahmed Salah Aldin Hassan Percutaneous Transpedicular Fixation: Technical tips and Pitfalls of Sextant and Pathfinder Systems Asian Spine Journal Percutaneous Transpedicular Screw fixation Minimally invasive |
| title | Percutaneous Transpedicular Fixation: Technical tips and Pitfalls of Sextant and Pathfinder Systems |
| title_full | Percutaneous Transpedicular Fixation: Technical tips and Pitfalls of Sextant and Pathfinder Systems |
| title_fullStr | Percutaneous Transpedicular Fixation: Technical tips and Pitfalls of Sextant and Pathfinder Systems |
| title_full_unstemmed | Percutaneous Transpedicular Fixation: Technical tips and Pitfalls of Sextant and Pathfinder Systems |
| title_short | Percutaneous Transpedicular Fixation: Technical tips and Pitfalls of Sextant and Pathfinder Systems |
| title_sort | percutaneous transpedicular fixation technical tips and pitfalls of sextant and pathfinder systems |
| topic | Percutaneous Transpedicular Screw fixation Minimally invasive |
| url | http://www.asianspinejournal.org/upload/pdf/asj-10-111.pdf |
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