Journal of Korean Neurosurgical Society

  • 제51권1호
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  • Pages.66-70
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  • 2012
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Free Hand Pedicle Screw Placement in the Thoracic Spine without Any Radiographic Guidance : Technical Note, a Cadaveric Study

  • Hyun, Seung-Jae (Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Kim, Yong-Jung J. (Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Cheh, Gene (Department of Orthopedic Surgery, Wooridul Spine Hospital) ;
  • Yoon, Seung-Hwan (Department of Neurosurgery, College of Medicine, Inha University) ;
  • Rhim, Seung-Chul (Department of Orthopaedic Surgery, Spine Service, Columbia University College of Physicians and Surgeons)
  • 투고 : 2011.07.27
  • 심사 : 2012.01.11
  • 발행 : 2012.01.28
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초록

Thoracic pedicle screw fixation techniques are still controversial for thoracic deformities because of possible complications including neurologic deficit. Methods to aid the surgeon in appropriate screw placement have included the use of intraoperative fluoroscopy and/or radiography as well as image-guided techniques. We describe our technique for free hand pedicle screw placement in the thoracic spine without any radiographic guidance and present the results of pedicle screw placement analyzed by computed tomographic scan in two human cadavers. This free hand technique of thoracic pedicle screw placement performed in a step-wise, consistent, and compulsive manner is an accurate, reliable, and safe method of insertion to treat a variety of spinal disorders, including spinal deformity.

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참고문헌

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피인용 문헌

  1. Technical Report of Free Hand Pedicle Screw Placement using the Entry Points with Junction of Proximal Edge of Transverse Process and Lamina in Lumbar Spine: Analysis of 2601 Consecutive Screws vol.10, pp.1, 2012, https://doi.org/10.14245/kjs.2013.10.1.7
  2. Freehand thoracic pedicle screw technique using a uniform entry point and sagittal trajectory for all levels: preliminary clinical experience : Clinical article vol.21, pp.5, 2012, https://doi.org/10.3171/2014.7.spine1489
  3. Accuracy of Free Hand Pedicle Screw Installation in the Thoracic and Lumbar Spine by a Young Surgeon: An Analysis of the First Consecutive 306 Screws Using Computed Tomography vol.8, pp.3, 2012, https://doi.org/10.4184/asj.2014.8.3.237
  4. THE ALTERNATIVE MODEL IN TRAINING FOR OPERATION MANAGEMENT ON LUMBAR SPINE vol.174, pp.2, 2015, https://doi.org/10.24884/0042-4625-2015-174-2-106-109
  5. Adolescent Idiopathic Scoliosis Treatment by a Korean Neurosurgeon : The Changing Role for Neurosurgeons vol.58, pp.1, 2012, https://doi.org/10.3340/jkns.2015.58.1.50
  6. Pedicle Screw Placement in the Thoracolumbar Spine Using a Novel, Simple, Safe, and Effective Guide-Pin : A Computerized Tomography Analysis vol.58, pp.1, 2012, https://doi.org/10.3340/jkns.2015.58.1.9
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  10. Comparative Study Between Pedicle Subtraction Osteotomy (PSO) and Closing-Opening Wedge Osteotomy (Fish-Mouth PSO) for Sagittal Plane Deformity Correction vol.42, pp.15, 2017, https://doi.org/10.1097/brs.0000000000002007
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  12. Factors for the acquisition of 10° angular change at the lumbar spine through posterior column osteotomy in adult spinal deformity surgery vol.29, pp.6, 2012, https://doi.org/10.3171/2018.5.spine1858
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  17. Surgical Outcomes According to Dekyphosis in Patients with Ossification of the Posterior Longitudinal Ligament in the Thoracic Spine vol.63, pp.1, 2012, https://doi.org/10.3340/jkns.2018.0177
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