NDLI: Accuracy of thoracic pedicle screw placement in scoliosis using the ideal pedicle entry point during the freehand technique.

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Accuracy of thoracic pedicle screw placement in scoliosis using the ideal pedicle entry point during the freehand technique.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Modi, Hitesh Suh, Seung Woo Song, Hae-Ryong Yang, Jae-Hyuk
Description	Author Affiliation: Modi H ( Department of Orthopedics, Scoliosis Research Institute, Korea University Guro Hospital, Seoul, Republic of Korea.)
Abstract	Previously, we described the ideal pedicle entry point (IPEP) for the thoracic spine at the base of the superior facet at the junction of the lateral one third and medial two thirds with the freehand technique on cadavers. Here we measured the accuracy of thoracic pedicle screw placement (Chung et al. Int Orthop 2008) on post-operative computed tomography (CT) scans in 43 scoliosis patients who underwent operation with the freehand technique taking the same entry point. Of the 854 inserted screws, 268 (31.3%) were displaced; 88 (10.3%) and 180 (21.0%) screws were displaced medially and laterally, respectively. With regard to the safe zone, 795 screws were within the safe zone representing an accuracy rate of 93%; 448 and 406 thoracic screws inserted in adolescent idiopathic and neuromuscular scoliosis showed an accuracy of 89.9 and 94%, respectively (p = 0.6475). The accuracy rate of screws inserted in the upper, middle and lower thoracic pedicles were 94.2, 91.6 and 93.7%, respectively (p = 0.2411). The results indicate that IPEP should be considered by surgeons during thoracic pedicle screw instrumentation.
File Format	HTM / HTML
ISSN	03412695
e-ISSN	14325195
DOI	10.1007/s00264-008-0535-x
Journal	International Orthopaedics
Issue Number	2
Volume Number	33
Language	English
Publisher	Springer
Publisher Date	2009-04-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Bone Screws Scoliosis Surgery Spinal Fusion Instrumentation Thoracic Vertebrae Adolescent Chi-square Distribution Cohort Studies Equipment Design Equipment Safety Monitoring, Intraoperative Neuronavigation Postoperative Complications Probability Retrospective Studies Risk Assessment Severity Of Illness Index Tomography, X-ray Computed
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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