How accurately do novice surgeons place thoracic pedicle screws with the free hand technique?

Spine

Volumn 33, Issue 15, 2008, Pages

  Bergeson, Ryan K ^a,f   Schwend, Richard M ^b,c   Delucia, Tracey ^d   Silva, Selina R ^a   Smith, Jason E ^e   Avilucea, Frank R ^a  

^a UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE   (United States)

^b MERCY HOSPITAL   (United States)

^c UNIVERSITY OF MISSOURI KANSAS CITY   (United States)

^d UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

^e Orthopedics Indianapolis Spine Fellowship   (United States)

^f UNIVERSITY OF NEW MEXICO   (United States)

Author keywords

Pedicle; Safety; Screw; Thoracic

Indexed keywords

ACCURACY; ADULT; AGED; ARTICLE; BLEEDING; CADAVER; CONTROLLED STUDY; FEMALE; HUMAN; HUMAN TISSUE; MALE; OPERATING ROOM; OPERATION DURATION; ORTHOPEDIC SURGERY; PEDICLE SCREW; PRIORITY JOURNAL; SPINE MALFORMATION; SPINE SURGERY; SURGEON; THORACIC SPINE; THORAX SURGERY; VERTEBRA BODY; BONE SCREW; CLINICAL COMPETENCE; EDUCATION; INSTRUMENTATION; MEDICAL EDUCATION; METHODOLOGY; MIDDLE AGED; ORTHOPEDICS; SPINE DISEASE; SPINE FUSION;

ADULT; AGED; AGED, 80 AND OVER; BONE SCREWS; CADAVER; CLINICAL COMPETENCE; EDUCATION, MEDICAL, GRADUATE; FEMALE; HUMANS; INTERNSHIP AND RESIDENCY; MALE; MIDDLE AGED; ORTHOPEDICS; SPINAL DISEASES; SPINAL FUSION;

EID: 50949129561     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/BRS.0b013e31817b61af     Document Type: Article

References (16)

1. Kim Yongjung J, Lenke Lawrence G. Thoracic pedicle screw placement: Free-hand technique. Neurol India 2005;53:512-9.
2. Lenke LG, Kim Y, Rinella A. Treatment of spinal deformity utilizing thoracic pedicle screws. Semin Spine Surg 2002;14:66-87.
3. Luhman SJ, Lenke LG, Kim YJ, et al Thoracic adolescent idiopathic scoliosis curves between 70 degrees and 100 degrees: is anterior release necessary? Spine 2005;30:2061-7.
4. Suk SI, Lee CK, Min HJ, et al. Comparison of Cotrel-Dubousset pedicle screws and hooks in the treatment of idiopathic scoliosis. Int Orthop 1994;18:341-6.
5. Suk SI, Lee CK, Kim WJ, et al. Segmental pedicle screw fixation in the treatment of thoracic idiopathic scoliosis. Spine 1995;20:1399-405.
6. Liljenqvist UR, Halm HFH, Link TM. Pedicle screw instrumentation of the thoracic spine in idiopathic scoliosis. Spine 1997;22:2239-45.
7. Suk SI, Kim WJ, Lee SM, et al. Thoracic pedicle screw fixation in spinal deformities: are they really safe? Spine 2001;26:2049-57.
8. Belmont PJ, Klemme WR, Dhawan A, et al. In vivo accuracy of thoracic pedicle screws. Spine 2001;26:2340-6.
9. Kim YJ, Lenke LG, Bridwell KH, et al. Free hand pedicle screw placement in the thoracic spine: is it safe? Spine 2004:29:333-43; discussion 342.
10. Xu R, Ebraheim NA, Ou Y, Yeasting RA. Anatomic considerations of pedicle screw placement in the thoracic spine: Roy-Camille technique versus open-lamina technique. Spine 1998;23:1065-8.
11. Polly DW, Potter BK, Kuklo T, et al. Volumetric spinal canal intrusion: a comparison between thoracic pedicle screws and thoracic hooks. Spine 2003;29:63-9.
12. Kim YJ, Lenke LG, Cheh G, et al. Evaluation of pedicle screw placement in the deformed spine using intraoperative plain radiographs: a comparison with computerized tomography. Spine 2005;30:2084-8.
13. Michelson JD. Simulation in orthopaedic education: an overview of theory and practice. J Bone Joint Surg 2006;88 A: 1405-11.
14. Hamstra SJ, Dubrowski A, Backstein D. Teaching technical skills to surgical residents: a survey of empirical research. Clin Orthop Relat Res 2006;449: 108-15.
15. Lehman RA, Potter BK, Kuklo TR, et al. Probing for thoracic pedicle screw tract violation(s): is it valid? J Spinal Disord Tech 2004;17:277-83.
16. Guzey FK, Emel E, Hakan Seyithanoglu M, et al. Accuracy of pedicle screw placement for upper and middle thoracic pathologies without coronal plane spinal deformity using conventional methods. J Spinal Discord Tech 2006; 19:436-41.