Can Postoperative Radiographs Accurately Identify Screw Misplacements?

Spine Deformity

Volumn 5, Issue 2, 2017, Pages 109-116

  Sarwahi, Vishal ^a   Ayan, Saankritya ^b   Amaral, Terry ^a   Wendolowski, Stephen ^a   Gecelter, Rachel ^a   Lo, Yungtai ^c   Thornhill, Beverly ^b  

^a Northwell Health System ^*  (United States)

^b MONTEFIORE MEDICAL CENTER   (United States)

^c ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

Author keywords

CT scan; Pedicle screw accuracy; Pedicle screw misplacements; Posterior spinal fusion; Radiograph; Spinal deformity

Indexed keywords

ADOLESCENT; ARTICLE; COMPUTED TOMOGRAPHY SCANNER; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; FEMALE; HUMAN; KYPHOSIS; MAJOR CLINICAL STUDY; MALE; MEASUREMENT ACCURACY; MEDICAL DEVICE COMPLICATION; PEDICLE SCREW; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SCOLIOSIS; SCREW MISPLACEMENT; SENSITIVITY AND SPECIFICITY; SPINE FUSION; SPINE RADIOGRAPHY; X-RAY COMPUTED TOMOGRAPHY; ADVERSE DEVICE EFFECT; DEVICES; DIAGNOSTIC IMAGING; EVALUATION STUDY; LUMBAR VERTEBRA; POSTOPERATIVE COMPLICATION; PROCEDURES; RADIOGRAPHY; STATISTICS AND NUMERICAL DATA; THORACIC VERTEBRA; YOUNG ADULT;

ADOLESCENT; FEMALE; HUMANS; KYPHOSIS; LUMBAR VERTEBRAE; MALE; PEDICLE SCREWS; POSTOPERATIVE COMPLICATIONS; POSTOPERATIVE PERIOD; RADIOGRAPHY; RETROSPECTIVE STUDIES; SCOLIOSIS; SENSITIVITY AND SPECIFICITY; SPINAL FUSION; THORACIC VERTEBRAE; TOMOGRAPHY, X-RAY COMPUTED; YOUNG ADULT;

EID: 85014072430     PISSN: 2212134X     EISSN: 22121358     Source Type: Journal    
DOI: 10.1016/j.jspd.2016.10.007     Document Type: Article

References (23)

1. [1] Liljenqvist, U.R., Halm, H.F., Link, T.M., Pedicle screw instrumentation of the thoracic spine in idiopathic scoliosis. Spine 22 (1997), 2239–2245.
2. [2] Suk, S.I., Kim, W.J., Lee, S.M., et al. Thoracic pedicle screw fixation in spinal deformities: are they really safe?. Spine 26 (2001), 2049–2057.
3. [3] Upendra, B.N., Meena, D., Chowdhury, B., et al. Outcome-based classification for assessment of thoracic pedicular screw placement. Spine 33 (2008), 384–390.
4. [4] Gertzbein, S.D., Robbins, S.E., Accuracy of pedicular screw placement in vivo. Spine 15 (1990), 11–14.
5. [5] Belmont, P.J. Jr., Klemme, W.R., Dhawan, A., Polly, D.W. Jr., In vivo accuracy of thoracic pedicle screws. Spine 26 (2001), 2340–2346.
6. [6] Kim, Y.J., Lenke, L.G., Cheh, G., Riew, K.D., Evaluation of pedicle screw placement in the deformed spine using intraoperative plain radiographs: a comparison with computerized tomography. Spine (Phila Pa 1976) 30 (2005), 2084–2088.
7. [7] Kim, Y.J., Lenke, L.G., Bridwell, K.H., et al. Free hand pedicle screw placement in the thoracic spine: is it safe?. Spine 29 (2004), 333–342 discussion 342.
8. [8] Benzel, E.C., Spine surgery 2-vol set: techniques, complication avoidance, and management (expert consult-online). 2012, Elsevier Health Sciences, London.
9. [9] Vallespir, G.P., Sanper, I., Burgos, J., et al. Reliability of intraoperative plain radiographic criteria to assess pedicle screw position in scoliosis surgery. A comparison to computerized tomography. 2016, Scoliosis Research Society, Monterey, CA.
10. [10] Ferrick, M.R., Kowalski, J.M., Simmons, E.D. Jr., Reliability of roentgenogram evaluation of pedicle screw position. Spine 22 (1997), 1249–1252 discussion 1253.
11. [11] Berlemann, U., Heini, P., Muller, U., et al. Reliability of pedicle screw assessment utilizing plain radiographs versus CT reconstruction. Eur Spine J 6 (1997), 406–410.
12. [12] Whitecloud, T.S., Skalley, T.C., Cook, S.D., Morgan, E.L., Roentgenographic measurement of pedicle screw penetration. Clin Orthop Relat Res 245 (1989), 57–68.
13. [13] Weinstein, J.N., Spratt, K.F., Spengler, D., et al. Spinal pedicle fixation: reliability and validity of roentgenogram-based assessment and surgical factors on successful screw placement. Spine 13 (1988), 1012–1018.
14. [14] Farber, G.L., Place, H.M., Mazur, R.A., et al. Accuracy of pedicle screw placement in lumbar fusions by plain radiographs and computed tomography. Spine 20 (1995), 1494–1499.
15. [15] Foxx, K.C., Kwak, R.C., Latzman, J.M., Samadani, U., A retrospective analysis of pedicle screws in contact with the great vessels. J Neurosurg Spine 13 (2010), 403–406.
16. [16] Wegener, B., Birkenmaier, C., Fottner, A., et al. Delayed perforation of the aorta by a thoracic pedicle screw. Eur Spine J 17:suppl 2 (2008), S351–S354.
17. [17] Fujita, T., Kostuik, J.P., Huckell, C.B., Sieber, A.N., Complications of spinal fusion in adult patients more than 60 years of age. Orthop Clin North Am 29 (1998), 669–678.
18. [18] Vanichkachorn, J.S., Vaccaro, A.R., Cohen, M.J., Cotler, J.M., Potential large vessel injury during thoracolumbar pedicle screw removal. A case report. Spine 22 (1997), 110–113.
19. [19] Di Silvestre, M., Parisini, P., Lolli, F., Bakaloudis, G., Complications of thoracic pedicle screws in scoliosis treatment. Spine 32 (2007), 1655–1661.
20. [20] Sarwahi, V., Wendolowski, S.F., Gecelter, R., et al. Are we underestimating the significance of pedicle screw misplacement?. Spine (Phila Pa 1976) 41 (2016), E548–E555.
21. [21] Wollowick, A., Sugarman, E., Nirenstein, L., et al. Incidence, distribution, and surgical relevance of abnormal pedicles in normal and deformed spines: a CT based study of 6,256 pedicles. Spine 10 (2010), S3–S4.
22. [22] Lehman, R.A. Jr., Lenke, L.G., Keeler, K.A., et al. Computed tomography evaluation of pedicle screws placed in the pediatric deformed spine over an 8-year period. Spine 32 (2007), 2679–2684.
23. [23] Hoffman, D.A., Lonstein, J.E., Morin, M.M., et al. Breast cancer in women with scoliosis exposed to multiple diagnostic x rays. J Natl Cancer Inst 81 (1989), 1307–1312.