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2021, Number 3

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Ortho-tips 2021; 17 (3)

Free hand technique for placement of transpedicular screws in thoracic spine, narrative review of the literature

Alvarado GF, Marroquín HO, Rosales CS, Velásquez SG

Language: Spanish
References: 22
Page: 155-161
PDF size: 313.48 Kb.


ABSTRACT

Structured literature review article explaining the hands-free technique for transpedicular screw placement, set of recommendations, main complications, applicability in various pathologies and learning curves reported in said documentation.


REFERENCES

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  2. Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine (Phila Pa 1976). 1983; 8 (8): 817-831.

  3. Falavigna A, Ramos MB, Iutaka AS, Menezes CM, Emmerich J, Taboada N, et al. Knowledge and attitude regarding radiation exposure among spine surgeons in Latin America. World Neurosurg. 2018; 112: e823-e829.

  4. Kim YJ, Lenke LG, Bridwell KH, Cho YS, Riew KD. Free hand pedicle screw placement in the thoracic spine: is it safe? Spine (Phila Pa 1976). 2004; 29 (3): 333-342; discussion 342.

  5. Watanabe K, Matsumoto M, Tsuji T, Ishii K, Takaishi H, Nakamura M, et al. Ball tip technique for thoracic pedicle screw placement in patients with adolescent idiopathic scoliosis. J Neurosurg Spine. 2010; 13 (2): 246-252.

  6. Fennell VS, Palejwala S, Skoch J, Stidd DA, Baaj AA. Freehand thoracic pedicle screw technique using a uniform entry point and sagittal trajectory for all levels: preliminary clinical experience. J Neurosurg Spine. 2014; 21 (5): 778-784.

  7. Stevanovic O, Hermanson AR, Anderson JT. Is the superior articular process a reliable landmark for determining the transverse plane angulation of thoracic pedicles in patients with adolescent idiopathic scoliosis? Spine Deform. 2017; 5 (1): 52-55.

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  10. Modi HN, Suh SW, Fernandez H, Yang JH, Song HR. Accuracy and safety of pedicle screw placement in neuromuscular scoliosis with free-hand technique. Eur Spine J. 2008; 17 (12): 1686-1696.

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  15. Gang C, Haibo L, Fancai L, Weishan C, Qixin C. Learning curve of thoracic pedicle screw placement using the free-hand technique in scoliosis: how many screws needed for an apprentice? Eur Spine J. 2012; 21 (6): 1151-1156.

  16. Bergeson RK, Schwend RM, DeLucia T, Silva SR, Smith JE, Avilucea FR. How accurately do novice surgeons place thoracic pedicle screws with the free hand technique? Spine (Phila Pa 1976). 2008; 33 (15): E501-E507.

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  22. Dede O, Ward WT, Bosch P, Bowles AJ, Roach JW. Using the freehand pedicle screw placement technique in adolescent idiopathic scoliosis surgery: what is the incidence of neurological symptoms secondary to misplaced screws? Spine (Phila Pa 1976). 2014; 39 (4): 286-290.




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