دورية أكاديمية
Prospective comparative study between straight and curved probe for pedicle screw insertion.
| العنوان: | Prospective comparative study between straight and curved probe for pedicle screw insertion. |
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| المؤلفون: | Pithwa YK; Spine Surgery, HOSMAT Hospital, Bangalore, India, info@spine-surgeon.org., Venkatesh K |
| المصدر: | European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society [Eur Spine J] 2014 Oct; Vol. 23 (10), pp. 2161-5. Date of Electronic Publication: 2014 Apr 23. |
| نوع المنشور: | Clinical Trial; Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 9301980 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-0932 (Electronic) Linking ISSN: 09406719 NLM ISO Abbreviation: Eur Spine J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Heidelberg, Federal Republic of Germany : Springer-Verlag, c1992- |
| مواضيع طبية MeSH: | Pedicle Screws*, Lumbar Vertebrae/*surgery , Spinal Diseases/*surgery , Spinal Fusion/*instrumentation , Thoracic Vertebrae/*surgery, Adult ; Female ; Humans ; Joint Instability/diagnostic imaging ; Joint Instability/surgery ; Lumbar Vertebrae/diagnostic imaging ; Male ; Middle Aged ; Postoperative Period ; Prospective Studies ; Sacrum/diagnostic imaging ; Sacrum/surgery ; Single-Blind Method ; Spinal Diseases/diagnostic imaging ; Spinal Fusion/methods ; Thoracic Vertebrae/diagnostic imaging ; Tomography, X-Ray Computed ; Treatment Outcome |
| مستخلص: | Purpose: To evaluate difference in accuracy of pedicle screw insertion in thoracic and lumbosacral spine using a straight pedicle probe vis-à-vis a curved one. Methods: Prospective, comparative, non-randomized, single-blind study. Straight and curved pedicle probes used on opposite sides of same vertebra in patients undergoing thoracolumbar pedicle screw fixation for various indications. Postoperative blinded evaluation for pedicle breaches done with a CT scan. Pedicle breaches graded as grade 0: no breach, grade 1: <2 mm, grade 2: 2-4 mm and grade 3: >4 mm breach. Results: After appropriate statistical power analysis, 300 screws inserted in 59 patients from T4-L5 levels. No significant differences noted between the two probes in terms of screw length [two-tailed p = 0.16]; grade 0 screws [two-tailed p = 0.49] or screws with grade 2/3 breaches [two-tailed p = 0.68]. With the right-hand-dominant operating-surgeon standing to left of patient during surgery, no difference noted between the two probes for either the right or left-side pedicle screw insertion [two-tailed p = 1]. Repeating these tests in the subset of thoracic pedicle screws too, revealed no significant difference. Conclusions: No significant difference in outcome of pedicle screw insertion with either a straight or a curved pedicle probe. |
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| تواريخ الأحداث: | Date Created: 20140424 Date Completed: 20141216 Latest Revision: 20211021 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1007/s00586-014-3310-2 |
| PMID: | 24756892 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1432-0932 |
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| DOI: | 10.1007/s00586-014-3310-2 |