دورية أكاديمية
Tomographic Analysis of the Anatomical Parameters for the Insertion of Cortical Bone Screws.
العنوان: | Tomographic Analysis of the Anatomical Parameters for the Insertion of Cortical Bone Screws. |
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المؤلفون: | Herrero CFPS; Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, SP, Brasil., Marangoni RCF; Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, SP, Brasil. |
المصدر: | Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2022 Jan 24; Vol. 57 (1), pp. 47-54. Date of Electronic Publication: 2022 Jan 24 (Print Publication: 2022). |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Thieme Country of Publication: Germany NLM ID: 0123326 Publication Model: eCollection Cited Medium: Print ISSN: 0102-3616 (Print) Linking ISSN: 01023616 NLM ISO Abbreviation: Rev Bras Ortop (Sao Paulo) Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Publication: 2019- : [Stuttgart] : Thieme Original Publication: São Paulo : Sociedade Brasileira de Ortopedia e Traumatologia |
مستخلص: | Objective To study the parameters related to the insertion path of cortical screws and to describe this technique. Methods Computed tomography (CT) scans of 30 patients, as well as the measurements from the L1 to the L5 vertebrae, were studied. A second observer evaluated ten randomly-selected exams. The parameters studied included the lateral angle (LA) and the screw diameter (SD) as axial variables, and the cranial angle (CA) and screw length (SL) as sagittal variables. Results We studied 15 male patients (mean age: 31.33 years) and 15 female patients (mean age: 32.01 years). The LA varied between 13.8° and 20.89°, with a tendency to increase in the proximal to distal direction. The CA varied from 17.5° to 24.9°, with a tendency to decrease in the caudal direction. The SD ranged from 2.3 mm to 7.2 mm, with a tendency to increase as we progressed from proximal to distal. The SL varied from 19 mm to 45 mm, with a tendency to decrease as we proceeded from proximal (L1) to distal (L5). No statistical difference was observed between the genders or in the interobserver agreement regarding the values studied when comparing the sides. Conclusion The path of insertion of the cortical screw shows a variation in different populations. Therefore, we recommend a preoperative imaging study to reduce the surgical risks related to the technique. Competing Interests: Conflito de Interesses Os autores declaram não haver conflito de interesses. (Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).) |
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فهرسة مساهمة: | Keywords: bone screws; minimally invasive surgical procedures; spine |
تواريخ الأحداث: | Date Created: 20220224 Latest Revision: 20220225 |
رمز التحديث: | 20240628 |
مُعرف محوري في PubMed: | PMC8856847 |
DOI: | 10.1055/s-0041-1731672 |
PMID: | 35198108 |
قاعدة البيانات: | MEDLINE |
تدمد: | 0102-3616 |
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DOI: | 10.1055/s-0041-1731672 |