Document Detail


Complications and problems related to pedicle screw fixation of the spine.
MedLine Citation:
PMID:  12782863     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This retrospective study analyzes the complications and the problems developed during and after pedicle screw fixation in patients with spinal disorders and trauma. One hundred twelve patients were treated using the Cotrel-Dubousset pedicle screw fixation system for degenerative disease (57 patients), trauma (42 patients), infection (eight patients), and tumor (five patients) of the lumbar or thoracolumbar spine. The average age of the patients was 47 years and the average followup was 35 months. Forty-seven general complications were seen in 41 patients (36.5%). In addition, hardware failures were observed in 12 patients (10.7%), junctional problems were seen in five patients (4.5%), problems in the instrumented segments were seen in 39 patients (34.7%), and problems of balance occurred in five patients (4.5%). Although the rate of the reported complications was high, the final outcome of the patients was not affected significantly. Placement of the pedicle screws in the thoracolumbar and lumbar spine is a technically demanding procedure. It should be used by experienced and qualified surgeons who are aware of the pitfalls associated with its use.
Authors:
Pavlos Katonis; Joseph Christoforakis; George Kontakis; Agisilaos C Aligizakis; Charalampos Papadopoulos; George Sapkas; Alexander Hadjipavlou; George Katonis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-06-03     Completed Date:  2003-07-17     Revised Date:  2005-03-03    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  86-94     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, University of Crete Medical School, Heraklion, Greece. katonis@hol.gr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Arthrodesis / methods*
Bone Screws*
Female
Humans
Intraoperative Complications / epidemiology*
Male
Middle Aged
Postoperative Complications / epidemiology*
Retrospective Studies
Spinal Diseases / surgery*
Spinal Fusion / methods*
Spinal Injuries / surgery
Comments/Corrections
Erratum In:
Clin Orthop. 2003 Sep;(414):347
Note: Katonis G [corrected to Kontakis G]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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