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The accuracy and safety of fluoroscopically guided percutaneous pedicle screws in the lumbosacral junction and the lumbar spine: a review of 880 screws

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The accuracy and safety of fluoroscopically guided percutaneous pedicle screws in the lumbosacral junction and the lumbar spine: a review of 880 screws. / Chiu, C K; Kwan, M K; Chan, C Y W; Schäfer, Christian; Hansen-Algenstaedt, N.

In: BONE JOINT J, Vol. 97-B, No. 8, 08.2015, p. 1111-7.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Chiu, CK, Kwan, MK, Chan, CYW, Schäfer, C & Hansen-Algenstaedt, N 2015, 'The accuracy and safety of fluoroscopically guided percutaneous pedicle screws in the lumbosacral junction and the lumbar spine: a review of 880 screws', BONE JOINT J, vol. 97-B, no. 8, pp. 1111-7. https://doi.org/10.1302/0301-620X.97B8.35330

APA

Chiu, C. K., Kwan, M. K., Chan, C. Y. W., Schäfer, C., & Hansen-Algenstaedt, N. (2015). The accuracy and safety of fluoroscopically guided percutaneous pedicle screws in the lumbosacral junction and the lumbar spine: a review of 880 screws. BONE JOINT J, 97-B(8), 1111-7. https://doi.org/10.1302/0301-620X.97B8.35330

Vancouver

Chiu CK, Kwan MK, Chan CYW, Schäfer C, Hansen-Algenstaedt N. The accuracy and safety of fluoroscopically guided percutaneous pedicle screws in the lumbosacral junction and the lumbar spine: a review of 880 screws. BONE JOINT J. 2015 Aug;97-B(8):1111-7. https://doi.org/10.1302/0301-620X.97B8.35330

Bibtex

@article{f934dcaa8bb84fe8b4b968a013fd219e,
title = "The accuracy and safety of fluoroscopically guided percutaneous pedicle screws in the lumbosacral junction and the lumbar spine: a review of 880 screws",
abstract = "We undertook a retrospective study investigating the accuracy and safety of percutaneous pedicle screws placed under fluoroscopic guidance in the lumbosacral junction and lumbar spine. The CT scans of patients were chosen from two centres: European patients from University Medical Center Hamburg-Eppendorf, Germany, and Asian patients from the University of Malaya, Malaysia. Screw perforations were classified into grades 0, 1, 2 and 3. A total of 880 percutaneous pedicle screws from 203 patients were analysed: 614 screws from 144 European patients and 266 screws from 59 Asian patients. The mean age of the patients was 58.8 years (16 to 91) and there were 103 men and 100 women. The total rate of perforation was 9.9% (87 screws) with 7.4% grade 1, 2.0% grade 2 and 0.5% grade 3 perforations. The rate of perforation in Europeans was 10.4% and in Asians was 8.6%, with no significant difference between the two (p = 0.42). The rate of perforation was the highest in S1 (19.4%) followed by L5 (14.9%). The accuracy and safety of percutaneous pedicle screw placement are comparable to those cited in the literature for the open method of pedicle screw placement. Greater caution must be taken during the insertion of L5 and S1 percutaneous pedicle screws owing to their more angulated pedicles, the anatomical variations in their vertebral bodies and the morphology of the spinal canal at this location.",
keywords = "Adolescent, Adult, Aged, Aged, 80 and over, Female, Fluoroscopy, Germany, Humans, Lumbar Vertebrae, Lumbosacral Region, Malaysia, Male, Middle Aged, Pedicle Screws, Postoperative Complications, Radiography, Interventional, Retrospective Studies, Spinal Diseases, Tomography, X-Ray Computed, Treatment Outcome",
author = "Chiu, {C K} and Kwan, {M K} and Chan, {C Y W} and Christian Sch{\"a}fer and N Hansen-Algenstaedt",
note = "{\textcopyright}2015 The British Editorial Society of Bone & Joint Surgery.",
year = "2015",
month = aug,
doi = "10.1302/0301-620X.97B8.35330",
language = "English",
volume = "97-B",
pages = "1111--7",
journal = "BONE JOINT J",
issn = "2049-4394",
publisher = "British Editorial Society of Bone and Joint Surgery",
number = "8",

}

RIS

TY - JOUR

T1 - The accuracy and safety of fluoroscopically guided percutaneous pedicle screws in the lumbosacral junction and the lumbar spine: a review of 880 screws

AU - Chiu, C K

AU - Kwan, M K

AU - Chan, C Y W

AU - Schäfer, Christian

AU - Hansen-Algenstaedt, N

N1 - ©2015 The British Editorial Society of Bone & Joint Surgery.

PY - 2015/8

Y1 - 2015/8

N2 - We undertook a retrospective study investigating the accuracy and safety of percutaneous pedicle screws placed under fluoroscopic guidance in the lumbosacral junction and lumbar spine. The CT scans of patients were chosen from two centres: European patients from University Medical Center Hamburg-Eppendorf, Germany, and Asian patients from the University of Malaya, Malaysia. Screw perforations were classified into grades 0, 1, 2 and 3. A total of 880 percutaneous pedicle screws from 203 patients were analysed: 614 screws from 144 European patients and 266 screws from 59 Asian patients. The mean age of the patients was 58.8 years (16 to 91) and there were 103 men and 100 women. The total rate of perforation was 9.9% (87 screws) with 7.4% grade 1, 2.0% grade 2 and 0.5% grade 3 perforations. The rate of perforation in Europeans was 10.4% and in Asians was 8.6%, with no significant difference between the two (p = 0.42). The rate of perforation was the highest in S1 (19.4%) followed by L5 (14.9%). The accuracy and safety of percutaneous pedicle screw placement are comparable to those cited in the literature for the open method of pedicle screw placement. Greater caution must be taken during the insertion of L5 and S1 percutaneous pedicle screws owing to their more angulated pedicles, the anatomical variations in their vertebral bodies and the morphology of the spinal canal at this location.

AB - We undertook a retrospective study investigating the accuracy and safety of percutaneous pedicle screws placed under fluoroscopic guidance in the lumbosacral junction and lumbar spine. The CT scans of patients were chosen from two centres: European patients from University Medical Center Hamburg-Eppendorf, Germany, and Asian patients from the University of Malaya, Malaysia. Screw perforations were classified into grades 0, 1, 2 and 3. A total of 880 percutaneous pedicle screws from 203 patients were analysed: 614 screws from 144 European patients and 266 screws from 59 Asian patients. The mean age of the patients was 58.8 years (16 to 91) and there were 103 men and 100 women. The total rate of perforation was 9.9% (87 screws) with 7.4% grade 1, 2.0% grade 2 and 0.5% grade 3 perforations. The rate of perforation in Europeans was 10.4% and in Asians was 8.6%, with no significant difference between the two (p = 0.42). The rate of perforation was the highest in S1 (19.4%) followed by L5 (14.9%). The accuracy and safety of percutaneous pedicle screw placement are comparable to those cited in the literature for the open method of pedicle screw placement. Greater caution must be taken during the insertion of L5 and S1 percutaneous pedicle screws owing to their more angulated pedicles, the anatomical variations in their vertebral bodies and the morphology of the spinal canal at this location.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Female

KW - Fluoroscopy

KW - Germany

KW - Humans

KW - Lumbar Vertebrae

KW - Lumbosacral Region

KW - Malaysia

KW - Male

KW - Middle Aged

KW - Pedicle Screws

KW - Postoperative Complications

KW - Radiography, Interventional

KW - Retrospective Studies

KW - Spinal Diseases

KW - Tomography, X-Ray Computed

KW - Treatment Outcome

U2 - 10.1302/0301-620X.97B8.35330

DO - 10.1302/0301-620X.97B8.35330

M3 - SCORING: Journal article

C2 - 26224830

VL - 97-B

SP - 1111

EP - 1117

JO - BONE JOINT J

JF - BONE JOINT J

SN - 2049-4394

IS - 8

ER -