Accuracy of plain radiographs to identify wrong positioned free hand pedicle screw in the deformed spine

Piazzolla, Andrea; Montemurro, Viola; Bizzoca, Davide; Parato, Claudia; Carlucci, Stefano; Moretti, Biagio

doi:10.23736/s0390-5616.16.03670-5

Cited by 10 publications

(30 citation statements)

References 16 publications

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“…Previous studies have found that clinical evaluation of pedicle screw placement underestimates malpositioned screws in comparison to post-operative CT evaluations (18). However, all screws were verified under fluoroscopy, which has been shown to be an accurate method for identification of dangerously positioned pedicle screws (5,27,29). Additionally, this study only assessed for medially malpositioned screws and does not address lateral-breached screws.…”

Section: Discussionmentioning

confidence: 97%

Accuracy of robot-assisted pedicle screw insertion in adolescent idiopathic scoliosis: is triggered electromyographic pedicle screw stimulation necessary?

Shaw

Murphy²,

Devito³

2018

J Spine Surg

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Section: Discussionmentioning

confidence: 97%

Accuracy of robot-assisted pedicle screw insertion in adolescent idiopathic scoliosis: is triggered electromyographic pedicle screw stimulation necessary?

Shaw

Murphy²,

Devito³

2018

J Spine Surg

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“…All the patients underwent PSF surgery using a system of titanium roads and screws (Solera System, Medtronic, Minneapolis, USA). Bilateral pedicle screw insertion was performed at each instrumented level; the pedicle screws were implanted using the free-hand technique [ 16 ]. All the patients received a high-density pedicle screw construct.…”

Section: Methodsmentioning

confidence: 99%

Subjective perception of spinal deformity after selective versus non-selective fusion of Lenke 1C curves

Bizzoca

Piazzolla²,

Solarino

et al. 2022

Spine Deform

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Purpose To assess the self-image perception and the Quality-of-Life (QoL) in female adolescents, with Lenke 1C scoliosis curves, treated with selective versus non-selective posterior spinal instrumentation and fusion (PSF). Methods Patients undergoing PSF for idiopathic adolescent scoliosis (AIS) were recruited and divided into two groups: patients managed with selective thoracic fusion (STF) were included in Group A, whereas patients treated with non-selective fusion (N-STF) in Group B. Each patient completed the Italian version of the Scoliosis Research Society-22R questionnaire (SRS-22R), the Quality-of-Life Profile for Spinal Deformities questionnaire (QLPSD) and the Spinal Appearance Questionnaire (SAQ), before surgery and at 24-month follow-up. Results One hundred and fifty seven female patients (mean age 16.38) were included in this study. 80 patients underwent STF, while 77 patients received N-STF. At 24-month follow-up, patients managed with N-STF showed better SRS-22R self-image mean score (p = .012), SRS-22R satisfaction mean score (p = .033), QLPSD body image mean score (p = .005), but worse SRS-22 function mean score (p = .006) and QLPSD back flexibility mean score (p = .007), compared with patients who underwent STF. In terms of self-image perception, patients undergoing STF showed significantly worse SAQ total mean score (p = .002), SAQ appearance mean score (p = .001) and SAQ expectation (p = .001). We found a significant correlation between SAQ appearance mean score and SRS-22R self-image (R = − 0.721), SRS-22 mental health (R = − 0.8), QLPSD psychosocial functioning (R = 0.7) and QLPSD back flexibility (R = 0.8). Conclusion Although the STF of Lenke 1C curves provides better functional outcomes, in the present study, female patients receiving STF revealed a worse perceived body image, compared with patients treated with N-STF, at 24-month follow-up. Particular attention should be addressed to the preoperative patient’s mental health and body image perception, when choosing between STF and N-STF.

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“…Bilateral pedicle screws insertion was performed at each instrumented level; all the pedicle screws were implanted using free-hand technique. 16 Facetectomies were realized at all instrumented vertebrae, to improve the curve correction. Spinal fusion was obtained performing laminar decortication and using autologous bone graft, obtained from facet joints, spinous processes, and decorticated laminae of each instrumented vertebra.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Plasma Technology Reduces Blood Loss in Adolescent Idiopathic Scoliosis Surgery: A Prospective Randomized Clinical Trial

Piazzolla

Bizzoca

Solarino

et al. 2020

Global Spine Journal

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Study Design: Prospective randomized clinical trial. Objectives: To assess the effectiveness of PEAK Plasmablade (PPB), compared with bipolar sealer and standard electrocautery, in the posterior spinal instrumentation and fusion (PSF) surgery performed for adolescent idiopathic scoliosis (AIS). Methods: Ninety-three patients undergoing PSF surgery for AIS were randomized in 2 groups: group-A patients (n = 45) underwent PSF surgery using PPB; group-B patients (n = 48) were treated with bipolar sealer and standard electrocautery. Demographic and surgical data was recorded. All the patients underwent serial blood tests on the day before surgery (T0) and at 24 (T1), 48 (T2), 72 (T3), and 96 (T4) hours postoperatively. Visual analogue scale for pain (VAS) score, the percentage of paracetamol assumption, and the blood transfusion rate were recorded in the time-lapse T1 to T4. Intergroup variability was assessed. Pearson correlation test was performed. A P value <.05 was considered significant. Results: In group A, a significantly shorter total operative time ( P = .0087), a significantly lower total intraoperative blood loss (TBL) ( P = .001), and a higher postoperative hemoglobin (Hb) ( P = .01) were recorded. A significant higher mean Hb concentration and mean albumin value was recorded in group A at 24 and 48 hours postoperatively. A significant correlation between TBL and hospital stay was recorded in both groups (group A, P = .00 001; group B, P = .00 006); moreover, in both groups, a significant correlation was observed between TBL and mean VAS at 72 hours postoperatively (group A, P = .0009; group B, P = .0001) and at 96 hours postoperatively (group A, P = .000 044; group B, P = .00 001). Conclusions: PPB reduces the intraoperative blood loss in PSF performed for AIS, thus allowing a patient’s faster recovery.

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Accuracy of plain radiographs to identify wrong positioned free hand pedicle screw in the deformed spine

Cited by 10 publications

References 16 publications

Accuracy of robot-assisted pedicle screw insertion in adolescent idiopathic scoliosis: is triggered electromyographic pedicle screw stimulation necessary?

Accuracy of robot-assisted pedicle screw insertion in adolescent idiopathic scoliosis: is triggered electromyographic pedicle screw stimulation necessary?

Subjective perception of spinal deformity after selective versus non-selective fusion of Lenke 1C curves

Plasma Technology Reduces Blood Loss in Adolescent Idiopathic Scoliosis Surgery: A Prospective Randomized Clinical Trial

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