History of Spinal Disorders

Gruber, Philipp; Boeni, Thomas

doi:10.1007/978-3-540-69091-7_1

Cited by 8 publications

(5 citation statements)

References 28 publications

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“…Implants are put to support the construct till the time there is natural bony fusion. In earlier days, the incidence of implant failure was high as the material used for the implant was not optimal [1]. With the advent of better implants and techniques, the incidence has greatly reduced.…”

Section: Discussionmentioning

confidence: 99%

“…The methods of mechanical fixation have improved over the years owing to research and development in the field of spine disorders, but the final result of most of the spine surgeries, which every spinal surgeon desires, is fusion. In the 1930s, the material used for spinal fixation was suboptimal and the incidence of implant failure was very high [1]. After the 1940s, the material and methods of instrumentation have undergone substantial changes that can withstand the repeated stress of weight-bearing, flexion, and extension until arthrodesis occurs.…”

Section: Introductionmentioning

confidence: 99%

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Should Implant Breakage Be Always Considered as Implant “Failure” in Spine Surgery: Analysis of Two Cases and Literature Review

Gupta¹,

Das²,

Bansal³

et al. 2021

Cureus

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The advancement in the material of spinal implant and technique of spinal instrumentation has led to an increase in spine surgeries. The final desired outcome of spine surgery involving instrumentation is fusion. There is a race among implants to fail and bone to fuse. If there is a formation of pseudoarthrosis or failure to fuse then implants are bound to fail. The most common presentation of pseudoarthrosis is implant breakage. Hence, should we label every implant that has presented with breakage as a "failure"? In this article, we have discussed our experience of two cases presented to us with implant breakage but which were managed successfully with conservative methods. Both of our cases did well without any surgical intervention. We have follow-ups of seven years in one case and five years in the other. Every patient with pseudoarthrosis does not require surgical management and hence, every implant breakage should not be labeled as implant "failure".

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Should Implant Breakage Be Always Considered as Implant “Failure” in Spine Surgery: Analysis of Two Cases and Literature Review

Gupta¹,

Das²,

Bansal³

et al. 2021

Cureus

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show abstract

“…Nowadays, more people are opting for spine surgery rather than bearing pain and taking medications. In the 1930s, the implant material was not that good due to which a large number of cases ended in implant failure [ 1 ]. After the 1940s, the implant material and implant techniques have gone through considerable changes due to which they can resist the continuous stress of weight-bearing, flexion, and extension until fusion occurs.…”

Section: Introductionmentioning

confidence: 99%

Unique Procedure to Remove Pedicle Screw without Compatible Instrumentation: Case Report and Review of Literature

Singh,

Gupta,

Bahadur

et al. 2023

jocr

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Introduction: As the number of patients undergoing spine fixation has increased, the requirement for revision surgery has also increased. Difficulty faced while doing revision surgery is mostly in removing polyaxial pedicle screws, especially if we do not have the desired instrumentation. Case Report: A 55-year-old patient previously operated for D12 fracture presented to us with implant failure due to backing out of pedicle screws. Compatible instrumentation to remove the implant was not available as even the cap screw could not be removed due to screwdriver mismatch. Hence, we had to design our own method to address the problem which we did successfully. At present, the patient is on our regular follow-up, is pain free, is able to walk without support, and has not reported any new complaints. Conclusion: Method used in our case simplifies and accelerates the screw removal process and provides guidance to any surgeon who faces a similar problem. Keywords: Implant failure, jumbo cutter, pedicle screw.

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“…The lumbar levels L5-S1 and L4-L5 are more frequently affected. 6 LBP is the second most frequent complaint in people seeking medical help. 1 The lateral transpsoas approach was developed to access the lumbar spine as an alternative to the anterior and posterior approaches.…”

Section: Introductionmentioning

confidence: 99%

The Safe Entry Zones through the Transpsoas Approach to Lumbar Discs: A Cadaver Study

Elrahmany

Zidan

Kelada

et al. 2020

Egyptian Spine Journal

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History of Spinal Disorders

Cited by 8 publications

References 28 publications

Should Implant Breakage Be Always Considered as Implant “Failure” in Spine Surgery: Analysis of Two Cases and Literature Review

Should Implant Breakage Be Always Considered as Implant “Failure” in Spine Surgery: Analysis of Two Cases and Literature Review

Unique Procedure to Remove Pedicle Screw without Compatible Instrumentation: Case Report and Review of Literature

The Safe Entry Zones through the Transpsoas Approach to Lumbar Discs: A Cadaver Study

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