The external fixation test of the lumbar spine: 30 complications in 25 of 100 consecutive patients

Soini, J; Seitsalo, Seppo

doi:10.3109/17453679308994556

Cited by 24 publications

(14 citation statements)

References 5 publications

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“…Most serious are the neurological complications. This complication has also been reported from Helsinki recently (Soini and Seitsalo 1992), and it is obvious that percutaneous insertion of pedicular screws is more difficult and implies a higher risk than insertion at an open operation. In this series the screws were introduced under general anesthesia; later this procedure have been performed in local anesthesia to minimize the risk for root damage.…”

Section: Resultssupporting

confidence: 62%

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Diagnostic external fixation of the lumbar spine

Ordeberg

Enskog

Sjöström

1993

Acta Orthopaedica Scandinavica

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Section: Resultssupporting

confidence: 62%

“…Diagnostic external fixation of the lumbar spine has later been used clinically, and reports have been published from Toronto (Esses et al 1989) and Helsinki (Soini and Seitsalo 1992). The general experience is that a majority of patients, usually about 80 percent, has dramatic relief of their back pain with the external immobilization.…”

mentioning

confidence: 99%

Diagnostic external fixation of the lumbar spine

Ordeberg

Enskog

Sjöström

1993

Acta Orthopaedica Scandinavica

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“…Although percutaneous posterior instrumentation has been described in several clinical studies [1,4,11,13,15,17,18,23,24], there is lack of data in the literature concerning their use in thoracic and lumbar spine fractures. Traditional open thoracolumbar instrumentation results in significant iatrogenic damage of the vital dorsal musculoligamentous complex [8,10,19,21].…”

Section: Introductionmentioning

confidence: 99%

Accuracy of percutaneous pedicle screws for thoracic and lumbar spine fractures: a prospective trial

Heintel¹,

Berglehner²,

Meffert³

2012

Eur Spine J

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Purpose The percutaneous insertion technique requires surgical skill and experience. However, there have been few clinical reports evaluating the accuracy of minimally invasive pedicle screw placement using the conventional fluoroscopy method. The purpose of this study was to evaluate the accuracy of percutaneous pedicle screw placement in the treatment of thoracic and lumbar spine fractures using two-plane conventional fluoroscopy. Methods A prospective clinical trial was performed. A total of 502 percutaneous pedicle screws in 111 patients, all inserted with the assistance of conventional fluoroscopy, were evaluated. The safety and accuracy of pedicle screw placement were based on the evaluation of postoperative axial 3-mm slice computed tomography scans using the scoring system described by Zdichavsky et al. [Eur J Trauma 30:234-240, 2004; Eur J Trauma 30:241-247, 2004]. Results 427/502 pedicle screws (85 %) were classified as good and excellent concerning the best possible screw length and 494/502 (98 %) were found to have good or excellent position. One screw had to be revised due to medial position with a neurological deficit. Conclusions This study demonstrates the feasibility of placing percutaneous posterior thoracolumbar pedicle screws with the assistance of conventional fluoroscopy. Minimally invasive transpedicular instrumentation is an accurate, reliable and safe method to treat a variety of spinal disorders, including thoracic and lumbar spine fractures.

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“…Soini et al reported 30 complications in 25 consecutive patients, most commonly pin tract infection, 12 required removal of the device and its reapplication, and there were three neurological complications [8]. Complications were higher in our series early on, indicating technique is important.…”

Section: Discussionmentioning

confidence: 52%

“…Combined anterior and posterior fusion (nine cases), using either a translaminar [1] or pedicle screw system [8] posteriorly and femoral allograft anteriorly through a retroperitoneal approach.…”

Section: Resultsmentioning

confidence: 99%

Temporary external fixation for low back pain: Is it worth doing?

1997

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Thirty-three patients with low back pain underwent spinal fusion following a positively predicting external fixation test. Thirty-two spinal fusions and one sacroiliac joint fusion were performed. The complications following the use of the external fixator were significant. The results following spinal fusion were not related to the positive response to the external fixator. Multiple variables affect the results of spinal fusion. We feel that the external fixator test in low back pain management is very invasive, and its use cannot be justified. K e y w o r d s Low back painExternal fixation

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The external fixation test of the lumbar spine: 30 complications in 25 of 100 consecutive patients

Cited by 24 publications

References 5 publications

Diagnostic external fixation of the lumbar spine

Diagnostic external fixation of the lumbar spine

Accuracy of percutaneous pedicle screws for thoracic and lumbar spine fractures: a prospective trial

Temporary external fixation for low back pain: Is it worth doing?

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