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Headless compression screw in the neuronavigation-guided and microscope-assisted treatment of spondylolysis.
- Source :
-
Neurocirugia (English Edition) [Neurocirugia (Astur : Engl Ed)] 2018 May - Jun; Vol. 29 (3), pp. 122-130. Date of Electronic Publication: 2017 Oct 05. - Publication Year :
- 2018
-
Abstract
- Since 1968, many surgical techniques used in repairing the pars defect of the vertebra have been reported. Technological advances are giving rise to new ways of obtaining the best outcome using less invasive methods, which are more accurate, simple and effective. To treat cases of spondylolysis such as pseudarthrosis, we used neuro-navigation and microscopy through a 2.5-cm skin incision to approach the pars defect, freshen the fracture and place a type of screw that, until now, has never been used for this purpose. This is a novel technique, which guarantees prolonged compression and sufficient stability to facilitate the prompt healing of the vertebra. We present 2 cases of L5 spondylolysis treated with our technique, a modification of Buck's technique. A detailed description of the screw selection, surgical technical details, follow-up and outcome are discussed.<br /> (Copyright © 2017 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Subjects :
- Equipment Design
Follow-Up Studies
Fractures, Spontaneous surgery
Humans
Low Back Pain etiology
Lumbar Vertebrae diagnostic imaging
Lumbar Vertebrae surgery
Male
Middle Aged
Minimally Invasive Surgical Procedures
Pain, Intractable etiology
Spinal Fractures surgery
Spondylolysis complications
Spondylolysis diagnostic imaging
Tomography, X-Ray Computed
Treatment Outcome
Bone Screws
Fracture Fixation, Internal instrumentation
Microsurgery methods
Neuronavigation
Spondylolysis surgery
Subjects
Details
- Language :
- English; Spanish; Castilian
- ISSN :
- 2529-8496
- Volume :
- 29
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Neurocirugia (English Edition)
- Publication Type :
- Academic Journal
- Accession number :
- 28988667
- Full Text :
- https://doi.org/10.1016/j.neucir.2017.07.008