Minimally invasive dynamic screw stabilization using cortical bone trajectory Article Swipe
Chih-Chang Chang
,
Chao‐Hung Kuo
,
Hsuan-Kan Chang
,
Tsung-Hsi Tu
,
Li-Yu Fay
,
Jau-Ching Wu
,
Henrich Cheng
,
Wen‐Cheng Huang
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1186/s12891-020-03629-z
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1186/s12891-020-03629-z
Background The conventional pedicle-screw-based dynamic stabilization process involves dissection of the Wiltse plane to cannulate the pedicles, which cannot be undertaken with minimal surgical invasion. Despite some reports having demonstrated satisfactory outcomes of dynamic stabilization in the management of low-grade spondylolisthesis, the extensive soft tissue dissection involved during pedicle screw insertion substantially compromises the designed rationale of motion (muscular) preservation. The authors report on a novel method for minimally invasive insertion of dynamic screws and a mini case series. Methods The authors describe innovations for inserting dynamic screws via the cortical bone trajectory (CBT) under spinal navigation. All the detailed surgical procedures and clinical data are demonstrated. Results A total of four (2 females) patients (mean age 64.75 years) with spinal stenosis at L4–5 were included. By a combination of microscopic decompression and image-guided CBT screw insertion, laminectomy and dynamic screw stabilization were achieved via one small skin incision (less than 3 cm). These patients’ back and leg pain improved significantly after the surgery. Conclusion This innovative dynamic screw stabilization via the CBT involved no discectomy (or removal of sequestrated fragment only), no interbody fusion, and little muscle dissection (not even of the Wiltse plane). As a minimally invasive surgery, CBT appeared to be a viable alternative to the conventional pedicle-screw-based dynamic stabilization approach.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12891-020-03629-z
- https://bmcmusculoskeletdisord.biomedcentral.com/track/pdf/10.1186/s12891-020-03629-z
- OA Status
- gold
- Cited By
- 7
- References
- 19
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3084947477
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3084947477Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1186/s12891-020-03629-zDigital Object Identifier
- Title
-
Minimally invasive dynamic screw stabilization using cortical bone trajectoryWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-09-10Full publication date if available
- Authors
-
Chih-Chang Chang, Chao‐Hung Kuo, Hsuan-Kan Chang, Tsung-Hsi Tu, Li-Yu Fay, Jau-Ching Wu, Henrich Cheng, Wen‐Cheng HuangList of authors in order
- Landing page
-
https://doi.org/10.1186/s12891-020-03629-zPublisher landing page
- PDF URL
-
https://bmcmusculoskeletdisord.biomedcentral.com/track/pdf/10.1186/s12891-020-03629-zDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://bmcmusculoskeletdisord.biomedcentral.com/track/pdf/10.1186/s12891-020-03629-zDirect OA link when available
- Concepts
-
Medicine, Dissection (medical), Surgery, Decompression, Soft tissue, Spondylolisthesis, Discectomy, Invasive surgery, Laminectomy, Spinal cord, Lumbar, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
7Total citation count in OpenAlex
- Citations by year (recent)
-
2024: 1, 2023: 4, 2021: 2Per-year citation counts (last 5 years)
- References (count)
-
19Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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