IR@PKUHSC  > 北京大学第三临床医学院
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Complications associated with thoracic pedicle screws in spinal deformity
Li, Gang2,3; Lv, Guohua1; Passias, Peter2; Kozanek, Michal2,4; Metkar, Umesh S.2; Liu, Zhongjun3; Wood, Kirkham B.2; Rehak, Lubos4; Deng, Youwen1
关键词Complication Spinal Deformity Surgical Treatment Pedicle Screw Instrumentation
刊名EUROPEAN SPINE JOURNAL
2010-09-01
DOI10.1007/s00586-010-1316-y
19期:9页:1576-1584
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Clinical Neurology ; Orthopedics
研究领域[WOS]Neurosciences & Neurology ; Orthopedics
关键词[WOS]ADOLESCENT IDIOPATHIC SCOLIOSIS ; LUMBAR SPINE ; COMPUTED-TOMOGRAPHY ; INSTRUMENTATION ; PLACEMENT ; FIXATION ; ACCURACY ; FUSION ; THORACOLUMBAR ; SAFE
英文摘要

Thoracic pedicle screws have superior anchoring strength compared with other available fixation techniques. However, these are not universally accepted in many developing countries because of the concerns regarding safety and complications. In addition, there is evidence that pedicle morphology is unique in Chinese patients. The goal of this study was to analyze the complications seen at our institution, while using thoracic pedicle screws for the treatment of thoracic deformity, and to determine the safety of our techniques for the treatment of thoracic deformity in a Chinese population. From 1998 to 2005, there were 208 thoracic deformity patients treated at our institution, 70 of whom were male and 138 were female. Their age ranged from 11 to 55 years (mean of 14.9 years). All of them underwent corrective deformity surgery using posterior pedicle screw systems and follow-up was available for at least 3 years. Etiologic diagnoses included adolescent idiopathic scoliosis in 119 patients, congenital kyphoscoliosis in 38, adult scoliosis in 37 and undetermined in 14. Screw positions were evaluated using intraoperative and postoperative radiographs and a CT scan was performed when a concern for screw malposition was present. All radiographic evaluations were carried out in a double-blinded fashion. A total of 1,123 thoracic pedicle screws were inserted (5.4 thoracic screws/patient). The deformity correction rate was 81, 65 and 62% for idiopathic, congenital and adult scoliosis patients, respectively. The overall complication rate was 16.5% at the final follow-up. Complication rates directly and indirectly related to pedicle screws were 7.2 and 9.3%, respectively. There were no significant screw-related neurologic or visceral complications that adversely affected long-term results. The complications seen with thoracic pedicle screws in a Chinese population were similar to other populations and could be utilized safely for the treatment of thoracic deformity in this population.

语种英语
WOS记录号WOS:000281381500020
引用统计
被引频次:36[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/54993
专题北京大学第三临床医学院
北京大学第三临床医学院_骨科
作者单位1.Cent S Univ, Dept Orthopaed Spine Surg, Xiangya Hosp 2, Changsha, Hunan, Peoples R China
2.Harvard Univ, Sch Med, Massachusetts Gen Hosp, Dept Orthopaed Spine Surg, Boston, MA USA
3.Peking Univ, Dept Orthopaed Spine Surg, Hosp 3, Beijing 100871, Peoples R China
4.Comenius Univ, Sch Med, Ruzinov Fac Hosp, Dept Orthopaed Surg, Bratislava, Slovakia
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GB/T 7714
Li, Gang,Lv, Guohua,Passias, Peter,et al. Complications associated with thoracic pedicle screws in spinal deformity[J]. EUROPEAN SPINE JOURNAL,2010,19(9):1576-1584.
APA Li, Gang.,Lv, Guohua.,Passias, Peter.,Kozanek, Michal.,Metkar, Umesh S..,...&Deng, Youwen.(2010).Complications associated with thoracic pedicle screws in spinal deformity.EUROPEAN SPINE JOURNAL,19(9),1576-1584.
MLA Li, Gang,et al."Complications associated with thoracic pedicle screws in spinal deformity".EUROPEAN SPINE JOURNAL 19.9(2010):1576-1584.
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