Mini-invasive bilateral transfacet screw fixation with reconstruction of the neural arch for lumbar stenosis: A two centre case series

The Surgeon ◽  
2021 ◽  
Author(s):  
Michele Bochicchio ◽  
Rocco Aicale ◽  
Rocco Romeo ◽  
Pier Vittorio Nardi ◽  
Nicola Maffulli
Keyword(s):  
Screw Fixation ◽  
Case Series ◽  
Lumbar Stenosis ◽  
Neural Arch ◽  
Transfacet Screw Fixation

Current Minimally Invasive Surgical Concepts for Sacral Insufficiency Fractures

2021 ◽  
Author(s):  
Ulrich Josef Albert Spiegl ◽  
Klaus J. Schnake ◽  
Bernhard Ullrich ◽  
Max J. Scheyerer ◽  
Georg Osterhoff ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Screw Fixation ◽  
Case Series ◽  
Fracture Morphology ◽  
Iliosacral Screw ◽  
Insufficiency Fractures ◽  
Minimally Invasive Surgical ◽  
Sacral Insufficiency Fractures ◽  
Non Surgical Treatment

AbstractAn increasing incidence of sacral insufficiency fractures in geriatric patients has been documented, representing a major challenge to our healthcare system. Determining the accurate diagnosis requires the use of sectional imaging, including computed tomography and magnetic resonance imaging. Initially, non-surgical treatment is indicated for the majority of patients. If non-surgical treatment fails, several minimally invasive therapeutic strategies can be used, which have shown promising results in small case series. These approaches are sacroplasty, percutaneous iliosacral screw fixation (S1 with or without S2), trans-sacral screw fixation or implantation of a trans-sacral bar, transiliac internal fixator stabilisation, and spinopelvic stabilisation. These surgical strategies and their indications are reported in detail. Generally, treatment-related decision making depends on the clinical presentation, fracture morphology, and attending surgeonʼs experience.

scholarly journals Closed Reduction And Cannulated Screw Fixation For Pediatric Femoral Neck Fractures: A Case Series

2021 ◽  
Author(s):  
Hakan Cici ◽  
Sabahaddin Kiliç
Keyword(s):  
Femoral Neck ◽  
Closed Reduction ◽  
Screw Fixation ◽  
Case Series ◽  
Femoral Neck Fractures ◽  
Cannulated Screw ◽  
Fixation Method ◽  
Coxa Vara

Objective: Pediatric femoral neck fractures are uncommon injuries. Accurate early reduction and fixation is recommended to avoid serious long-term complications. The aim of this study was to analyze the clinical and radiological outcomes of 12 children with femoral neck fractures who were treated with closed reduction and cannulated screw fixation. Method: Between November 2015 and December 2019, 12 children (4 males,8 females) with an average age of 9.7 were operated by closed reduction and cannulated screw fixation for femoral neck fractures. We evaluated the medical records of all patients, including age, gender, injury mechanism, fracture type, initial displacement, postoperative reduction, follow-up roentgenograms and Ratliff’s scores. Results: The mean follow-up was 22.3 months (range 12–47 months). Six Delbett type 2, five Delbett type 3 and one Delbett type 4 fractures were operated with an avarage time to surgery of 12.5 (range: 1-75 hours). Satisfactory outcomes according to Ratliff’s criteria were obtained in 10 (%83.3) children. Coxa vara occurred in 2 cases. Any avascular necrosis was not seen during the follow-up period. Conclusion: Early closed reduction and cannulated screw fixation may be effective to avoid long-term complications in pediatric femoral neck fractures. Keywords: Femoral neck fracture, Pediatric, Closed reduction

scholarly journals 2D-fluoroscopic navigated percutaneous screw fixation of pelvic ring injuries - a case series

2010 ◽  
Vol 11 (1) ◽  
Author(s):  
Florian Gras ◽  
Ivan Marintschev ◽  
Arne Wilharm ◽  
Kajetan Klos ◽  
Thomas Mückley ◽  
...  
Keyword(s):  
Screw Fixation ◽  
Pelvic Ring ◽  
Case Series ◽  
Percutaneous Screw Fixation ◽  
Pelvic Ring Injuries

scholarly journals Low Rate of Complications Following Intramedullary Headless Compression Screw Fixation of Metacarpal Fractures

Hand ◽  
2019 ◽  
Vol 15 (6) ◽  
pp. 798-804 ◽  
Author(s):  
William J. Warrender ◽  
David E. Ruchelsman ◽  
Michael G. Livesey ◽  
Chaitanya S. Mudgal ◽  
Michael Rivlin
Keyword(s):  
Screw Fixation ◽  
Case Series ◽  
Compression Screw ◽  
Nickel Allergy ◽  
Hardware Failure ◽  
Metacarpal Fractures ◽  
Headless Compression Screw ◽  
Clinical Complications ◽  
Headless Compression Screws ◽  
Low Incidence

Background: There has been a recent increase in the use of headless compression screws for fixation of metacarpal neck and shaft fractures as they offer several advantages, and minimal complications have been reported. This study aimed to evaluate the clinical complications and their solutions following retrograde intramedullary headless compression screw fixation of metacarpal fractures. We describe complications and the approach to their management. Methods: We performed a multicenter case series through retrospective review of all patients treated with intramedullary headless screw fixation of metacarpal fractures by 3 fellowship-trained hand surgeons. Patient demographics, implant used, type of complication, pre- and postoperative radiographs, operative reports, and sequelae were reviewed for each case. We defined complications as infection, loss of fixation, hardware failure, malrotation, nonunion, malunion, metal allergy, and any repeat surgical intervention. Results: Four complications (2.5%) were identified through the review of 160 total metacarpal fractures. One complication was a nickel allergy, one was a broken screw after repeat trauma, and 2 patients had bent intramedullary screws. Screw removal in 3 patients was simple and without complications or persistent limitations. One bent screw with a refracture was left in place. No serious complications were seen. Conclusion: Intramedullary screw fixation of metacarpal fractures is safe with a low incidence of complications (2.5%) that can be safely and effectively managed.

Percutaneous Intramedullary Screw Fixation of Distal Fibula Fractures: A Case Series and Systematic Review

2017 ◽  
Vol 56 (5) ◽  
pp. 1081-1086 ◽  
Author(s):  
Vladimir V. Loukachov ◽  
Merel F.N. Birnie ◽  
Siem A. Dingemans ◽  
Vincent M. de Jong ◽  
Tim Schepers
Keyword(s):  
Systematic Review ◽  
Screw Fixation ◽  
Case Series ◽  
Distal Fibula ◽  
Intramedullary Screw

scholarly journals Percutaneous techniques for minimally invasive posterior lumbar fusion

2008 ◽  
Vol 25 (2) ◽  
pp. E12 ◽  
Author(s):  
Eric B. Harris ◽  
Patrick Massey ◽  
James Lawrence ◽  
Jeffrey Rihn ◽  
Alex Vaccaro ◽  
...  
Keyword(s):  
Screw Fixation ◽  
Lumbar Fusion ◽  
Case Series ◽  
Pedicle Screw Fixation ◽  
Attractive Alternative ◽  
Step Method ◽  
Technical Aspects ◽  
Instrumented Fusion ◽  
Percutaneous Pedicle Screw ◽  
Percutaneous Pedicle Screw Fixation

Percutaneous pedicle screw fixation for lumbar posterolateral instrumented fusion is an attractive alternative to standard open techniques. The technical aspects of this procedure can be challenging and even frustrating when first learning the technique. However, once these techniques have been mastered, they offer a safe, less invasive, less traumatic, more aesthetic method for performing fusion. The authors have outlined a step-by-step method for performing this surgery, and include a case series that demonstrates excellent results in patients treated with this procedure.

scholarly journals Application of Percutaneous Screw Fixation and Closed Reduction for Tibial Plateau Fractures in Karachi, Pakistan

2021 ◽  
pp. 25-30
Author(s):  
Muhammad Azeem Akhund ◽  
Muhammad Latif ◽  
Rahat Zahoor Moton ◽  
Zohaib Khan ◽  
Zohaib Nawaz ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Tibial Plateau ◽  
Screw Fixation ◽  
Case Series ◽  
Early Mobilization ◽  
Tibial Plateau Fractures ◽  
Type I ◽  
Percutaneous Screw Fixation ◽  
Schatzker Classification ◽  
Average Patient

Objective: Objective of this study is to assess the application of percutaneous screw fixation and closed reduction for tibial plateau fractures in Karachi, Pakistan. Methods: The study design of this study is case series with sample size of 58 patients calculated by WHO calculator with functional outcome of 80-100%. The duration of the study was about 6 months.Non-probability sequential technique was adopted for data collection. Results: The average patient age was 35.35±6.84 years however male patient were high in numbers (83.8%). Types of fractures (type I, II and IV) and functional outcomes (un-satisfactory and satisfactory) showed 17(29.3%), 33(56.8%) and 12(20.6%) and 4(6.45%) and 58(93.5%). The mean Rasmussen Score was 24.6(4.9%) however significant relationship between age and functional group were observed (p<0.05). The Rasmussen Functional Scoring System and Schatzker classification were also evaluated w.r.t ache, capability of walking normally, extension lag, stability as well as range of motion. Scores ranging from 28 up till 36 stipulate excellent, from 20 to 27 good, considering score of 10 to 20 fair and 6 to 10 poor. Conclusion: The application of Percutaneous screw fixation and closed reduction for tibial plateau fractures in Karachi, Pakistanis less invasive, decrease hospital stays and charges, escalation of early mobilization along with satisfactory outcomes.

scholarly journals Safety analysis and complications of condylar screws in a single-surgeon series of 250 occipitocervical fusions

2021 ◽  
Author(s):  
Sharon Ka Po. Tam ◽  
Paolo A. Bolognese ◽  
Roger W. Kula ◽  
Andrew Brodbelt ◽  
Mansoor Foroughi ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Screw Fixation ◽  
Intraoperative Imaging ◽  
Case Series ◽  
Anatomical Landmarks ◽  
Occipitocervical Fusion ◽  
Neurophysiologic Monitoring ◽  
The Sacrifice ◽  
Venous Stroke

Abstract Objective Condylar screw fixation is a rescue technique and an alternative to the conventional configuration of occipitocervical fusion. Condylar screws are utilized when previous surgical bone removal along the supraocciput has occurred which makes anchoring of a traditional barplate technically difficult or impossible. However, the challenging dissection of C0-1 necessary for condylar screw fixation and the concerns about possible complications have, thus far, prevented the acquisition of large surgical series utilizing occipital condylar screws. In the largest case series to date, this paper aims to evaluate the safety profile and complications of condylar screw fixation for occipitocervical fusion. Methods A retrospective safety and complication-based analysis of occipitocervical fusion via condylar screws fixation was performed. Results A total of 250 patients underwent occipitocervical fusions using 500 condylar screws between September 2012 and September 2018. No condylar screw pullouts, or vertebral artery impingements were observed in this series. The sacrifice of condylar veins during the dissection at C0-1 did not cause any venous stroke. Hypotrophic condyles were found in 36.4% (91 of the 250) cases and did not prevent the insertion of condylar screws. Two transient hypoglossal deficits occurred at the beginning of this surgical series and were followed by recovery a few months later. Corrective strategies were effective in preventing further hypoglossal injuries. Conclusions This surgical series suggests that the use of condylar screws fixation is a relatively safe and reliable option for OC fusion in both adult and pediatric patients. Methodical dissection of anatomical landmarks, intraoperative imaging, and neurophysiologic monitoring allowed the safe execution of the largest series of condylar screws reported to date. Separate contributions will follow in the future to provide details about the long-term clinical outcome of this series.

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