Postoperative and Intraoperative Cement Augmentation of Pedicle Screws for Spinal Fusion

OrthoMedia ◽  
2022 ◽  
Keyword(s):  
Spinal Fusion ◽  
Pedicle Screws ◽  
Cement Augmentation

Effect of Fenestrated Pedicle Screws with Cement Augmentation in Osteoporotic Patients Undergoing Spinal Fusion

2020 ◽  
Vol 143 ◽  
pp. e351-e361
Author(s):  
Yamaan S. Saadeh ◽  
Kevin N. Swong ◽  
Timothy J. Yee ◽  
Michael J. Strong ◽  
Osama N. Kashlan ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Pedicle Screws ◽  
Cement Augmentation

scholarly journals Transoral digital reduction of complete anterior odontoid dislocation followed by fiducial-based navigated transcondylar screw fixation: illustrative case

2022 ◽  
Vol 3 (3) ◽  
Keyword(s):  
Spinal Fusion ◽  
Screw Fixation ◽  
Treatment Options ◽  
Pedicle Screws ◽  
Craniocervical Junction ◽  
Atlantoaxial Instability ◽  
Illustrative Case ◽  
Trauma Patients ◽  
Lateral Mass ◽  
Craniocervical Instability

BACKGROUND Posterior atlantoaxial dislocations (i.e., complete anterior odontoid dislocation) without C1 arch fractures are a rare hyperextension injury most often found in high-velocity trauma patients. Treatment options include either closed or open reduction and optional spinal fusion to address atlantoaxial instability due to ligamentous injury. OBSERVATIONS A 60-year-old male was struck while on his bicycle by a truck and sustained an odontoid dislocation without C1 arch fracture. Imaging findings additionally delineated a high suspicion for craniocervical instability. The patient had neurological issues due to both a head injury and ischemia secondary to an injured vertebral artery. He was stabilized and transferred to our facility for definitive neurosurgical care. LESSONS The patient underwent a successful transoral digital closed reduction and posterior occipital spinal fusion via a fiducial-based transcondylar, C1 lateral mass, C2 pedicle, and C3 lateral mass construct. This unique reduction technique has not been recorded in the literature before and avoided potential complications of overdistraction and the need for odontoidectomy. Furthermore, the use of bone fiducials for navigated screw fixation at the craniocervical junction is a novel technique and recommended particularly for placement of technically demanding transcondylar screws and C2 pedicle screws where pars anatomy is potentially unfavorable.

Pullout strength for cannulated pedicle screws with bone cement augmentation in severely osteoporotic bone: Influences of radial hole and pilot hole tapping

2009 ◽  
Vol 24 (8) ◽  
pp. 613-618 ◽  
Author(s):  
Lih-Huei Chen ◽  
Ching-Lung Tai ◽  
Po-Liang Lai ◽  
De-Mei Lee ◽  
Tsung-Tin Tsai ◽  
...  
Keyword(s):  
Bone Cement ◽  
Pedicle Screws ◽  
Cement Augmentation ◽  
Osteoporotic Bone ◽  
Pullout Strength ◽  
Pilot Hole

scholarly journals Possible Usage of Cannulated Pedicle Screws without Cement Augmentation

2014 ◽  
Vol 11 (3) ◽  
pp. 149-155 ◽  
Author(s):  
Teyfik Demir
Keyword(s):  
Pedicle Screws ◽  
Pedicle Screw Fixation ◽  
Cement Augmentation ◽  
Control Group ◽  
Pullout Strength ◽  
Screw Design ◽  
Pullout Tests ◽  
Pu Foam ◽  
Common Problems ◽  
Testing Protocols

Background: The use of pedicle screws is becoming increasingly popular for spinal surgery practice as the technology advances. Screw pullout due to bone quality and loading conditions is one of the most common problems observed after pedicle screw fixation. Several solutions were studied to prevent screw pullout. These can be investigated under three main categories: screw design, expandable screws and cement augmentation.Objective: This study aimed to investigate the pullout performance of cannulated screws without cement augmentation on synthetic foams.Methods: Artificial fusion process for PU is described and validated in our previous studies. For this study six newly designed cannulated pedicle screws were artificially fused to PU foam and pullout test were conducted according to ASTM F543 standard testing protocols.Results: According to the results of post-fusion pullout tests, worst performed cannulated screw design was S3H on healthy bone simulating PU foam. However, pullout strength of unilaterally three holes including (S3H) design was purchased with two times higher loads when compared to control group. Solid cored screws were purchased with 671 N where this value was 1450 N for S3H design.Conclusions: This study provided that using cannulated pedicle screws without cement augmentation for the cases with healthy bone can be a reliable alternative to classical screws. To the knowledge of the authors this is the first post-fusion study investigating cannulated pedicle screws without cement augmentation.

An Evaluation of the Stryker 90D Pedicle Screw for Use as a Revision Screw

2007 ◽  
Author(s):  
Ferris M. Pfeiffer ◽  
Dennis L. Abernathie
Keyword(s):  
Spinal Fusion ◽  
Pedicle Screw ◽  
Relative Motion ◽  
Bone Growth ◽  
Posterior Instrumentation ◽  
Pedicle Screws

The success of a spinal fusion is often judged by the amount of relative motion between vertebrae following surgery. Proper fusion is aided by fixation instrumentation as well as bone growth subsequent to surgery. In order to allow for proper fusion it is necessary for instrumentation to properly fix the vertebrae until sufficient bone growth has occurred. In many cases pedicle screws are used to provide posterior support. It is the purpose of posterior instrumentation to increase the rate of fusion [1]. However, due to deterioration in the holding capacity of the posterior instrumentation; the quality of the fixed joint can begin to degrade. If this deterioration is significant enough it requires removal or revision of the fixation instrumentation.

scholarly journals Prognostic Factors of Thoracic Hypokyphosis after Posterior Spinal Fusion in Adolescent Idiopathic Scoliosis using by All Pedicle Screws Instrumentation

2016 ◽  
Vol 6 (1_suppl) ◽  
pp. s-0036-1582680-s-0036-1582680
Author(s):  
Perez Vergara Silvia ◽  
Rubio Belmar Pedro ◽  
Bas Hermida Teresa ◽  
Bas Hermida Paloma
Keyword(s):  
Prognostic Factors ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Spinal Fusion ◽  
Pedicle Screws ◽  
Posterior Spinal Fusion

Biomechanical analysis of stiffness and fracture displacement after using PMMA-augmented sacroiliac screw fixation for sacrum fractures

2017 ◽  
Vol 62 (4) ◽  
pp. 421-428 ◽  
Author(s):  
Andreas Höch ◽  
Richard Schimpf ◽  
Niels Hammer ◽  
Stefan Schleifenbaum ◽  
Michael Werner ◽  
...  
Keyword(s):  
Screw Fixation ◽  
Pedicle Screws ◽  
Osteoporotic Fractures ◽  
Fragility Fractures ◽  
Cement Augmentation ◽  
Biomechanical Analysis ◽  
Human Donor ◽  
Sacroiliac Screw ◽  
Fracture Stabilization ◽  
Sacroiliac Screw Fixation

AbstractCement augmentation of pedicle screws is the gold standard for the stabilization of osteoporotic fractures of the spine. In-screw cement augmentation, in which cement is injected through the cannula, is another option for fracture stabilization of fragility fractures of the sacrum. However, biomechanical superiority of this technique compared to conventional sacroiliac screw fixation has not been tested. The present study compares the stability of cement-augmented and non-cement-augmented sacroiliac screw fixation in osteoporotic sacrum fractures under cyclic loading. Eight human donor pelvises with intact ligaments and 5

Posterior Spinal Fusion With Pedicle Screws in Patients With Idiopathic Scoliosis and Open Triradiate Cartilage

2016 ◽  
Vol 36 (7) ◽  
pp. 695-700 ◽  
Author(s):  
Paul D. Sponseller ◽  
Amit Jain ◽  
Peter O. Newton ◽  
Baron S. Lonner ◽  
Suken A. Shah ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Spinal Fusion ◽  
Pedicle Screws ◽  
Posterior Spinal Fusion ◽  
Triradiate Cartilage
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