Utilizing a Cortical Bone Trajectory Pedicle Screw for Lumbar Flexion-Distraction Injury

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Cortical bone trajectory for lumbar pedicle screws.

BACKGROUND CONTEXT Achieving solid implant fixation to osteoporotic bone presents a clinical challenge. New techniques and devices are being designed to increase screw-bone purchase of pedicle screws in the lumbar spine via a novel cortical bone trajectory that may improve holding screw strength and minimize loosening. Preliminary clinical evidence suggests that this new trajectory provides scr...

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The Cortical Bone Trajectory for Pedicle Screw Insertion.

P edicle screw fixation for spinal stabilization is now commonplace in spine surgery. Traditionally, pedicle screws are placed through a trajectory in which screw insertion utilizes a transpedicular path through the axis of the pedicle, either paralleling the end plate, as in the straightforward trajectory, or following the anatomic axis of the pedicle with an approximately 22° cephalocaudal tr...

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Fatigue Performance of Cortical Bone Trajectory Screw Compared With Standard Trajectory Pedicle Screw.

STUDY DESIGN Cadaveric biomechanical study. OBJECTIVE To determine fatigue behavior of cortical bone trajectory (CBT) pedicle screws. SUMMARY OF BACKGROUND DATA Cortical bone trajectory screws have been becoming popular in spine surgery; however, the long-term fatigue behavior of the new CBT screws remains understudied and limitations not well defined. METHODS Twelve vertebrae from six ca...

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Midline Lumbar Fusion with Cortical Bone Trajectory Screw

A novel cortical bone trajectory (CBT) screw technique provides an alternative fixation technique for lumbar spine. Trajectory of CBT screw creates a caudo-cephalad path in sagittal plane and a medio-lateral path in axial plane, and engages cortical bone in the pedicle. The theoretical advantage is that it provides enhanced screw grip and interface strength. Midline lumbar fusion (MIDLF) is com...

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Short-Term Results of Transforaminal Lumbar Interbody Fusion Using Pedicle Screw with Cortical Bone Trajectory Compared with Conventional Trajectory

STUDY DESIGN Case-control study. PURPOSE To evaluate clinical and radiological results of transforaminal lumbar interbody fusion (TLIF) performed with cortical bone trajectory (CBT) pedicle screw insertion with those of TLIF using 'conventional' or percutaneous pedicle screw insertion. OVERVIEW OF LITERATURE CBT is a new trajectory for pedicle screw insertion in the lumbar spine; clinical a...

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ژورنال

عنوان ژورنال: Case Reports in Orthopedics

سال: 2018

ISSN: 2090-6749,2090-6757

DOI: 10.1155/2018/8185051