Comparison of Cranial Facet Joint Violation Rate Between Percutaneous and Open Pedicle Screw Placement
نویسندگان
چکیده
Percutaneous and open pedicle screw placements have been widely used in lumbar fusion surgery. However, there are conflicting reports of cranial facet joint violation rate for the 2 techniques. To better determine the rate of cranial facet joint violation, a systematic review and meta-analysis was performed in the present study. We searched the established electronic literature databases including MEDLINE, EMBASE, World of Science, and the Cochrane Central Register of Controlled Trials databases for trials involving the 2 pedicle screw placement techniques. Odds ratio (OR) and 95% confidence interval (CI) were calculated. Four comparative trials with a cumulative sample size of 881 patients and 1755 cranial pedicle screws were identified and analyzed. The results showed that cranial facet joint violation rate was 18.18% (154/847) in percutaneous group and 18.72% (170/908) in open group. The pooled data revealed that there was no significant difference in the violation rate (OR 0.75, 95% CI 0.24-2.30, P = 0.62). In addition, there was also no significant difference for the rate of severe violation between the 2 techniques (OR 1.20, 95% CI 0.55-2.62, P = 0.64, random effect model). Based on the current data, the meta-analysis shows that similar cranial facet joint violation rate occurs during the percutaneous and open pedicle screw placement techniques. In addition, taking the limitations of this study into consideration, it was still not appropriate to draw such a strong conclusion. More well-designed prospective randomized controlled trials are needed to assess violation rate for the 2 techniques in the future.
منابع مشابه
Comparison of superior-level facet joint violations during open and percutaneous pedicle screw placement.
BACKGROUND Superior-level facet joint violation by pedicle screws may result in increased stress to the level above the instrumentation and may contribute to adjacent segment disease. Previous studies have evaluated facet joint violations in open or percutaneous screw cases, but there are no reports describing a direct institutional comparison. OBJECTIVE To compare the incidence of superior-l...
متن کاملIncidence and Risk Factors of Adjacent Cranial Facet Joint Violation Following Pedicle Screw Insertion Using Cortical Bone Trajectory Technique.
STUDY DESIGN Retrospective study evaluating cranial facet joint violation (FJV) by pedicle screws. OBJECTIVE The aim of the study was to determine the incidence and risk factors of FJV following screw placement via cortical bone trajectory (CBT). SUMMARY OF BACKGROUND DATA CBT is a new minimally invasive technique for lumbar pedicle screw insertion that minimizes muscle dissection. Insertin...
متن کاملAnalysis of risk factors for adjacent superior vertebral pedicle-induced facet joint violation during the minimally invasive surgery transforaminal lumbar interbody fusion: a retrospective study
BACKGROUND The purpose was to explore possible risk factors of facet joint violation induced by adjacent superior vertebral pedicle screw during the minimally invasive surgery transforaminal lumbar interbody fusion (MIS-TLIF). METHODS A total of 69 patients with lumbar degenerative disease, who underwent MIS-TLIF were retrospectively reviewed. Postoperative computed tomography images were use...
متن کاملTechnical Note: The 80/20 Technique for Posterior Lumbar Interbody Fusion – A Combination of Open Decompression and Percutaneous Pedicle Screw Fixation
Objective: To illustrate a hybrid technique that involves a combination of open decompression and Posterior Lumbar Interbody Fusion (PLIF) and percutaneously placed pedicle screws. This technique allows for PLIF via a midline incision and approach, and decompression without compromise in operative time and visualisation. Furthermore, this approach is proposed to reduce post-operative wound pain...
متن کاملComparative Analysis of Adjacent Levels of Degeneration and Clinical Outcomes Between Conventional Pedicle Screws and Percutaneous Pedicle Screws in Treatment of Degenerative Disease at L3-5; A Preliminary Report
OBJECTIVE This study was conducted to compare radiologic changes and clinical outcomes in adjacent level of percutaneous pedicle screws with those of conventional (open) pedicle screws. METHODS From January 2007 to December 2009, 51 patients underwent L3-5 decompression and spinal fusion. Percutaneous pedicle screws were used in 22 patients, and open pedicle screws were used in the remaining ...
متن کامل