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Objective: Percutaneous pedicle screw fixation (PPSF) offers some of the advantages of minimally invasive surgery. However, an additional skin incision is necessary in order to gain these advantages. The author recently performed a modified PPSF through a single skin incision and it yielded good results. Here, we report the single incision percutaneous pedicle screw fixation (SIPPSF).

Methods: The medical records of 51 patients who underwent single segment transforaminal lumbar interbody fusion (TLIF) with pedicle screw fixation (PSF) between December 2009 and December 2011 were reviewed. The patients were divided into 3 groups according to the PSF technique used; conventional group (Group C), SIPPSF (Group S) and PPSF through multiple skin incisions (Group M). Operation time, estimated blood loss (EBL) and pain intensity before and after the operation using a numeric rating scale (NRS) were evaluated.

Results: The number of patients in Group S, Group C and Group M was 25, 17 and 9, respectively. The NRS demonstrated a reduction in pain intensity in all the patients, and there were no differences in NRS scoring between the three groups. Group S showed a reduction in the EBL compared to Group C (p=0.001) and a reduction in the operation time compared to Group M(p=0.003).

Conclusion: The author supposes that the type of skin incision does not correlate significantly with the clinical results of TLIF with PPSF. However, it can be considered that SIPPSF offers the advantage of avoiding an additional paramedian skin incision.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Anovel blasted and grooved low profile pedicle screw able to resist high compression bending loads Sung-Uk Kuh, Young-Sung Kim, Hong-June Choi, Kyung-Hyun Kim, Jeong-Yoon Park, Hyun-Yong Jeong, Dong-Kyu Chin, Keun-Su Kim, Young-Sul Yoon, Yoon-Chu Lee … [et al.] pp.61-65

Comparative 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 Tae Kyoo Lim, Sang Gu Lee, Chan Woo Park, Woo Kyung Kim, Seong Son, Keun Lee pp.66-73

Outcomes of instrumented posterolateral fusion for patients over 70 years with degenerative lumbar spinal disease : a minimum of 2 years follow-up Mong Lee, Hee-Jin Yang, Sang Hyung Lee, Sung Bae Park pp.74-78

Clinical efficacy of bone cement augmented screw fixation for the severe osteoporotic spine Jong Hun Seo, Chang Il Ju, Seok Won Kim, Jong Kyu Kim, Ho Shin pp.79-84

Traumatic atlanto-occipital dislocation(AOD) Yeon-Joon Kim, Chan-Jong Yoo, Chan-Woo Park, Sang-Gu Lee, Seong Son, Woo-Kyung Kim pp.85-91

Single incision percutaneous pedicle screw fixation for transforaminal lumbar interbody fusion Sung Hoon Han, Suk-Hyung Kang, Yong-Jun Cho, Tack Geun Cho pp.92-97

Theeffect of vertebroplasty on costal pain related to osteoporotic thoracic compression fractures in elderly patients Hyun-Jun Choi, Hee-Jin Yang, Sang Hyung Lee, Sung Bae Park pp.98-101

Long-term follow-up(minimum 5 years) study of single-level posterior dynamic stabilization in lumbar degenerative disease : 'interspinous U' & 'DIAM' Yeon Joon Kim, Sang Gu Lee, Chan Woo Park, Seong Son, Woo Kyung Kim pp.102-107

Horner syndrome associated with a herniated cervical disc : a case report Hyunjin Ma, Insoo Kim pp.108-110

Immediate revision surgery due to post-anterior cervical discectomy and fusion(ACDF) spinal epidural hematoma Ju-Seong Kim, Sung-Uk Kuh pp.111-113

Discal cyst of the lumbar spine : a case report Seong-Hwan Kim, Soon-Seob Ahn, Gi-Hwan Choi, Dae-Hyun Kim pp.114-117

Cavernous hemangioma occurred between the trapezius and splenius capitis muscle Woo Hyung Choi, Chung Jae Lee, Sung Han Oh, Bong Sub Chung, Jong Kook Rhim, Kye Won Kwon pp.118-121

참고문헌 (24건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Comparative Effectiveness of Minimally Invasive Versus Open Transforaminal Lumbar Interbody Fusion 네이버 미소장
2 Clinical and radiographic comparison of mini-open transforaminal lumbar interbody fusion with open transforaminal lumbar interbody fusion in 42 patients with long-term follow-up. 네이버 미소장
3 Fang LM, Zhang YJ, Zhang J, Huang N, Lin HG, Li B, et al: Treatment of lumbar disc herniation by modified transforaminal lumbar interbody fusion with a pedicle screw system. Zhonghua Yi Xue Za Zhi 90:3339-3342, 2010 미소장
4 Minimally invasive lumbar fusion. 네이버 미소장
5 Gaines RW, Jr.: The use of pedicle-screw internal fixation for the operative treatment of spinal disorders. J Bone Joint Surg Am 82-A:1458-1476, 2000 미소장
6 Magnetic Resonance Imaging and Histologic Evidence of Postoperative Back Muscle Injury in Rats 네이버 미소장
7 Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Review of Techniques and Outcomes 네이버 미소장
8 Changes in serum creatine phosphokinase MM isoenzyme after lumbar spine surgery. 네이버 미소장
9 Kotani Y, Abumi K, Ito M, Sudo H, Abe Y, Minami A: Midterm clinical results of minimally invasive decompression and posterolateral fusion with percutaneous pedicle screws versus conventional approach for degenerative spondylolisthesis with spinal stenosis. Eur Spine J 21:1171-1117, 2011 미소장
10 Complications and perioperative factors associated with learning the technique of minimally invasive transforaminal lumbar interbody fusion (TLIF). 네이버 미소장
11 Perioperative and postoperative complications of single-level minimally invasive transforaminal lumbar interbody fusion in elderly adults. 네이버 미소장
12 Comparative Analysis of Clinical Outcomes and Adjacent Level Angle Change on Single-level Lumbar 4-5 Fusion Using Percutaneous Screw Fixation and Open Screw Fixation 소장
13 Lu C, Lu GH, Ma ZM: [Analysis of complication in the spinal pedicle screw internal fixation]. Hunan Yi Ke Da Xue Xue Bao 25:51-52, 2000 미소장
14 McGirt MJ, Parker SL, Lerner J, Engelhart L, Knight T, Wang MY: Comparative analysis of perioperative surgical site infe-ction after minimally invasive versus open posterior/transforaminal lumbar interbody fusion: analysis of hospital billing and discharge data from 5,170 patients. J Neurosurg Spine 14:771- 778, 2011 미소장
15 Minimally invasive approach versus traditional open approach for one level posterior lumbar interbody fusion. 네이버 미소장
16 Oppenheimer JH, DeCastro I, McDonnell DE: Minimally invasive spine technology and minimally invasive spine surgery: a historical review. Neurosurg Focus 27:E9, 2009 미소장
17 Comparison of One-Level Posterior Lumbar Interbody Fusion Performed With a Minimally Invasive Approach or a Traditional Open Approach 네이버 미소장
18 Surgical outcomes of minimally invasive transforaminal lumbar interbody fusion for the treatment of spondylolisthesis and degenerative segmental instability. 소장
19 Cost-Effectiveness of Minimally Invasive versus Open Transforaminal Lumbar Interbody Fusion for Degenerative Spondylolisthesis Associated Low-Back and Leg Pain Over Two Years 네이버 미소장
20 [Minimally invasive osteosynthesis in septic conditions]. 네이버 미소장
21 The lumbar multifidus muscle five years after surgery for a lumbar intervertebral disc herniation. 네이버 미소장
22 Schwender JD, Holly LT, Rouben DP, Foley KT: Minimally invasive transforaminal lumbar interbody fusion (TLIF): technical feasibility and initial results. J Spinal Disord Tech 18 Suppl:S1-6, 2005 미소장
23 Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Review of Techniques and Outcomes 네이버 미소장
24 Minimally invasive or open transforaminal lumbar interbody fusion as revision surgery for patients previously treated by open discectomy and decompression of the lumbar spine. 네이버 미소장

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