Management of fractures of the pedicle after instrumentation with transpedicular screws: A report of three patients

LattigF.; FeketeT.F.; JeszenszkyD.

首页> 外文期刊>The Journal of Bone and Joint Surgery. British VolumecBritish Orthopaedic Association , Australian Orthopaedic Association , Canadian Orthopaedic Association . . . [et al] >Management of fractures of the pedicle after instrumentation with transpedicular screws: A report of three patients

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Management of fractures of the pedicle after instrumentation with transpedicular screws: A report of three patients

机译：经椎弓根螺钉器械器械后椎弓根骨折的处理：3 例患者的报告

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Fracture of a pedicle is a rare complication of spinal instrumentation using pedicular screws, but it can lead to instability and pain and may necessitate extension of the fusion. Osteosynthesis of the fractured pedicle by cerclage-wire fixation and augmentation of the screw fixation by vertebroplasty or temporary elongation of the fixation, allows stabilisation without sacrifice of the adjacent healthy segment. We describe three patients who developed a fracture of the pedicle in the most caudal instrumented vertebra early after lumbar spinal fusion. During revision surgery the pedicles were reduced and secured by a soft cerclage wire bilaterally. Fusion was obtained at the site of the primary instrumentation and healing of the pedicles was achieved. Cerclage wiring of the fractured pedicle seems to be safe and avoids permanent extension of the fusion without the sacrifice of an otherwise healthy segment.

机译：椎弓根骨折是使用椎弓根螺钉进行脊柱器械的罕见并发症，但它可能导致不稳定和疼痛，并可能需要延长融合。通过环扎线固定对骨折的椎弓根进行接骨，并通过椎体成形术或固定的暂时伸长来增强螺钉固定，可以在不牺牲相邻健康节段的情况下保持稳定。我们描述了三名患者，他们在腰椎融合术后早期在最尾部器械椎骨中发生椎弓根骨折。在翻修手术期间，椎弓根被缩小并用双侧软环扎线固定。在主要器械部位获得融合，并实现了椎弓根的愈合。断裂椎弓根的环扎布线似乎是安全的，并且避免了融合的永久性延伸，而不会牺牲其他健康的节段。

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《The Journal of Bone and Joint Surgery. British VolumecBritish Orthopaedic Association , Australian Orthopaedic Association , Canadian Orthopaedic Association . . . [et al]》 |2010年第1期|98-102|共5页
作者
LattigF.; FeketeT.F.; JeszenszkyD.;
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作者单位

Spine Centre, Schulthess Clinic, Lengghalde 2, 8008 Zurich, Switzerland;

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正文语种英语
中图分类骨科学（运动系疾病、矫形外科学）;
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2. Finite element analysis comparing short-segment instrumentation with conventional pedicle screws and the Schanz pedicle screw in lumbar 1 fractures [J] . Zhou Fei, Yang Sheng, Liu JifengLu JianminShang DepengChen ChaoWang HuanhuanMa Jinming Neurosurgical review. . 2020,第1期

机译：Finite element analysis comparing short-segment instrumentation with conventional pedicle screws and the Schanz pedicle screw in lumbar 1 fractures
3. Internal Forces and Moments in Transpedicular Spine Instrumentation The Effect of Pedicle Screw Angle and Transfixationmdash; The 4Rhyphen;4Bar Linkage Concept [J] . WILLIAM, CARSON ROGER, DUFFIELD MARCIAARENDT BOBBIERIDGELY ROBERT spine . 1990,第9期

机译：Internal Forces and Moments in Transpedicular Spine Instrumentation The Effect of Pedicle Screw Angle and Transfixationmdash; The 4Rhyphen;4Bar Linkage Concept
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5. Traitement chirurgical des lésions sacro-iliaques dans les fractures instables de l’anneau pelvien par vissage sacro-iliaque percutané [O] . Mohamed Amine Karabila, Ismail Hmouri, Tarik Madani, 2016

机译：经皮sa骨screw入术治疗不稳定型骨盆环骨折fracture骨病变
6. Bilateral Simultaneous Neck of Femur Fractures Arising from a Simple Mechanical Fall—A Case Report for Guidance on Safe Surgical Management 簡單跌倒後發生的兩側同時急性股骨頸骨折：病例報告和安全手術處理指引 [O] . Carter Thomas, Jefferies James G. 2016

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机译：密歇根大学研究机构aNN aRBOR，mICHIGaN scientiffic Report Fs-1 BI-pOLaR pROBE INsTRUmENTaTION NO。 1

Management of fractures of the pedicle after instrumentation with transpedicular screws: A report of three patients

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