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Interbody Fusion. Is It Has a Rule in Broken Screws in Surgical Management of Lumbar Spondylolisthesis?

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Last updated: 24 Dec 2024

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Abstract

Background: for many years, posterolateral fixation for lumbar spondylolisthesis by using pedicle screw has been the standard procedure for lumbar spondylolisthesis. For increasing fusion and anterior support, the interbody fusion, either with cage or bone, were used by many surgeons, one of the most disappointing complications of pedicle screw fixation is broken screw. Aim: it was to compare the number of cases with a broken screw in case of interbody fusion and control group. Patients and Methods: this is retrospective cohort study in six years comparing between two groups: Group I posterolateral fixation (PLF), Group II posterolateral interbody fusion (PLIF). it analyzed 26 cases of broken screw occurred in six years from 2010 to 2016 which were done in Nasser Institute by the same surgeon and same system. Results: twenty-six cases were reviewed, the mean age was 44.6 years, female : 6/26 (23%), male : 20/26 (77%),mean weight: 74.8 kg, site for broken screw: (L1: 4 patients – L2: 2 patients – L3: 2 patients – L4: 4 patients – L5: 6 patients – S1: 8 patients), 6 patients had broken screws following trauma, while 20 patients were found spontaneous, all patients were found intraoperatively to have posterolateral fixation, they underwent redo screw fixation,18 patients underwent redo screw fixation with posterolateral interbody fusion (PLIF) while the other 8 patients underwent redo screws fixation with posterolateral fixation. All patients with PLIF didn't come back with broken screws, while 2 patients with posterolateral fixation came back with broken screws again Conclusion: posterolateral interbody fusion (PLIF) may have a rule in preventing broken screw in the management of lumbar spondylolisthesis.

Keywords

Spondylolisthesis, Posterolateral fixation (PLF), posterior lumbar interbody fusion (PLIF), broken screw

Authors

First Name

Micheal

Last Name

Zohney

MiddleName

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Affiliation

Department of Neurosurgery, Nasser Institute for Research and Treatment, Cairo

Email

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City

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Orcid

-

First Name

Ahmed

Last Name

Sawy

MiddleName

-

Affiliation

Department of Neurosurgery, Nasser Institute for Research and Treatment, Cairo

Email

-

City

-

Orcid

-

First Name

Nazek

Last Name

Ahmed

MiddleName

-

Affiliation

Department of Neurosurgery, Nasser Institute for Research and Treatment, Cairo

Email

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City

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Orcid

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First Name

Hamdi Nabawi

Last Name

Mostafa

MiddleName

-

Affiliation

Department of Neurosurgery, Faculty of Medicine, Misr University for Science and technology, Giza

Email

hamdi.nabawy@gmail.com

City

-

Orcid

-

Volume

71

Article Issue

5

Related Issue

1649

Issue Date

2018-04-01

Receive Date

2018-03-20

Publish Date

2018-04-01

Page Start

3,121

Page End

3,124

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 71_Issue 5_Pages 3121-3124.pdf

PDF . 285.5kB

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https://ejhm.journals.ekb.eg/article_8585.html

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https://ejhm.journals.ekb.eg/service?article_code=8585

Order

7

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Interbody Fusion. Is It Has a Rule in Broken Screws in Surgical Management of Lumbar Spondylolisthesis?

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Article

Created At

22 Jan 2023