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Systematic evaluate of cortical bone trajectory versus pedicle screw methods for lumbosacral backbone fusion.
J Backbone Surg. 2017 Dec;three(four):679-688
Authors: Phan Ok, Ramachandran V, Tran TM, Shah KP, Fadhil M, Lackey A, Chang N, Wu AM, Mobbs RJ
Summary
Fusion of the lumbosacral backbone is a typical surgical process to deal with a variety of spinal pathologies. Fixation in lumbar fusion has historically been carried out utilizing pedicle screw (PS) augmentation. Nevertheless, another technique of screw insertion through cortical bone trajectory (CBT) has been advocated as a much less invasive strategy which improves preliminary fixation and reduces neurovascular damage. There’s a paucity of sturdy medical proof to help these claims, significantly compared to conventional pedicle screws. This examine goals to evaluate the accessible proof to evaluate the deserves of the CBT strategy. Six digital databases have been looked for unique revealed research which in contrast CBT with conventional PS and their findings reviewed. 9 comparative research have been recognized by a complete literature search. Research have been categorized as retrospective cohort, potential cohort or case management research with medium high quality as assessed by the GRADE standards. The accessible literature isn’t cohesive concerning outcomes and problems of CBT versus PT procedures. Most research discovered no distinction in operative time, however reported much less blood loss throughout CBT. Radiological outcomes present no distinction in slippage at one 12 months though CBT is related to higher bone-density in comparison with PT. Outcomes for post-operative ache are inconclusive.
PMID: 29354747 [PubMed]