AI Article Synopsis
- The study investigates the types of spinal canals and structures in patients to improve preoperative preparation and surgical methods, aiming to minimize material malposition in thoracolumbar posterior transpedicular stabilization (TPTS) procedures.
- In a sample of 214 cases, twenty parameters were documented and analyzed, revealing that laminectomy isn't beneficial unless there’s spinal compression, while ligamentotaxis aids in healing.
- The findings highlight a significant correlation between spinal canal structure and the incidence of screw placement errors, emphasizing the importance of evaluating spinal anatomy prior to TPTS to safeguard the spinal cord.
Article Abstract
Aim: To analyze the spinal canal type and spinal structure of patients, to determine appropriate preoperative preparation and surgical procedures to prevent material malposition, which is the most common complication of thoracolumbar posterior transpedicular stabilization (TPTS) and is a determiner of its clinical outcomes.
Material And Methods: A total of 214 cases were examined. TPTS procedures carried out on each thoracolumbar spine were evaluated. Twenty parameters were documented and retrospectively examined in each patient.
Results: Laminectomy is not helpful for healing unless there is spinal compression and ligamentotaxis is beneficial for healing. The correlation between the structure of the spinal canal and defective screw delivery found (p < 0.05).
Conclusion: The spinal structure formed around the canal should be the first form to evaluate while TPTS applications to protect the spinal cord, which is the focal point of the spinal structure.
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Source |
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| http://dx.doi.org/10.5137/1019-5149.JTN.29214-20.2 | DOI Listing |
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