Sagittal orientation and uniform entry for thoracic pedicle screw placement with free-hand technique: a retrospective study on 382 pedicle screws

dc.authoridHüseyin Bahadır Gökçen / 0000-0002-5374-1166en_US
dc.authoridÇağatay Öztürk / 0000-0003-3133-206Xen_US
dc.authoridSinan Erdoğan / 0000-0002-8517-3925
dc.authorscopusidHüseyin Bahadır Gökçen / 51563604200
dc.authorscopusidSinan Erdoğan / 55954339600
dc.authorscopusidÇağatay Öztürk / 8230555600
dc.authorwosidHüseyin Bahadır Gökçen / EVT-4898-2022
dc.authorwosidSinan Erdoğan / GZA-9556-2022
dc.authorwosidÇağatay Öztürk / Y-7483-2018
dc.contributor.authorGökçen, Hüseyin Bahadır
dc.contributor.authorErdoğan, Sinan
dc.contributor.authorÖztürk, Sidar
dc.contributor.authorGümuşsuyu, Gürkan
dc.contributor.authorBayram, İrem
dc.contributor.authorÖztürk, Çağatay
dc.date.accessioned2020-08-30T20:07:42Z
dc.date.available2020-08-30T20:07:42Z
dc.date.issued2018
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: One of the most important factors in obtaining a successful outcome in spinal surgery is appropriate placement of the pedicle screw. A number of different techniques are used to achieve successful pedicle screw placement. The free-hand technique has the advantage of no requirement for radiation exposure, but its success is highly dependent on surgeon experience. Here, we describe our entry point and perioperative sagittal orientation method, and evaluate postoperative sagittal alignment of pedicle screws with the free-hand pedicle screw placement technique. Materials and methods: Eighty-two patients undergoing spinal surgery between 2015 and 2016 were included in this study. Pedicle screw placement was evaluated retrospectively on postoperative anterior-posterior (A-P) and lateral load-bearing radiographs of the entire spinal column. The vertebral body was divided into five areas in the lateral plane. Sagittal orientation of the pedicle screws on lateral radiographs was evaluated by two spine surgeons with 3 years of experience and one radiologist experienced in musculoskeletal radiology, with each observer evaluating the image twice according to a 1-month interval. Results: A total of 382 pedicle screws were evaluated. There was no statistically significant difference between the first and second measurements, performed by individual observers, and there was good concordance among the three observers. Conclusions: Use of a uniform entry point at all levels may increase the effectiveness of the free-hand technique and decrease the pedicle screw misplacement rate. Our technique may standardize the free-hand technique, which does not require radiation exposure, and make it more practical to apply uniformly.en_US
dc.identifier.citationGokcen, H. B., Erdogan, S., Ozturk, S., Gumussuyu, G., Bayram, I., & Ozturk, C. (2018). Sagittal orientation and uniform entry for thoracic pedicle screw placement with free-hand technique: A retrospective study on 382 pedicle screws. International Journal of Surgery, 51, 83–88. https://doi.org/10.1016/j.ijsu.2018.01.006en_US
dc.identifier.doi10.1016/j.ijsu.2018.01.006en_US
dc.identifier.endpage88en_US
dc.identifier.issn1743-9191en_US
dc.identifier.issn1743-9159en_US
dc.identifier.pmid29367042en_US
dc.identifier.scopus2-s2.0-85041587254en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage83en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijsu.2018.01.006
dc.identifier.urihttps://hdl.handle.net/20.500.12713/814
dc.identifier.volume51en_US
dc.identifier.wosWOS:000427484400012en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorGökçen, Hüseyin Bahadıren_US
dc.institutionauthorÖztürk, Çağatayen_US
dc.institutionauthorErdoğan, Sinan
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofInternational Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleSagittal orientation and uniform entry for thoracic pedicle screw placement with free-hand technique: a retrospective study on 382 pedicle screwsen_US
dc.typeArticleen_US

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