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Navigated minimally invasive facet fusion during percutaneous lumbar pedicle screw insertion: Technical note.

Abstract

OBJECTIVE

Minimally invasive surgery (MIS), or percutaneous, lumbar pedicle screw placement is commonly done, but the percutaneous nature of this makes posterior arthrodesis extremely difficult. Many times, surgeons will simply forego posterior arthrodesis, place posterior pedicle screws, and rely only on the interbody area for arthrodesis. We describe our technique of adding facet arthrodesis via the same corridor through which the pedicle screw is inserted with minimal addition of time or steps.

METHODS

We demonstrate our technique of how we use navigation and tubular retractors to perform posterior facet arthrodesis during percutaneous pedicle screw placement. We illustrate this technique with a case of a patient with scoliosis, intraoperative photos, and an illustrative video. We also show an intraoperative computed tomography image to help visualize the arthrodesis surfaces. With this technique, we show how there are a few additional steps that are not very time consuming to add posterior arthrodesis.

RESULTS

MIS facet fusion can be performed in a relatively straightforward manner during percutaneous pedicle fixation without significant addition of intraoperative time or steps.

CONCLUSIONS

It is possible to add posterior arthrodesis to percutaneous lumbar pedicle screw fusion with few added steps and minimal addition of time using navigation and MIS tubular retractors.

Authors+Show Affiliations

Department of Neurosurgery, University of California San Francisco, United States; Department of Orthopedic Surgery, The First Affiliated Hospital of Zhengzhou University, China. Electronic address: fccliuyll@zzu.edu.cn.Department of Neurosurgery, University of California San Francisco, United States.Department of Neurosurgery, University of California San Francisco, United States.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31521470

Citation

Liu, Yi Lin, et al. "Navigated Minimally Invasive Facet Fusion During Percutaneous Lumbar Pedicle Screw Insertion: Technical Note." Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, 2019.
Liu YL, Mehra RN, Chou D. Navigated minimally invasive facet fusion during percutaneous lumbar pedicle screw insertion: Technical note. J Clin Neurosci. 2019.
Liu, Y. L., Mehra, R. N., & Chou, D. (2019). Navigated minimally invasive facet fusion during percutaneous lumbar pedicle screw insertion: Technical note. Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, doi:10.1016/j.jocn.2019.08.060.
Liu YL, Mehra RN, Chou D. Navigated Minimally Invasive Facet Fusion During Percutaneous Lumbar Pedicle Screw Insertion: Technical Note. J Clin Neurosci. 2019 Sep 11; PubMed PMID: 31521470.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Navigated minimally invasive facet fusion during percutaneous lumbar pedicle screw insertion: Technical note. AU - Liu,Yi Lin, AU - Mehra,Ratnesh N, AU - Chou,Dean, Y1 - 2019/09/11/ PY - 2019/06/17/received PY - 2019/08/06/accepted PY - 2019/9/16/entrez PY - 2019/9/16/pubmed PY - 2019/9/16/medline KW - Facet fusion KW - Lumbar pedicle screw insertion KW - MIS KW - Minimally invasive KW - Percutaneous screw JF - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JO - J Clin Neurosci N2 - OBJECTIVE: Minimally invasive surgery (MIS), or percutaneous, lumbar pedicle screw placement is commonly done, but the percutaneous nature of this makes posterior arthrodesis extremely difficult. Many times, surgeons will simply forego posterior arthrodesis, place posterior pedicle screws, and rely only on the interbody area for arthrodesis. We describe our technique of adding facet arthrodesis via the same corridor through which the pedicle screw is inserted with minimal addition of time or steps. METHODS: We demonstrate our technique of how we use navigation and tubular retractors to perform posterior facet arthrodesis during percutaneous pedicle screw placement. We illustrate this technique with a case of a patient with scoliosis, intraoperative photos, and an illustrative video. We also show an intraoperative computed tomography image to help visualize the arthrodesis surfaces. With this technique, we show how there are a few additional steps that are not very time consuming to add posterior arthrodesis. RESULTS: MIS facet fusion can be performed in a relatively straightforward manner during percutaneous pedicle fixation without significant addition of intraoperative time or steps. CONCLUSIONS: It is possible to add posterior arthrodesis to percutaneous lumbar pedicle screw fusion with few added steps and minimal addition of time using navigation and MIS tubular retractors. SN - 1532-2653 UR - https://www.unboundmedicine.com/medline/citation/31521470/Navigated_minimally_invasive_facet_fusion_during_percutaneous_lumbar_pedicle_screw_insertion:_Technical_note L2 - https://linkinghub.elsevier.com/retrieve/pii/S0967-5868(19)31187-7 DB - PRIME DP - Unbound Medicine ER -