A Novel Two-Step Method for Converting Lumbar Cortical Screw to Pedicle Screw: A Case Report.

Autor:	Muzyka L; Department of Neurosurgery, Dell Medical School at The University of Texas at Austin, Austin, USA., Shah DS; Department of Neurosurgery, University of Texas Medical Branch, Galveston, USA.; Department of Neurosurgery, Dell Medical School at The University of Texas at Austin, Austin, USA., Koltz MT; Department of Neurosurgery, Dell Medical School at The University of Texas at Austin, Austin, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 May 31; Vol. 16 (5), pp. e61454. Date of Electronic Publication: 2024 May 31 (Print Publication: 2024).
DOI:	10.7759/cureus.61454
Abstrakt:	The cortical bone trajectory (CBT) technique has emerged as a minimally invasive approach for lumbar fusion but may result in pseudoarthrosis and hardware failure. This report presents a case of successful pedicle screw revision in a patient with previous failed L2 and L3 fusion using a novel "two-step" technique, including (1) drilling a new trajectory with Medtronic EM800N Stealth MIDAS Navigated MR8 drill system (Medtronic, Dublin, Ireland) and (2) placement of Solera 4.75 ATS (awl-tapped screws) with navigated POWEREASE™ (Medtronic), described here for the first time. This method involves utilizing neuronavigation and specialized instruments to safely place pedicle screws through the path of the old cortical screw trajectory, addressing the challenges associated with CBT hardware failure. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. The University of Texas at Austin issued approval Exempt. We verify that informed consent, both verbal and written, has been obtained. Furthermore, it is confirmed that there is no identifiable information present in the text or images. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Muzyka et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu