Open AccessLumbar pedicle screw placement: Using only AP plane imaging
Author(s) -
Anil Sethi,
Adrienne Lee,
Rahul Vaidya
Publication year - 2012
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.98832
Subject(s) - medicine , fluoroscopy , lumbar , lateral recess , radiography , spondylolisthesis , spinal canal , spinal fusion , scoliosis , spinal stenosis , surgery , radiology , spinal cord , psychiatry
Variations in the pedicle morphology and presence of spinal deformities can make pedicle screw placement challenging. Recently, computerized tomography (CT) guided screw placement has reportedly improved the surgical accuracy of pedicle screw insertion. However, it is time consuming and expensive. We combined single-plane fluoroscopy in AP projection alone with tactile guidance for placing pedicle screws more efficiently and accurately. This report presents our results with this technique.