Minimization of the number of pedicular screws placing in the degenerative lumbar spine.

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dc.contributor.authorHirunyachote, Piniten_US
dc.contributor.authorAdukasem, Wallopen_US
dc.date.accessioned2009-05-27T21:16:00Z
dc.date.available2009-05-27T21:16:00Z
dc.date.issued2008-06-14en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractOBJECTIVE: The present study was carried out to compare clinical results of spinal fusion in degenerative disease of lumbar between using pedicular screw instrumentation in every pedicle and partial placing the screws in some vertebra to provide immediate stabilization of the spine. MATERIAL AND METHOD: Fifty patients with degenerative diseases of their lumbar spines and needing spinal fusion between 2004 and 2007 were included in this study. They were divided into two groups by the order of their admissions. All underwent complete decompressive laminectomy and posterlateral fusion with autogenic bone grafting. In the first group, 25 patients received pedicular screw instrumentation at all pedicles that were in the fusion area. In the second group, 25 patients received pedicular screw instrumentation only in particular pedicles to minimize the operative time, blood loss and the cost of instrumentation. Japanese Orthopedic Association (JOA) Lumbar Scoring System was used to evaluate function outcome of the patients. RESULTS: There was no serious complication in both groups. Furthermore, there was no significant difference in terms of operative time, amount of blood loss, time to bone union, and JOA lumbar score at the one-year follow-up between the groups. However, the costs of instrumentation were significantly reduced in the second group. CONCLUSION: Minimizing the numbers of pedicular screws instrumentation for spinal fusion of degenerative spine could be carried out to lessen the cost of treatment in particular patients.en_US
dc.description.affiliationDepartment of Orthopaedic Surgery, Nakhonpathom Hospital, Nakhonpathom, Thailand.en_US
dc.identifier.citationHirunyachote P, Adukasem W. Minimization of the number of pedicular screws placing in the degenerative lumbar spine. Journal of the Medical Association of Thailand. 2008 Jun; 91(6): 864-7en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/44489
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshBone Screwsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Status Indicatorsen_US
dc.subject.meshHumansen_US
dc.subject.meshIntervertebral Disk Displacement --diagnosisen_US
dc.subject.meshLumbar Vertebrae --pathologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeurodegenerative Diseases --diagnosisen_US
dc.subject.meshSpinal Fusion --instrumentationen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleMinimization of the number of pedicular screws placing in the degenerative lumbar spine.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
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