Power-assisted pedicle screws placement: Is it as safe and as effective as manual technique? Narrative review of the literature and our technique.
Pedicle screws
Posterior spinal fusion
Power tools
Scoliosis
Spine surgery
Journal
Musculoskeletal surgery
ISSN: 2035-5114
Titre abrégé: Musculoskelet Surg
Pays: Italy
ID NLM: 101498346
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
28
04
2021
accepted:
19
05
2021
pubmed:
30
5
2021
medline:
29
10
2021
entrez:
29
5
2021
Statut:
ppublish
Résumé
Pedicle screws are the gold standard in spine surgery, allowing a solid tricolumnar fixation which is unmatched by hooks and wires. The freehand technique is the most widely adopted for pedicle screws placing. While freehand technique has been classically performed with manual tools, there has been a recent trend toward the use of power tools. The aim of this review is to summarize and expose potential risks and advantages of power pedicle screws placing. The literature showed that the use of power tools offers an acceptable safety profile, comparable to manual technique. With an adequate training, the power technique may speed up the screw placing, reduce the fluoroscopy time and the physical stress to the spine surgeon. Regarding differences in pull-out strength between power and manual techniques, the literature is still uncertain and inconsistent, both in clinical and preclinical studies. The choice between the use of power and manual freehand pedicle screws placing is still based on the surgeon's own preference.
Identifiants
pubmed: 34050490
doi: 10.1007/s12306-021-00714-x
pii: 10.1007/s12306-021-00714-x
pmc: PMC8324584
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
117-123Informations de copyright
© 2021. The Author(s).
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