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KMID : 1001920120510010066
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Journal of Korean Neurosurgical Society
2012 Volume.51 No. 1 p.66 ~ p.70
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Free Hand Pedicle Screw Placement in the Thoracic Spine without Any Radiographic Guidance : Technical Note, a Cadaveric Study
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Hyun Seung-Jae
Kim Yong-Jung
Cheh Gene
Yoon Seung-Hwan
Rhim Seung-Chul
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Abstract
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Thoracic pedicle screw fixation techniques are still controversial for thoracic deformities because of possible complications including neurologic deficit. Methods to aid the surgeon in appropriate screw placement have included the use of intraoperative fluoroscopy and/or radiography as well as image-guided techniques. We describe our technique for free hand pedicle screw placement in the thoracic spine without any radiographic guidance and present the results of pedicle screw placement analyzed by computed tomographic scan in two human cadavers. This free hand technique of thoracic pedicle screw placement performed in a step-wise, consistent, and compulsive manner is an accurate, reliable, and safe method of insertion to treat a variety of spinal disorders, including spinal deformity.
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KEYWORD
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Pedicle screw placement, Thoracic spine, Surgical anatomy, Free hand technique, Surgical technique, Cadaveric study
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