Florence Nightingale Hospital

Slides:

Advertisements

Similar presentations

“A Controlled Randomized Outcome Study of Femoral Ring Allograft versus BAK Instrumentation in Anterior Interbody Fusion” Dr. Donald W. Kucharzyk Dr. Michael.

Advertisements

EFFECT OF MECHANICAL ASPIRATION OF THE VERTEBRAL BODY ON PULMONARY ARTERIAL PRESSURE BEFORE CEMENT INJECTION IN VERTEBROPLASTY PROCEDURE Emine OKLU, MD.

Anton Borgers Lieven Moke Thibault Dewilde Pierre Moens U.Z. Leuven

NASTASJA RITTLING Tissue Engineering: Spinal Fusion.

Daniel Boedeker, MD Spinal Hardware Extraction.  Spinal instrumentation has been utilized since the 1940s  Pedicle screws became increasingly popular.

L3 L4 Axial CT Scan and Coronal Reformatted View reveal a Markedly Comminuted Fracture of the Atlas with Lateral Displacement of the Left Lateral.

InFUSE ™ Bone Graft / LT-CAGE ™ Lumbar Tapered Fusion Device IDE Clinical Results G Hallett H. Mathews, M.D. Richmond, Virginia.

SURGICAL TREATMENT OF CERVICAL DEGENERATIVE DISC DISEASE WITH MYELORADICULOPATHY: TWO-LEVEL ANTERIOR DISCECTOMY VERSUS ONE LEVEL ANTERIOR CORPECTOMY Istanbul.

MINIMIZE IMPLANTS, MAXIMIZE OUTCOMES

Surgical complications of posterior lumbar interbody fusion with total facetectomy in 251 patients SHINYA OKUDA, M.D., etc… Department of Orthopaedic Surgery,

Therapeutic and diagnostic protocol for the treatment of scoliosis associated with Syringomyelia Francesco Lolli, Konstantinos Martikos, Francesco Vommaro,

Scoliosis Surgery Mark Wilms, CST ST Program Director Anthem College Aurora, Colorado.

Continuous Loop Double Endobutton Reconstruction for AC Joint Dislocation Steven Struhl, MD 1, Theodore Wolfson, MD 1 1 Department of Orthopaedic Surgery,

POSTOPERATIVE LEFT SHOULDER ELEVATION (LSE) IN PATENTS WITH NON-STRUCTURAL PROXIMAL THORACIC CURVES (PT): CAN IT BE PREVENTED IN PATIENTS WITH PREOPERATIVE.

INTERRADICULAR BONE-DISC-BONE OSTEOTOMY (BDBO): AN ALTERNATIVE TO OTHER OSTEOTOMY TYPES FOR THE CORRECTION OF THORACOLUMBAR AND LUMBAR SPINE DEFORMITIES.

Cincinnati Children’s Hospital Medical Center

CT Scan coronal reconstruction of the cervical spine illustrating a fracture of the bodies of C4 and C5. These are two reformatted CT images.

Growth Preserving Spinal Surgery for Scoliosis in Children with Osteogenesis Imperfecta Lawrence Karlin, MD, Amer Samdani, MD, Anna McClung, BSN, RN, Michael.

In the name of God H. Moin M.D, F. R.C.S Oct

John T. Wilkinson m. d. , Chad E. Songy m. d. , Frances l

Spondylolysis and Spondylolisthesis. Normal Anatomy Pars interarticularis – Part of vertebra between inferior and superior articular process of the facet.

Evaluation of Efficacy and Safety of Intracorneal Ring Segment (Intacs SK) in Keratoconus Abdulrahman Al-Muammar, MD, FRCSC I have no financial interest.

Florence Nightingale Hospital

The Rib Construct (RC) has provided secure proximal fixation for management of patients with EOS and severe thoracic hyperkyphosis Alaa Azmi Ahmad – MD.

Faik Orucov*, MD, Joseph Frucht-Pery, MD, David Landau, MD, Eyal Strassman, MD, Abraham Solomon, MD Clinical outcome of thin corneas after laser in situ.

Emerging Technologies in Spinal Surgery Presenter/author date.

PRELIMINARY RESULTS OF MINIMALLY INVASIVE LUMBAR INTERBODY FUSION (MILIF) USING A NOVEL EXPANDABLE RETRACTOR SYSTEM Michael H. Winer, M.D. Scottsdale,

IN-VIVO LONGITUDINAL EVOLUTION OF DEGENERATIVE INTERVERTEBRAL DISC CHANGES ON MR IMAGING IN STRESSED AND NON-STRESSED SEGMENTS OF THE LUMBAR SPINE Pooria.

Master Meeting: Spinal Deformities

DOES PEDICULE SCREW FIXATION UNDER AGE FIVE CAUSE SPINAL CANAL NARROWING? A CT STUDY Cagatay OZTURK, MD Ahmet ALANAY, MD Mehmet TEZER, MD Meric ENERCAN,

Low-Back Pain in Athletes by Christopher M. Bono J Bone Joint Surg Am Volume 86(2): February 1, 2004 ©2004 by The Journal of Bone and Joint Surgery,

POSTERIOR SUBTOTAL VERTEBRECTOMY FOR THE TREATMENT OF THORACIC OSTEOMYELITIS IN ELDERLY PATIENTS Meric ENERCAN, MD Cagatay OZTURK, MD Mehmet AYDOGAN, MD.

Primary sarcomas of the spine. A 5-year retrospective analysis. Hadjigeorgiou GF, Zisakis A, Markogiannakis G, Petrosyan T, Mylonakis I, Panteli A, Hadjigeorgiou.

Does upright magnetic resonance imaging of the lumbar spine accentuate degenerative disc disease identified on supine imaging? Katherine Rankin, D.O.,

Xingye Li, Jianxiong Shen, M.D.

3D Vertebral Morphological Measurements Using Low Dose Stereoradiography Imaging: A Comparison with CT Scans Saba Pasha1, Tom Schlösser2, John Flynn1,

Pediatric orthopedic surgeon – Ramallah - Palestine

One-year follow up of a prospective case control study of 60 patients

The surgical treatment aims to:

Matthew D Hepler, MD* Matthew T Walker, MD Eugene Lautenschlager, PhD

OPERATIVE TREATMENT FOR THE FIRST METACARPAL BASE FRACTURE OF THE HAND

Abstract # Rates of Complications and Required Additional Surgical Interventions after Surgical and Nonsurgical Treatment in Lumbar Spondylosis:

Follow up CT scan on 20 year old male with back pain

Waleed Mohamed Amrhassaen Mohammad Salah Abdelaal

Surgery for Ebstein’s Anomaly:

Pediatric orthopedic surgeon – Ramallah - Palestine

Conflict of interests The speaker has the following to disclose related directly or indirectly to the subject of this presentation (period: past three.

Tyler Hoskins, B.S.1, Laura Sonnylal, B.S.1, James C. Wittig, M.D. 1

Surgical treatment of severe scoliosis in young children using magnetically controlled growing rods – initial experience in a prospective cohort Benny.

Florence Nightingale Hospital

MIS Techniques Applied to Deformity:

Clinical outcome of thin corneas after laser in situ keratomileusis

Distraction-to-stall ensures spinal growth in Magnetically Controlled Growing Rods Benny Dahl1), Casper Dragsted2), Søren Ohrt-Nissen2), Thomas Andersen2),

Richard Schwend, MD Robert Tung, BS Division of Orthopedic Surgery

Volume 41, Issue 1, Pages (January 2010)

Obada B., Serban Al., Anderlik St., Badauta M., Costea D., Grasa C.

Hallett H. Mathews, M.D. Richmond, Virginia

degenerative Deformities Saqer abbadi bau

Preoperative (top) radiographs, immediate postoperative (middle) radiographs, and 24-month (bottom) CT scans of a 68-year-old female anteriolateral fusion.

Sequential MR images of the lumbar spine showing the evolution of lumbar disc degeneration in a 16-year-old female patient presenting with low back pain.

The Lancet Digital Health

Fig. 1. Radiological features of the patient with reintubation after ACSS. (A) A 73-year-old male patient (case No. 9) showing herniated intervertebral.

Sara K. Fuhrhop, BS Mark J. McElroy, MS Harry C. Dietz, MD

Garrido E†, Bermejo F†, Tucker SK†‡, Noordeen HNN†‡, Morley TR‡

M. Bulent Balioglu, Y. Emre Akman, Yunus Atici,

Anterior instrumentation and correction

VU VIET CHINH –VO QUANG ĐINH NAM – ĐO TRAN KHANH - ĐAU THE CANH

Suken A. Shah, MD Jon Oda, MD William Mackenzie, MD

Scoliosis surgery with hybrid system in osteogenesis imperfecta (OI)

Presentation transcript:

Florence Nightingale Hospital DIRECT REPAIR OF LUMBAR SPONDYLOLYSIS BY SEGMENTAL PEDICLE SCREW-INFRALAMINAR HOOK CONSTRUCT Cagatay OZTURK, MD Ahmet ALANAY, MD Meric ENERCAN, MD Selhan KARADERELER, MD Omer KARATOPRAK, MD Azmi HAMZAOGLU, MD Istanbul Spine Center Florence Nightingale Hospital Istanbul-TURKEY

PURPOSE PATIENT SAMPLE To analyse the safety and efficacy of direct pars repair by using segmental pedicle screw-infralaminar hook construct. Twenty patients (16 female and 4 male) who had treated by direct pars repair with segmental pedicular screw-hook fixation and with minimum 2 years follow-up were included in this study. PATIENT SAMPLE

METHODS All patients had spondylolysis with isthmic defect at L5 (n=18) L4 (n=2) Six (30%) of them had grade 1 spondylolysis. 6 patients (30%) had mild scoliosis 3 (15%) had Schuermann kyphosis. One patient had both scoliosis and Scheuerman kyphosis. All had low back pain unresponsive to conservative measures for at least 6 months. None had radiculopathy signs.

METHODS All patients had a preoperative CT scan and magnetic resonance imaging and all had Phirman class I healthy discs at the involved level. All patients had CT scans at the postoperative 1 year follow-up to evaluate healing. Two-year follow-up x-rays were analysed in terms of disc degeneration and collapse at the operated level and progression of existing deformities.

Hook-pedicle screw fixation (Tokuhashi technique) (1996) Exposure of pars defect Removal of fibrous tissue Placement of pedicle screws Onlay autograft harvested from posterior superior iliac spine Autograft placement on to the defect Placement of infralaminar hooks Rod fixation and compression

RK, 14y, F

RK, 14y, F Right Left

RESULTS The mean follow-up period was 34.8 (range; 24 to 72) months. Mean age was 16.8 (range; 14 to 18) years. CT scan revealed succesfull healing in all patients. None of the patients had degenerative findings at the disc level below the pars defect.

CONCLUSION Surgical treatment of adolescent patients with spondylolysis by using pedicle screw-infralaminar hook technique resulted with satisfactory clinical and radiological outcome.

THANK YOU