Issue release date: 12.11.2024
Turkish Neurosurgery
2021 , Vol 31 , Num 1
The Relationship Between Transpedicular Stabilization with Spinal Canal Type
1Republic of Turkey, Ministry of Health, Sirnak State Hospital, Department of Neurosurgery, Sirnak, Turkey2Republic of Turkey, Ministry of Health, University of Health Sciences, Kecioren Training and Research Hospital, Department of Neurosurgery Ankara, Turkey DOI : 10.5137/1019-5149.JTN.29214-20.2 AIM: To analyze the spinal canal type and spinal structure of patients, to determine appropriate preoperative preparation and surgical procedures to prevent material malposition, which is the most common complication of thoracolumbar posterior transpedicular stabilization (TPTS) and is a determiner of its clinical outcomes.
MATERIAL and METHODS: A total of 214 cases were examined. TPTS procedures carried out on each thoracolumbar spine were evaluated. Twenty parameters were documented and retrospectively examined in each patient.
RESULTS: Laminectomy is not helpful for healing unless there is spinal compression and ligamentotaxis is beneficial for healing. The correlation between the structure of the spinal canal and defective screw delivery found (p<0.05).
CONCLUSION: The spinal structure formed around the canal should be the first form to evaluate while TPTS applications to protect the spinal cord, which is the focal point of the spinal structure.
Keywords : Spinal canal type, Spinal structure, Thoracolumbar posterior transpedicular stabilization, Material malposition, Longterm results