The Use of Intralaminar Screws in Patients With Spinal Deformity

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dc.authoridatmaca, halil/0000-0001-5820-6456
dc.authoridIsik, cengiz/0000-0002-9750-9350
dc.contributor.authorKose, Kamil C.
dc.contributor.authorInanmaz, Mustafa E.
dc.contributor.authorAtmaca, Halil
dc.contributor.authorBasar, Hakan
dc.contributor.authorIsik, Cengiz
dc.contributor.authorBal, Emre
dc.date.accessioned2024-09-25T19:58:46Z
dc.date.available2024-09-25T19:58:46Z
dc.date.issued2013
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractStudy Design:Retrospective study.Objective:To demonstrate that intralaminar screws (ILS) can be used as supplements in spinal deformity surgery in the thoracic and lumbar levels in pediatric and adult patients.Summary of Background Data:Rigid posterior fixation of the spine is generally accomplished using pedicle screws, hooks, or wires. ILSs are useful tools when other spinal fixation techniques have failed or the bony anatomy precludes hook or screw placement.Materials and Methods:All spinal deformity patients (primary/revision) operated between 2007 and 2011 were retrospectively reviewed. The patients with ILS were included in the study. The anteroposterior and lateral standing x-rays were evaluated in terms of preoperative and postoperative coronal and sagittal deformities. The number and level of ILS, intraoperative complications, and postoperative complications were noted.Results:There were 20 patients (12 male and 8 female). The mean age was 21.75 years. The mean follow-up period was 17.4 months. Fifty-seven ILS were inserted. Seventeen screws were used in the uppermost to lowermost levels. Forty screws were used in the middle. There was 1 lamina fracture and screw pull out (1.75%). There were 3 canal violations (corrected intraoperative) and 2 instrument prominences which required implant removal. The mean preoperative/postoperative cobb angles were 78.5 degrees/27.8 degrees and the mean preoperative/postoperative kyphosis angles were 57.2 degrees/32.5 degrees, respectively. The loss of correction was 1.2 degrees. There were no neurological deficits and no instrument failures.Conclusions:ILS are safe and effective when used in deformity correction. However, biomechanical studies and randomized controlled trials are needed to conclude whether ILS will be considered a first-line technique, or will remain a technique for salvage situations.en_US
dc.identifier.doi10.1097/BSD.0b013e31828804a7
dc.identifier.endpageE305en_US
dc.identifier.issn1536-0652
dc.identifier.issn1539-2465
dc.identifier.issue8en_US
dc.identifier.pmid23429307en_US
dc.identifier.startpageE299en_US
dc.identifier.urihttps://doi.org/10.1097/BSD.0b013e31828804a7
dc.identifier.urihttps://hdl.handle.net/20.500.12491/13723
dc.identifier.volume26en_US
dc.identifier.wosWOS:000327784800001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Spinal Disorders & Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzYK_20240925en_US
dc.subjectintralaminar screwen_US
dc.subjectspinal deformityen_US
dc.subjectsupplemental fixationen_US
dc.subjectthoracic vertebraeen_US
dc.subjectlumbar vertebraeen_US
dc.titleThe Use of Intralaminar Screws in Patients With Spinal Deformityen_US
dc.typeArticleen_US

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