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A less-invasive technique for posterior spinal fusion using intermittent retraction during pedicle screw insertion: A technical note
Faculty
Medicine
Year:
2022
Type of Publication:
ZU Hosted
Pages:
Authors:
Ahmed Mohamed Ihsan Abdallah Elawamry
Staff Zu Site
Abstract In Staff Site
Journal:
Interdisciplinary Neurosurgery Interdisciplinary Neurosurgery
Volume:
Keywords :
, less-invasive technique , posterior spinal fusion using
Abstract:
Objectives: Preserving muscle function and integrity during and after posterior lumbar surgical intervention is a cornerstone for good surgical results. Prolonged application of fxed retractors results in ischemic changes of the paraspinal muscles, postoperative persistent back pain, and muscle dysfunction. Fixed retractors may alter the projection of pedicle screw insertion resulting in breaching the pedicle wall and misdirected screws. We describe a new technique for muscle retraction using intermittent during pedicle screw insertion. Methods: We use a less-invasive technique for pedicle screw insertion through a midline 3 cm skin incision per level and traditional appendectomy “Langenbeck” retractors for paraspinal muscle intermittent retraction during pedicle screw insertion. Results: Despite the small incision, our technique allows freedom to direct the screw trajectory and lessens the need for a fxed retractor except during the discectomy. Blood transfusion is applied only for patients with medical co-morbidity such as anemia or impaired coagulation. Post operative analgesia included paracetamol and non steroidal injection if required with smooth wound healing. Patients, recovery is usually uneventful with improvement of their complains. Conclusion: This technique combines the benefts of both traditional and minimally invasive surgery and is a useful advance in the feld of posterior lumbar surgery and pedicle screw insertion.
Author Related Publications
Ahmed Mohamed Ihsan Abdallah Elawamry, "Outcome of microsurgical clipping of anterior circulation aneurysms during the period of vasospasm: single center experience in Egypt", Egyptian Journal of Neurosurgery, 2019
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Ahmed Mohamed Ihsan Abdallah Elawamry, "Role of preoperative computed tomography angiographic anatomical considerations and their intraoperative interpretations in prediction of outcome in microsurgical clipping of ruptured anterior communicating aneurysm", Egyptian Journal of Neurosurgery, 2021
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Ahmed Mohamed Ihsan Abdallah Elawamry, "Relentless pulsatile tinnitus secondary to dural sinovenous stenosis: is endovascular sinus stenting the answer?", Clinical Radiology, 2021
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Ahmed Mohamed Ihsan Abdallah Elawamry, "Posterior and postero-lateral incidental durotomy during lumbar spine surgery: primary repair versus augmented primary repair", Egyptian Journal of Neurosurgery, 2021
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Ahmed Mohamed Ihsan Abdallah Elawamry, "The Frequency and Risk Factors for Cranial Facet Joint Violation during Pedicle Screw Instrumentation in Lumbar Spine Disorders", Egy Spine J, 2021
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Department Related Publications
Safwaat Abohashem Mohamed Abohashim, "Laparoscopic Revision of the Distally Obstructed Ventriculoperitoneal Shunt", Turkish Neurosurgical Society, 2013
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Safwaat Abohashem Mohamed Abohashim, "Management of Brown-Sequard Syndrome in Cervical Disc Diseases", Turkish neurosurgical society, 2013
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Safwaat Abohashem Mohamed Abohashim, "Endoscopic versus Microscopic Trans-Sphenoidal Approach for Pituitary Adenomas: Retrospective Comparison Study in Single Institution", Egyptian neurosurgical society, 2014
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Safwaat Abohashem Mohamed Abohashim, "Outcome of Laminoforaminotomy for Unilateral Cervical Radiculopathy", MEDC, 2014
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Muntasir Ahmed Abdel Fattah Fouda, "نتائج الازالة الميكرسكوبية لضغط الاوعية الدموية في حالات الشد الوجهى النصفي", لايوجد, 1900
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