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Essentials of Spinal Stabilization pp 389–399Cite as

Cortical Bone Screw Fixation

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Abstract

Placement of lumbar fixation screws using the cortical bone trajectory is a novel and potentially valuable technique. In this chapter, we discuss the current literature on clinical outcomes and biomechanical properties of the cortical bone trajectory. We examine indications for which this trajectory may be beneficial compared to a traditional pedicle screw trajectory. The reader is guided through the steps of performing a minimally invasive midline lumbar fusion using the cortical bone screw trajectory, and an illustrative case is provided. In addition, technical pearls as well as common complications and strategies for their avoidance are discussed.

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Authors and Affiliations

  1. Department of Neurosurgery, Wake Forest Baptist Medical Center, One Medical Center Blvd, Winston Salem, NC, 27157, USA

    Mark Benjamin Frenkel, J. J. Renfrow & Charles L. Branch Jr.

Authors
  1. Mark Benjamin Frenkel
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  2. J. J. Renfrow
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  3. Charles L. Branch Jr.
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Correspondence to Charles L. Branch Jr. .

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Editors and Affiliations

  1. Department of Neurosurgery and Orthopaedics, David Geffen UCLA School of Medicine, Los Angeles, California, USA

    Langston T. Holly

  2. Department of Orthopedics and Rehabilitation, University of Wisconsin UWMF, Madison, Wisconsin, USA

    Paul A. Anderson

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Frenkel, M.B., Renfrow, J.J., Branch, C.L. (2017). Cortical Bone Screw Fixation. In: Holly, L., Anderson, P. (eds) Essentials of Spinal Stabilization . Springer, Cham. https://doi.org/10.1007/978-3-319-59713-3_29

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  • DOI: https://doi.org/10.1007/978-3-319-59713-3_29

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-59712-6

  • Online ISBN: 978-3-319-59713-3

  • eBook Packages: MedicineMedicine (R0)

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