Minimally Invasive Facet Screw Fixation
Facet screw fixation is a relatively simple and effective technique for short-segment fusion in the spine. By placing screws directly across the articulating facet joint to immobilize a motion segment, one reduces the surgical exposure and hardware use compared to contemporary pedicle screw fixation. Other advantages include a shorter operating time, low cost, low complication rate, and potentially quicker postoperative recovery compared to pedicle screw fixation. Biomechanical and clinical studies have proven that overall facet screw fixation is a safe and stable method of posterior stabilization with high fusion rate if it is used properly for the right indication. In this chapter, we discuss the indications, contraindications, surgical technique, and clinical results of this technique.
KeywordsFacet screw Minimally invasive Spine Fixation
- 3.Magerl FP. Stabilization of the lower thoracic and lumbar spine with external skeletal fixation. Clin Orthop Relat Res. 1984;(189):125–41.Google Scholar
- 4.Lieberman IH, Togawa D, Kayanja MM, Reinhardt MK, Friedlander A, Knoller N, et al. Bone-mounted miniature robotic guidance for pedicle screw and translaminar facet screw placement: part I—technical development and a test case result. Neurosurgery. 2006;59(3):641–50; discussion –50CrossRefGoogle Scholar
- 5.Togawa D, Kayanja MM, Reinhardt MK, Shoham M, Balter A, Friedlander A, et al. Bone-mounted miniature robotic guidance for pedicle screw and translaminar facet screw placement: part 2—evaluation of system accuracy. Neurosurgery. 2007;60(2 Suppl 1):ONS129–39; discussion ONS39.PubMedPubMedCentralGoogle Scholar
- 8.Grob D, Bartanusz V, Jeszenszky D, Kleinstuck FS, Lattig F, O’Riordan D, et al. A prospective, cohort study comparing translaminar screw fixation with transforaminal lumbar interbody fusion and pedicle screw fixation for fusion of the degenerative lumbar spine. J Bone Joint Surg Br. 2009;91(10):1347–53.CrossRefGoogle Scholar