Abstract
Pedicle screw instrumentation has become the foundation of thoracolumbar fixation techniques. For different reasons, pedicle screw revisions may need to occur. Some of the primary reasons for revision surgery are pseudarthrosis, adjacent segment disease, fractures, and infection. Some surgeons are more comfortable with revision work than others, and usually it is best accomplished at the hands of a skilled spine surgeon. Revision surgeries need to be entered into with a plan A, plan B, plan C, and plan D. Starting a revision surgery with only one plan and no backup options can lead to poor outcomes post-op. Revision surgeries involving pedicle screws can be tedious and difficult. Conversely, when well-planned and well-executed, revision surgery can go as smoothly as a virgin surgery. This chapter will discuss everything from preoperative imaging and identification of hardware to the intraoperative nuances of the surgeries.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Wu X, Shi J, Wu J, Cheng Y, Peng K, Chen J, Jiang H. Pedicle screw loosening: the value of radiological imagings and the identification of risk factors assessed by extraction torque during screw removal surgery. J Orthop Surg Res. 2019;14:6.
Renner SM, Lim TH, Kim WJ, Katolik L, An HS, Andersson GB. Augmentation of pedicle screw fixation strength using an injectable calcium phosphate cement as a function of injection timing and method. Spine (Phila Pa 1976). 2004;29(11):E212–6.
Seng WRD, Chou SM, Siddiqui SS, Oh JYL. Pedicle screw designs in spinal surgery: is there a difference? A biomechanical study on primary and revision pull-out strength. Spine (Phila Pa 1976). 2019;44(3):E144–9.
Mason A, Paulsen R, Babuska JM, Rajpal S, Burneikiene S, Nelson EL, Villavicencio AT. The accuracy of pedicle screw placement using intraoperative image guidance systems. J Neurosurg Spine. 2014;20(2):196–203.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Perry, T.G. (2020). Revision Pedicle Screw Strategies. In: O'Brien, J., Kalantar, S., Drazin, D., Sandhu, F. (eds) The Resident's Guide to Spine Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-20847-9_32
Download citation
DOI: https://doi.org/10.1007/978-3-030-20847-9_32
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-20846-2
Online ISBN: 978-3-030-20847-9
eBook Packages: MedicineMedicine (R0)