title: Pedicular transvertebral screw fixation of the lumbosacral spine in spondylolisthesis. A new technique for stabilization.
abstract: Controversy exists about which method is most appropriate for treating moderate- to high-grade spondylolisthesis and symptomatic pseudarthrosis. The authors report preliminary results of pedicular transvertebral screw fixation, a new technique for stabilizing the lumbosacral junction in moderate- to high-grade spondylolisthesis. Using this technique, fusion was successful in three patients, two with an established pseudarthrosis. Pedicular transvertebral screw fixation provides immediate three-column stabilization of the lumbosacral junction. The technique is safe, effective, and employs instrumentation common to spine surgery. Its use in high-grade slips makes the technique more simple to perform than other methods of lumbosacral stabilization.
authors.affiliation: Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
authors.forename: W A
authors.initials: WA
authors.lastname: Abdu
authors.forename: R G
authors.initials: RG
authors.lastname: Wilber
authors.forename: S E
authors.initials: SE
authors.lastname: Emery
mesh_terms: D000328:Adult; D001863:Bone Screws; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D009985:Orthopedics / Q000379:methods*; D011542:Pseudarthrosis / Q000209:etiology; D011859:Radiography; D012086:Reoperation; D013123:Spinal Fusion / Q000009:adverse effects; D013131:Spine / Q000000981:diagnostic imaging / Q000601:surgery*; D013168:Spondylolisthesis / Q000000981:diagnostic imaging / Q000601:surgery*