Percutaneous lumbosacral fixation and fusion: anatomic study and two-year experience with a new method.
This anatomic and clinical study describes a transsacral, percutaneous approach for fixation and fusion of the L5-S1 disc. A tunnel is created into the L5-S1 disc from this approach, permitting disc removal, bone grafting, and placement of two nine-millimeter diameter titanium screws into the body of L5. There were no complications referable to screw placement, and eight of nine patients had successful fusion.
MacMillan
M
M
Department Orthopaedic, University of Florida, Gainesville 32610-0246, USA.
Fessler
R G
RG
Gillespy
M
M
Montgomery
W J
WJ
D000328:Adult; D001863:Bone Screws; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008161:Lumbosacral Region; D008297:Male; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D012086:Reoperation; D013122:Spinal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*; D014057:Tomography, X-Ray Computed