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DOI: 10.1055/s-0029-1246139
© Georg Thieme Verlag KG Stuttgart · New York
Poly-Axial Screw Removal
Publikationsverlauf
Publikationsdatum:
04. Februar 2010 (online)
Abstract
As the use of instrumentation in spinal surgery has become common, the need for revision surgery has increased. During revision surgery one of the most difficult steps is removal of poly-axial pedicle screws, especially if no suitable revision set is available. We describe here an easy method for poly-axial screw removal. Leaving or placing a small piece of rod, attached firmly by a nut, tightens the head of the poly-axial screw. It can no longer move freely from the distal part of the screw and the screw can be removed by turning it counterclockwise with a big clamp or needle driver, which is available in almost every surgery set.
Key words
poly-axial screw - screw removal - screw failure
References
- 1 Di Lorenzo N, Conti R, Romoli S. Retrieval of broken pedicle screws by “friction” technique. J Neurosurg (Spine 1). 2000; 92 114-116
- 2 Duncan J, MacDonald J. Extraction of broken pedicle screws: technical note. Neurosurgery. 1998; 42 1399-1400
- 3 Kaya AH, Dagcinar A, Celik F. et al . Simple technique for removing broken pedicular screw with plain and serviceable screwdriver. Eur Spine J. 2008; 17 ((8)) 1116-1118
- 4 Miyamoto K, Shimizu K, Kouda K. et al . Removal of broken pedicle screws. J Neurosurg (Spine 1). 2001; 95 150-151
- 5 Weng X, Qiu G, Li J. et al . An innovative broken pedicle screw retrieval instrument. J Spinal Disord Tech. 2007; 20 82-84
Correspondence
Dr. A. Ulus
Ondokuz Mayis University Neurosurgery
Ondokuz Mayis Üniversitesi
55139 Samsun
Turkey
Telefon: +90/362/3121919 /3087
Fax: +90/362/4387928
eMail: aykanulus@gmail.com