Abstract
Continuing controversy over the use of pedicular fixation in the United States is promoted by the lack of governmental approval for the marketing of these devices due to safety and efficacy concerns. These implants have meanwhile become an invaluable part of spinal instrumentation in Europe. With regard to the North American view, there is a lack of comprehensive reviews that consider the historical evolution of pedicle screw systems, the rationales for their application, and the clinical outcome from a European perspective. This literature review suggests that pedicular fixation is a relatively safe procedure and is not associated with a significantly higher complication risk than non-pedicular instrumentation. Pedicle screw fixation provides short, rigid segmental stabilization that allows preservation of motion segments and stabilization of the spine in the absence of intact posterior elements, which is not possible with non-pedicular instrumentation. Fusion rates and clinical outcome in the treatment of thoracolumbar fractures appear to be superior to that achieved using other forms of treatment. For the correction of spinal deformity (i.e., scoliosis, kyphosis, spondylolisthesis, tumor), pedicular fixation provides the theoretical benefit of rigid segmental fixation and of facilitated deformity correction by a posterior approach, but the clinical relevance so far remains unknown. In low-back pain disorders, a literature analysis of 5,600 cases of lumbar fusion with different techniques reveals a trend that pedicle screw fixation enhances the fusion rate but not clinical outcome. The most striking finding in the literature is the large range in the radiological and clinical results. For every single fusion technique poor and excellent results have been described. This review argues that European spine surgeons should begin to back up the evident benefits of pedicle screw systems for specific spinal disorders by controlled prospective clinical trials. This may prevent forthcoming medical licensing authorities from restricting the use of pedicle screw devices and dictating the practice of spinal surgery in Europe in the near future.
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Aebi M (1988) Correction of degenerative scoliosis of the lumbar spine. Clin Orthop 232:80–86
Aebi M, Nazarian S (1996) Editorial. Eur Spine 15: 1
Aebi M, Etter C, Kehl T, Thalgott J (1987) Stabilization of the lower thoracic and lumbar spine with the internal spinal skeletal fixation system. Indications, techniques, and first results of treatment. Spine 12:544–551
Akbarnia BA, Fogarty JP, Smith KR Jr (1985) New trends in surgical sabilization of thoraco-lumbar spinal fractures with emphasis for sublaminar wiring. Paraplegia 23:27–33
Ani N, Keppler L, Biscup RS, Steffee AD (1991) Reduction of high-grade slips (grades III-V) with VSP instrumentation. Report of a series of 41 cases. Spine 16:S302-S310
Banta JV (1990) Combined anterior and posterior fusion for spinal deformity in myelomeningocele. Spine 15: 946–952
Berlemann U, Cripton PA, Rincon L, Nolte LP, Schläpfer F (1996) Pull-out strength of pedicle hooks with fixation screws. Eur Spine J 5:71–73
Bernhardt M, Swartz DE, Clothiaux PL, Crowell RR, White AA (1992) Posterolateral lumbar and lumbosacral fusion with and without pedicle screw internal fixation. Clin Orthop 284: 109–115
Boachie-Adjei O, Lonstein JE, Winter RB, Koop S, van den Brink K, Denis F (1989) Management of neuromuscular spinal deformities with Luque segmental instrumentation. J Bone Joint Surg [Am] 71:548–562
Bohm H, Harms J, Donk R, Zielke K (1990) Correction and stabilization of angular kyphosis. Clin Orthop 258: 56–61
Boos N, Marchesi D, Aebi M (1991) Treatment of spondylolysis and spondylolisthesis with the CotrelDubousset instrumentation. A preliminary report. J Spinal Disord 4:472–479
Boos N, Marchesi D, Aebi M (1992a) Survivorship analysis of pedicular fixation systems in the treatment of degenerative disorders of the lumbar spine. A comparison of CotrelDubousset instrumentation and the AO-internal fixator. J Spinal Disord 5:403–409
Boos N, Marchesi D, Heitz R, Aebi M (1992b) Traitement chirurgical des spondylolisthésis de l'adulte à déplacement modéré par fixation pédic-ulaire et fusion post‘ero-lat’erale. Rev Chir Orthop 78:228–235
Boos N, Marchesi D, Zuber K, Aebi M (1993) Treatment of severe spondylolisthesis by reduction and pedicular fixation: A 4–6 year follow-up study. Spine 18:1655–1661
Boxall D, Bradford DS, Winter RB, Moe JH (1979) Management of severe spondylolisthesis. J Bone Joint Surg [Am] 61:479–495
Bradford DS (1979) Treatment of severe spondylolisthesis: a combined approach for reduction and stabilization. Spine 5:423–429
Bradford DS (1986) Instrumentation of the lumbar spine. Clin Orthop 203: 209–218
Bradford DS, Boachie-Adjei O (1990) Treatment of severe spondylolisthesis by anterior and posterior reduction and stabilization. A long-term followup study. J Bone Joint Surg [Am] 72: 1060–1066
Bridwell KH, McAllister JW, Betz RR, Huss G, Clancy M, Schoenecker PL (1991) Coronal decompensation produced by Cotrel-Dubousset “derotation” maneuver for idiopathic right thoracic scoliosis. Spine 16:769–777
Chang KW, McAfee PC (1989) Degenerative spondylolisthesis and degenerative scoliosis treated with a combination segmental rod-plate and transpedicular screw instrumentation system. J Spinal Disord 1: 247–256
Cheng CL, Fang D, Lee PC, Leong JCY (1989) Anterior spinal fusion for spondylolysis and isthmic spondylolisthesis. Long term results in adults. J Bone Joint Surg [Br] 71:264–267
Chow, SP, Leong JC, Ma A, Yau AC (1980) Anterior spinal fusion or deranged umbar intervertebral disc. Spine 5:452–458
Cloward RB (1981) Spondylolisthesis: treatment by laminectomy and posterior interbody fusion. Clin Orthop 154:74–82
Collis IS (1985) Total disc replacement: a modified posterior lumbar interbody fusion. Report of 750 cases. Clin Orthop 193:64–67
Cotrel Y, Dubousset J (1984) Nouvelle technique d'ostéosynthèse rachidienne segmentaire par voie posté-rieure. Rev Chir Orthop 70:489–494
Cotrel Y, Dubousset J, Guillaumat M (1988 New universal instrumentation in spinal surgery. Clin Orthop 227: 10–23
Crawford MJ, Esses SI (1994) Indications for pedicle fixation. Results of NASS/SRS faculty questionnaire. North American Spine Society and Scoliosis Research Society. Spine 19: 2584–2589
Crock H (1986) Internal disc disruption. A challenge to disc prolapse fifty years on. Spine 11: 650–653
Daniaux H, Seykora P, Genelin A, Lang T, Kathrein A (1991) Application of posterior plating and modifications in thoracolumbar spine injuries: indications, techniques and results. Spine 16:8125-S133
Dawson E, Lotysch III M, Urist M (1981) Intertransverse process lumbar arthrodesis with autogenous bone graft. Clin Orthop 154:90–96
DePalma AF, Prabhakar M (1966) Posterior-posterobilateral fusion of the lumbosacral spine. Clin Orthop 47: 165–171
DeWald RL, Faut MM, Taddonio RF, Neuwirth MG (1981) Severe lumbosacral spondylolisthesis in adolescents and children. Reduction and staged circumferential fusion. J Bone Joint Surg [Am] 63:619–626
Dick W (1984) Innere Fixation von Brust- und Lendenwirbelbrüchen. Hans Huber, Bern
Dick W (1987) The “fixateur inteme” as a versatile implant for spine surgery. Spine 12:882–900
Dick W, Schnebel B (1988) Severe spondylolisthesis. Reduction and internal fixation. Clin Orthop 232:70–79
Dick W, Kluger P, Magerl F, Woersdörfer O, Zäch C (1985) A new device for internal fixation of thoracolumbar and lumbar spine fractures: the “fixateur internerd. Paraplegia 23: 225–232
Dickman CA, Yahiro MA, Lu HTC, Melkerson MN (1994) Surgical treatment alternatives for fixation of unstable fractures of the thoracic and lumbar spine. A meta-analysis. Spine 20:52266-S2273
Dickson JH, Harrington PR, Erwin WD (1978) Results of reduction and stabilization of the severely fractured thoracic and lumbar spine. J Bone Joint Surg [Am] 60:799–805
Dickson JH, Erwin WD, Rossi D (1990) Harrington instrumentation and arthrodesis for idiopathic scoliosis. A twenty-one-year follow-up. J Bone Joint Surg [Am] 72:678–683
Ebelke DK, Asher MA, Neff JR, Kraker DP (1990) Survivorship analysis of VSP spine instrumentation in the treatment of thoracolumbar and lumbar burst fractures. Spine 16: S428-S432
Esses SI, Botsford DJ, Wright T, Bednar D, Bailey S (1991) Operative treatment of spinal fractures with the AO internal fixator. Spine 16: S146-S150
Esses SI, Sachs BL, Dreyzin V (1993) Complications associated with the technique of pedicle screw fixation. A selected survey of ABS members. Spine 18:2231–2238
Eyre D, Benya P, Buckwalter J, Caterson B, Heinegård D, Oegema T, Pearce R, Pope M, Urban J (1989) Intervertebral disk: basic science perspectives. In: Frymoyer JW, Gordon SL (eds) New perspectives on low back pain. American Academy of Orthopaedic surgeons, Park Ridge, pp 147–207
Flatley TJ, Derderian H (1985) Closed loop instrumentation of the lumbar spine. Clin Orthop 196:273–278
Flesch JR, Leider LL, Erickson DL, Chou SN, Bradford DS (1977) Harrington instrumentation and spine fusion for unstable fractures and fracture-dislocations of the thoracic and lumbar spine. J Bone Joint Surg [Am] 59:143–153
Flynn JC, Hoque MA (1979) Anterior fusion of the lumbar spine. End-result study with long-term follow-up. J Bone Joint Surg [Am] 61:1143–1150
Freebody D, Bendall R, Taylor RD (1971) Anterior transperitoneal lumbar fusion. J Bone Joint Surg [Br] 53: 617–627
Freeman III BL, Donati NL (1989) Spinal arthrodesis for severe spondylolisthesis in children and adolescents. A long-term follow-up study. J Bone Joint Surg [Am] 71:594–598
Fujiya M, Saira M, Kaneda K, Abumi K (1990) Clinical study on stability of combined distraction and compression rod instrumentation with posterolateral fusion for unstable degenerative spondylolisthesis. Spine 15: 1216–1222
Garfin SR (1994) Historical cohort study of pedicle screw fixation in thoracic, lumbar, and sacral spine fusions (editorial). Spine 19: 52254–52255
Gertzbein SD, Crowe PJ, Fazl M, Schwartz M, Rowed D (1992) Canal clearance in burst fractures using the AO internal fixator. Spine 17: 558–560
Gill K, Blumenthal SL (1993) Posterior lumbar interbody fusion. A 2-year follow-up of 238 patients. Acta Orthop Scand [Suppl] 251: 108–110
Graham CE (1979) Lumbosacral fusion using internal fixation with a spinous process for the graft: a review of 50 patients with a five-year maximum follow-up. Clin Orthop 140: 72–77
Hanley EN (1986) Decompression and distraction-derotation arthrodesis for degenerative spondylolisthesis. Spine 11:269–276
Hanley EN (1995) The indication for lumbar spinal fusion with and without instrumentation. Spine 20: S143-S153
Hanley EN, Levy JA (1989) Surgical treatment of isthmic lumbosacral spondylolisthesis. Analysis of variables influencing results. Spine 14: 48–50
Harrington PR (1988) The history and development of Harrington instrumentation. Clin Orthop 227: 3–5
Harrington PR, Dickson JH (1976) Spinal instrumentation in the treatment of severe progressive spondylolisthesis. Clin Orthop 117: 157–163
Harrington PR, Tullos HS (1969) Reduction of severe spondylolisthesis in children. South Med J 62:1–7
Harrington PR, Tullos HS (1971) Spondylolisthesis in children. Observations and surgical treatment. Clin Orthop 79:75–84
Harris IE, Weinstein SL (1987) Longterm follow-up of patients with gradeIII and IV spondylolisthesis. Treatment with and without posterior fusion. J Bone Joint Surg [Am] 69: 960–969
Hehne HJ, Zielke K, Bohm H (1990) Polysegmental lumbar osteotomies and transpedicle fixation for correction of long-curved kyphotic deformities in ankylosing spondylitis. Report on 177 cases. Clin Orthop 258:49–55
Hensinger RN (1989) Current concepts review. Spondylolysis and spondylolisthesis in children and adolescents. J Bone Joint Surg [Am] 71: 1098–1107
Hensinger RN, Lang JR, MacEwen GD (1976) Surgical management of spondylolisthesis in children and adolescents. Spine 1: 207–216
Herkowitz HN, Kurz LT (1991) Degenerative lumbar spondylolisthesis with spinal stenosis. J Bone Joint Surg [Am] 73: 802–808
Hirabayashi S, Kumano K, Kuroki T (1991) Cotrel-Dubousset pedicle screw system for various spinal disorders. Merits and problems. Spine 16: 1298–1304
Hou S, Hu S, Shi Y (1993) Pedicle morphology of the lower thoracic and lumbar spine in a Chinese population. Spine 18:1850–1855
Hutter CG (1983) Posterior intervertebral body fusion. A 25-year study. Clin Orthop 179:86–96
Hutter CG (1985) Spinal stenosis and posterior lumbar interbody fusion. Clin Orthop 193:103–114
Inoue SI, Watanabe T, Hirose A, Tanaka T, Matsui N, Saegusa O, Sho E (1984) Anterior discetomy and interbody fusion for lumbar disc herniation. A review of 350 cases. Clin Orthop 183:22–31
Jackson RK, Boston DA, Edge AJ (1985) Lateral mass fusion. A prospective study of a consecutive series with long-term follow-up. Spine 10:828–832
Jacobs R, Montesano P, Jackson R (1989) Enhancement of lumbar spine fusion by use of translaminar facet joint screws. Spine 14: 12–15
Johnson JR, Kirwan EO (1983) The long-term results of fusion in situ for severe spondylolisthesis. J Bone Joint Surg [Br] 65:43–46
Johnson LP, Nasca RJ, Dunham WK (1988) Surgical management of isthmic spondylolisthesis. Spine 13:93–97
Johnsson K, Willner S, Johnsson K (1986) Postoperative instability after decompression for lumbar spinal stenosis. Spine 11: 107–110
Johnsson R, Selvik G, Stromqvist B, Sundén G (1990) Mobility of the lower lumbar spine after posterolateral fusion determined by roentgen stereophotogrammetric analysis. Spine 15:347–350
Johnson B, Sjöström L, Olerud C, Andréason I, Bring J, Rauschning W (1996) Outcome after limited posterior surgery for thoracic spine metastases. Eur Spine J 5: 36–44
Kabins MB, Weinstein IN, Spratt KF, Found EM, Chen JH, Woody J, Sayre H (1991) Isolated L4-L5 floating fusions using the variable screw placement system: unilateral vs. bilateral. Presented at the Annual meeting of the International Society for the Study of the Lumbar Spine, Heidelberg
Kaneda K, Satoh S, Nohara Y, Oguma T (1985) Distraction rod instrumentation with posterolateral fusion in isthmic spondylolisthesis: 53 cases followed for 18–89 months. Spine 10:383–389
Kaneda K, Kazama H, Satoh S, Fujiya M (1986) Follow-up study of medial facetectomies and posterolateral fusion with instrumentation in unstable degenerative spondylolisthesis. Clin Orthop 203:159–167
Katz JN, Lipson SJ, Larson MG, McInnes JM, Fossel AH, Liang MH (1991) The outcome of decompressive laminectomy for degenerative lumbar stenosis. J Bone Joint Surg [Am] 73:809–816
Kim NH, Lee HM, Chung IH, Kim HJ, Kim SJ (1994) Morphometric study of the pedicles of thoracic and lumbar vertebrae in Koreans. Spine 19:1390–1394
Kiviluoto O, Santavirta S, Salenius P, Morri P (1985) Postero-lateral spine fusion. A 1–4 year follow-up of 80 consecutive patients. Acta Orthop Scand 56:152–154
Kostuik JP, Errico TJ, Gleason TF (1990) Luque instrumentation in degenerative conditions of the lumbar spine. Spine 15:318–321
Kozak JA, O'Brien JP (1990) Simultaneous combined anterior and posterior fusion. An independent analysis of a treatment for the disabled lowback pain patient. Spine 15: 322–328
Krag MH (1996) Biomechanics of transpedicle spinal fixation. In: Wiesel SW, Weinstein JN, Herkowitz H, Dvorak J, Bell G (eds) The lumbar spine. Saunders, Philadelphia, pp 1177–1203
Krag MH, Beynnon BD, Pope MH, Frymoyer JW, Haugh LD, Weaver DL (1986) An internal fixator for posterior application to short segments of the thoracic, lumbar, or lumbosacral spine. Design and testing. Clin Orthop 203:75–98
Krag MH, Weaver DL, Beynnon BD, Haugh LD (1988) Morphometry of the thoracic and lumbar spine related to transpedicular screw placement for surgical spinal fixation. Spine 13:27–31
Lagrone MO, Bradford DS, Moe JH, Lonstein JE, Winter RB, Ogilvie JW (1988) Treatment of symptomatic flatback after spinal fusion. J Bone Joint Surg [Am] 70:569–580
Lauerman WC, Bradford DS, Ogilvie JW, Transfeldt EE (1992) Results of lumbar pseudarthrosis repair. J Spinal Disord 5:149–157
Laurent LE, Ostermann K (1976) Operative treatment of spondylolisthesis in young patients. Clin Orthop 117: 85–91
Laxer E (1994) A further development in spinal instrumentation. Eur Spine J 3:347–352
Lee CK, Vessa P, Lee JK (1995) Chronic disabling low back pain syndrome caused by internal disc derangements. The results of disc excision and posterior lumbar interbody fusion. Spine 20:356–361
Lehmann TR, Spratt KF, Tozzi JE, Weinstein JN, Reinarz SJ, El-Koury GY, Colby H (1987) Long-term follow-up of lower lumbar fusion patients. Spine 12:97–104
Lenke LG, Bridwell KH, Baldus C, Blanke K (1992) Preventing decompensation in King type II curves treated with Cotrel-Dubousset instrumentation. Strict guidelines for selective thoracic fusion. Spine 17: S274-S281
Leyvraz PF, Guigoz JP (1987) Résultats du traitement chirurgical du spondylolisthesis par greffes postérolatérales intertransversaires. A propos de 39 cas. Rev Chir Orthop 73:137–141
Lin PM (1985) Posterior lumbar interbody fusion technique: complications and pitfalls. Clin Orthop 193:90–102
Lindsey RW, Dick W (1991) The fixateur interne in the reduction and stabilization of thoracolumbar spine fractures with neurologic defect. Spine 16: S140-S145
Linson MA, Williams H (1991) Anterior and combined anteroposterior fusion for lumbar disc pain. A preliminary study. Spine 16: 143–145
Liu YK, Njus GO, Bahr PA, Geng P (1990) Fatigue life improvement of nitrogen-ion-implanted pedicle screws. Spine 15:311–317
Loguidice V, Johnson R, Guyer R, Stith W, Ohnmeiss D, Hochschuler S, Rashbaum R (1988) Anterior lumbar interbody fusion. Spine 13:366–369
Lorenz M, Zindrick M, Schwaegler P, Vrbos L, Collatz MA, Behal R, Cram R (1991) A comparison of single-level fusions with and without hardware. Spine 16:S455-S458
Louis R (1986) Fusion of the lumbar and sacral spine by internal fixation with screw plates. Clin Orthop 203: 18–33
Louis R, Maresca C (1976) Les arthrodèse stables de la lombo-sacrée (70 cas). Rev Chir Orthop [Suppl 11] 62:70
Louis R, Maresca C (1977) Stabilisation chirurgicale avec reduction des spondylolyses et des spondylolisthe sis. Int Orthop 1: 215–225
Luque ER (1982a) The anatomic basis and development of segmental spinal instrumentation. Spine 7: 256–259
Luque ER (1982b) Segmental spinal instrumentation for correction of scoliosis. Clin Orthop 163:192–198
Luque ER (1986) Segmental spinal instrumentation of the lumbar spine. Clin Orthop 203:126–134
Luque ER (1989) Segmental spinal instrumentation in neuromuscular scolioses. Orthopaede 18: 128–133
MacMillan MM, Cooper R, Haid R (1994) Lumbar and lumbosacral fusions using Cotrel-Dubousset pedicle screws and rods. Spine 19:430–434
Macnab I, Dall D (1971) The blood supply of the lumbar spine and its application to the technique of intertransverse lumbar fusion. J Bone Joint Surg [Br] 53:628–638
Magerl F (1982) External skeletal fixation of the lower thoracic and the lumbar spine. In: Uhthoff H (ed) Current concepts of external fixation of fractures. Springer, Berlin, pp 353–366
Magerl F (1983) Clinical application on the thoracolumbar junction and the lumbar spine. In: Mears DC (ed) External skeletal fixation. Williams & Wilkins, Baltimore London, pp 553–575
Magerl F, Coscia M (1988) Total posterior vertebrectomy of the thoracic or lumbar spine. Clin Orthop 232:62–69
Marchesi DG, Aebi M (1992) Pedicle fixation devices in the treatment of adult lumbar scoliosis. Spine 17: 5304–8309
Marchesi D, Schneider E, Glauser P, Aebi M (1988) Morphometric analysis of the thoracolumbar and lumbar pedicles, anatomo-radiologic study. Surg Radiol Anat 10: 317–322
Marchesi DG, Thalgott JS, Aebi M (1991) The application and results of the AO-internal fixator in non-traumatic indications. Spine 16: S162-S169
Marchesi DG, Boos N, Zuber K, Aebi M (1992) Translaminar facet joint screws to enhance segmental fusion of the lumbar spine. Eur Spine J 1: 125–130
Mardjetko SM, Connolly PJ, Shott S (1994) Degenerative lumbar spondylolisthesis. A meta-analysis of the lit erature 1970–1993. Spine 19: S2256-S2265
Matthias HH, Heine J (1986) The surgical reduction of spondylolisthesis. Clin Orthop 203:34–44
McAfee PC, Weiland DJ (1991) Survival analysis of pedicular fixation systems. Spine 16: S422–8427
McLain RF, Kabins M, Weinstein JN (1991) VSP stabilization of lumbar neoplasms: technical considerations and complications. J Spinal Disord 4: 359–365
McMaster MJ (1987) Anterior and posterior instrumentation and fusion of thoracolumbar scoliosis due to myelomeningocele. J Bone Joint Surg [Br] 69:20–25
McPhee I, O'Brian J (1979) Reduction of severe spondylolisthesis. A preliminary report. Spine 4:430–434
Mielke CH, Lonstein JE, Denis F, Vandenbrink K, Winter RB (1989) Surgical treatment of adolescent idiopathic scoliosis. A comparative analysis. J Bone Joint Surg [Am] 71: 1170–1177
Mishra N, Yahiro M, Morrey BF (1994) Current concepts review. The Food and Drug Administration's reg ulation of orthopaedic devices. J Bone Joint Surg [Am] 76:919–922
Mitsunaga MM, Chong G, Maes KE (1991) Microscopically assisted posterior lumbar interbody fusion. Clin Orthop 263:121–127
Moran JM, Berg WS, Berry JL, Geiger JM, Steffee AD (1989) Transpedicular screw fixation. J Or thop Res 7:107–114
Morse BJ, Ebraheim NA, Jackson WT (1994) Preoperative CT determination of angles for sacral screw placement. Spine 19:604–607
Mulholland RC (1994) Pedicle screw fixation in the spine. J Bone Joint Surg [Br] 76:517–519
Nasca RJ, Littlefield PD (1990) Knodt rod distraction instrumentation in lumbosacral arthrodesis. Spine 15: 1356–1359
O'Brien JP, Dawson MH, Heard CW, Momberger G, Speck G, Weatherly CR (1986) Simultaneous combined anterior and posterior fusion. A surgical solution for failed spinal surgery with a brief review of the first 150 patients. Clin Orthop 203: 191–195
Olsson TH, Selvik G, Willner S (1977) Mobility in the lumbosacral spine after fusion studied with the aid of roentgen stereophotogrammetry. Clin Orthop 129:181–190
Ostermann K, Lindholm TS, Laurent LE (1976) Late results of removal of the loose posterior element (Gill's op eration) in the treatment of lytic lumbar spondylolisthesis. Clin Orthop 117:121–128
Peek RD, Wiltse LL, Reynolds JB, Thomas JC, Guyer DW, Widell EH (1989) In situ arthrodesis without de compression for grade-III or IV isthmic spondylolisthesis in adults who have severe sciatica. J Bone Joint Surg [Am] 71:62–68
Pizzutillo PD, Mirenda W, MacEwen GD (1986) Posterolateral fusion for spondylolisthesis in adolescence. J Pediatr Orthop 6: 311–316
Prolo DJ, Oklund SA, Butcher M (1986) Toward uniformity in evaluating results of lumbar spine operations. A paradigm applied to posterior lumbar interbody fusions. Spine 11: 601–606
Raugstad TS, Harbo K, Oogberg A, Skeie S (1982) Anterior interbody fusion of the lumbar spine. Acta Orthop Scand 53:561–565
Rolander SD (1966) Motion of the lumbar spine with special reference to the stabilizing effect of posterior fusion. Acta Orthop Scand [Suppl] 37: 117–144
Rombold C (1966) Treatment of spondylolisthesis by posterolateral fusion, resection of the pars interarticularis, and prompt mobilization of the patient. An end-result study of seventy-three patients. J Bone Joint Surg [Am] 48:1282
Roy-Camille R (1970) Ostéosynthése du rachis dorsal, lombaire et lombosacré par plaque métalliques visées dans pédicules vertébraux et les apophyses articulaires. Presse Méd 78: 1447–1448
Roy-Camille R, Saillant G, Mazel C (1986) Internal fixation of the lumbar spine with pedicle screw plating. Clin Orthop 203:7–17
Roy-Camille R, Benazet JP, Desauge JP, Kuntz F (1993) Lumbosacral fusion with pedicular screw plating in strumentation. A 10-year follow-up. Acta Orthop Scand [Suppl] 251: 100–104
Saillant G (1976) Etude anatomique des pédiculas vertébraux. Rev Chir Orthop 62: 151–160
Sasso RC, Cotler HB (1993) Posterior instrumentation and fusion for unstable fractures and fracture-dislocations of the thoracic and lumbar spine. A comparative study of three fixation devices in 70 patients. Spine 18:450–460
Savini R, Ghirardini GL, Morandi M, Pellacci F (1984) Posterolateral lumbosacral arthrodesis (PLA.). A study of 85 cases. Ital J Orthop Traumatol 10:449–460
Schoenecker PL, Cole HO, Herring JA, Capelli AM, Bradford DS (1990) Cauda equina syndrome after in situ arthrodesis for severe spondylolisthesis at the lumbosacral junction. J Bone Joint Surg [Am] 72:369–377
Schbllner D (1990) One stage-reduction and fusion for spondylolisthesis. Int Orthop 14:145–150
Scoles PV, Linton AE, Latimer B, Levy ME, Digiovanni BF (1988) Vertebral body and posterior element morphology: the normal spine in middle life. Spine 13:1082–1086
Seitsalo S, Österman K, Hyvärinen H, Schlenzka D, Poussa M (1990) Severe spondylolisthesis in children and adolescents. J Bone Joint Surg [Br] 72: 259–265
Sijbrandij S (1981) A new technique for the reduction and stabilisation of severe spondylolisthesis. A report of two cases. J Bone Joint Surg [Br] 63: 266–271
Simmons E (1995) Arthritic spinal deformity — ankylosing spondylitis. In: White AH, Schofferman JA (eds) Spine care. Diagnosis and conservative treatment. Mosby-Year Book, St Louis, pp 1652–1719
Simmons ED Jr, Simmons EH (1992) Spinal stenosis with scoliosis. Spine 17:S117-S120
Simpson JM, Ebraheim NA, Jackson WT, Chung S (1993) Internal fixation of the thoracic and lumbar spine using Roy-Camille plates. Orthopedics 16: 663–672
Smith MD, Bohlman HH (1990) Spondylolisthesis treated by a singlestage operation combining decompression with in situ posterolateral and anterior fusion. J Bone Joint Surg [Am] 72:415–421
Soini J, Laine T, Pohjolainen T, Hurri H, Alaranta H (1993) Spondylolisthesis augmented by transpedicular fixa tion in the treatment of olisthetic and degenerative conditions of the lumbar spine. Clin Orthop 297:111–116
Sorensen KH (1978) Anterior interbody lumbar spine fusion for incapacitating disc degeneration and spondy lolisthesis. Acta Orthop Scand 49: 269–277
Stark A, Saraste H (1993) Anterior fusion insufficient for scoliosis in myelomeningocele. 8 children 2–6 years after the Zielke operation. Acta Orthop Scand 64:22–24
Steffee AD, Brantigan JW (1993) The variable screw placement spinal fixation system. Report of a prospective study of 250 patients enrolled in Food and Drug Administration clinical trials. Spine 18: 1160–1172
Stauffer R, Coventry M (1972a) Anterior interbody lumbar spine fusion. J Bone Joint Surg Am 54:756–768
Stauffer RN, Coventry MB (1972b) Posterolateral lumbar-spine fusion. J Bone Joint Surg [Am] 54:1195–1204
Steffee A, Sitkowski D (1988a) Posterior lumbar interbody fusion and plates. Clin Orthop 227:99–102
Steffee AD, Sitkowski DJ (1988b) Reduction and stabilization of grade IV spondylolisthesis. Clin Orthop 227: 82–89
Steffee AD, Biscup RS, Sitkowski DJ (1986a) Segmental spine plates with pedicle screw fixation. A new internal fixation device for disorders of the lumbar and thoracolumbar spine. Clin Orthop 203:45–53
Steffee AD, Sitkowski DJ, Toham LS (1986b) Total vertebral body and pedicle arthroplasty. Clin Orthop 203: 203–208
Suk SI, Lee CK, Kim WJ, Chung YJ, Park YB (1995) Segmental pedicle screw fixation in the treatment of tho racic idiopathic scoliosis. Spine 20: 1399–1405
Taylor LJ, Gardner AD (1984) Knodt rod fusion of the lumbar spine. Acta Orthop Scand 55:542–544
Temple HT, Kruse RW, van Dam BE (1994) Lumbar and lumbosacral fusion using Steffee instrumentation. Spine 19:537–541
Thomasen E (1985) Intercorporal lumbar spondylodesis. 312 patients followed for 2–20 years. Acta Orthop Scand 56:287–293
Thompson JP, Transfeldt EE, Bradford DS, Ogilvie JW, Boachie-Adjei O (1990) Decompensation after Cotrel-Dubousset instrumentation of idiopathic scoliosis. Spine 15:927–931
Thompson WA, Gristina AG, Healy WA Jr (1974) Lumbosacral spine fusion. A method of bilateral posterolat eral fusion combined with a Hibbs fusion. J Bone Joint Surg [Am] 56: 1643–1647
Truchly G, Thompson W (1962) Posterolateral fusion of lumbosacral spine. J Bone Joint Surg [Am] 44:505–512
Turner JA, Ersek M, Herron L, Haselkorn J, Kent D, Ciol MA, Deyo R (1992) Patient outcomes after lumbar spinal fusions. JAMA 268:907–911
Turner R, Bianco A (1971) Spondylolysis and spondylolisthesis in children and teenagers. J Bone Joint Surg [Am] 53:1298–1306
Vaccaro AR, Garfin SR (1995) Internal fixation (pedicle screw fixation) for fusions of the lumbar spine. Spine 20:5157-S165
Vaccaro AR, Rizzolo SJ, Allardyce TJ, Ramsey M, Salvo J, Balderston RA, Coder JM (1995) Placement of pedicle screws in the thoracic spine. Morphometric analysis of the thoracic vertebrae. J Bone Joint Surg [Am] 77:1193–1199
Verbiest H (1979) The treatment of spondyloptosis or impending lumbar spondyloptosis accompanied by neurologic deficit and/or neurogenic intermittent claudication. Spine 4:68–77
Vincent A, Tshiakatumba ML, De Nayer P, Lokietek W, Maldague B, Malghem J, Rombouts JJ (1981) Arthrodèse postéro-latérale du rachis lombaire. Résultats a long terme. Acta Orthop Belg 47:619–635
Ward WT, Wenger DR, Roach JW (1989) Surgical correction of myelomeningocele scoliosis: a critical appraisal of various spinal instrumentation systems. J Pediatr Orthop 9: 262–268
Wawro W, Boos N, Aebi M (1992) Technik der operativen Korrektur posttraumatischer Kyphosen. Unfall chirurgie 95:41–46
Webb JK, Burwell RG, Cole AA, Lieberman I (1995) Posterior instrumentation in scoliosis. Eur Spine J 4: 2–5
Weinstein IN, Rydevik BL (1989) The pain of spondylolisthesis. Semin Spine Surg 1:100–105
West JL, Bradford DS, Ogilvie JW (1991) Results of spinal arthrodesis with pedicle screw-plate fixation. J Bone Joint Surg [Am] 73:1179–1184
White AA, Panjabi MM (1990) Clinical biomechanics of the spine, 2nd edn. Lippincott, Philadelphia, pp 590–608
Whitecloud III TS, Butler JC, Cohen JL, Candelora PD (1989) Complications with the variable spinal plating system. Spine 14:472–476
Wood GW, Boyd RJ, Carothers TA, Mansfield FL, Rechtine GR, Rozen MJ, Sutterlin CE (1995) The effect of pedicle screw/plate fixation on lumbar/lumbosacral autogenous bone graft fusions in patients with degenerative disc disease. Spine 20: 819–830
Wood KB, Transfeldt EE, Ogilvie JW, Schendel MJ, Bradford DS (1991) Rotational changes of the vertebral-pelvic axis following CotrelDubousset instrumentation. Spine16: 5404–5408
Yahiro MA (1994a) Comprehensive literature review. Pedicle screw fixation devices. Spine 19: S2274-S2278
Yahiro MA (1994b) Review of the “Historical study of pedicle screw fixation in thoracic, lumbar and sacral spinal fusions” report. Spine 19: S2297–52299
Yashiro K, Homma T, Hokari Y, Katsumi Y, Okumura H, Hirano A (1991) The Steffee variable screw placement system using different methods of bone grafting. Spine 16:1329–1334
Yuan HA, Garfin SR, Dickman CA, Mardjetko SM (1994) A historical cohort study of pedicle screw fixation in thoracic, lumbar, and sacral spinal fusions. Spine 19: S2279–52296
Zdeblick TA (1993) A prospective, randomized study of lumbar fusion. Preliminary results. Spine 18:983–991
Zindrick MR, Wiltse LL, Doornik A, Widell EH, Knight GW, Patwardhan AG, Thomas JC, Rothman SL, Fields BT (1987) Analysis of the morpho metric characteristics of the thoracic and lumbar pedicles. Spine 12: 160–166
Zuchermann J, Hsu K, White A, Wynne G (1988) Early results of spinal fusion using variable spine plating system. Spine 13:570–579
Zucherman J, Hsu K, Picetti GD, White A, Wynne G, Taylor L (1992) Clinical efficacy of spinal instrumen tation in lumbar degenerative disc disease. Spine 17:834–837
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Boos, N., Webb, J.K. Pedicle screw fixation in spinal disorders: A European view. Eur Spine J 6, 2–18 (1997). https://doi.org/10.1007/BF01676569
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DOI: https://doi.org/10.1007/BF01676569