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Posterior arthrodesis of the spine by percutaneous CT-guided application of screws: preliminary report

  • Nicolas Amoretti
    Correspondence
    Corresponding author. Tel.: +33 04 92 03 63 73.
    Affiliations
    Service d'Imagerie médicale, Centre Hospital Régional et Universitaire de Nice, Hôpital Archet, 151 route de Saint Antoine de Ginestie˙re, B.P 3079, Nice Cedex 3 F-06202, France
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  • Etienne Hovorka
    Affiliations
    Service et orthopedique, Centre Hospital Régional et Universitaire de Nice, Hôpital Archet, 151 route de Saint Antoine de Ginestie˙re, B.P 3079, Nice Cedex 3 F-06202, France
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  • Fabien Dausse
    Affiliations
    Service d'Imagerie médicale, Centre Hospital Régional et Universitaire de Nice, Hôpital Archet, 151 route de Saint Antoine de Ginestie˙re, B.P 3079, Nice Cedex 3 F-06202, France
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  • Patrick Chevallier
    Affiliations
    Service d'Imagerie médicale, Centre Hospital Régional et Universitaire de Nice, Hôpital Archet, 151 route de Saint Antoine de Ginestie˙re, B.P 3079, Nice Cedex 3 F-06202, France
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  • Philippe Brunner
    Affiliations
    Service d'Imagerie médicale, Centre Hospital Régional et Universitaire de Nice, Hôpital Archet, 151 route de Saint Antoine de Ginestie˙re, B.P 3079, Nice Cedex 3 F-06202, France
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  • Pascla Boileau
    Affiliations
    Service et orthopedique, Centre Hospital Régional et Universitaire de Nice, Hôpital Archet, 151 route de Saint Antoine de Ginestie˙re, B.P 3079, Nice Cedex 3 F-06202, France
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  • Jena-Noël Bruneton
    Affiliations
    Service d'Imagerie médicale, Centre Hospital Régional et Universitaire de Nice, Hôpital Archet, 151 route de Saint Antoine de Ginestie˙re, B.P 3079, Nice Cedex 3 F-06202, France
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      Abstract

      We report our preliminary results obtained in five patients following a percutaneous posterior arthrodesis of the spine, executed under fluoroscopic control and CT guidance. To benefit from a mechanical fixation after an anterior osteosynthesis without the inconveniences of the classic posterior surgical intervention, we have adopted a procedure performed under local anesthesia and based on the intraarticular application of screws. The procedure is CT-guided, resulting in a perfect localization of the area involved, it is safe, and it is performed in a short time limiting, therefore, possible neurological, vascular, or visceral complications.

      Keywords

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