Faraj A A, Webb J K
Centre of Spinal Studies and Surgery, University Hospital, Nottingham, UK.
Eur Spine J. 1997;6(5):324-6. doi: 10.1007/BF01142678.
The complications of 648 consecutively inserted Universal AO pedicle screws (140 in the thoracic spine and 508 in the lumbar spine) performed by one surgical team to treat 91 patients with spinal problems, were reviewed. The spinal pathology consisted of: scoliosis (34 patients), degenerative lower lumbar spinal disease (25 patients), neoplastic spinal disease (11 patients), thoracic kyphosis (8 patients), spinal fractures (7 patients), lumbo-sacral spondylolisthesis (3 patients), and osteomyelitis (3 patients). Intraoperative complications were: screw misplacement (n = 3), nerve root impingement (n = 1), cerebrospinal fluid leak (n = 2) and pedicle fracture (n = 2). Postoperative complications were; deep wound infection (n = 4), screw loosening (n = 2) and rod-screw disconnection (n = 1). The conclusion was that pedicle screw fixation has an acceptable complication rate and neurological injury during this procedure is unlikely.
回顾了由一个手术团队为91例脊柱疾病患者连续植入648枚通用AO椎弓根螺钉（胸椎140枚，腰椎508枚）的并发症情况。脊柱病变包括：脊柱侧弯（34例）、下腰椎退行性疾病（25例）、脊柱肿瘤性疾病（11例）、胸椎后凸（8例）、脊柱骨折（7例）、腰骶部椎体滑脱（3例）和骨髓炎（3例）。术中并发症有：螺钉误置（n = 3）、神经根受压（n = 1）、脑脊液漏（n = 2）和椎弓根骨折（n = 2）。术后并发症有：深部伤口感染（n = 4）、螺钉松动（n = 2）和棒-螺钉分离（n = 1）。结论是椎弓根螺钉固定的并发症发生率可接受，在此手术过程中发生神经损伤的可能性不大。
