Comparison of Surgical Outcomes between Cortical Bony Trajectory Screw and Traditional Trajectory Screw in Posterior Lumbar Interbody Fusion: A Systematic Review

Background Data: Pedicle screw is the main method for lumbar spine fixation. Pedicle screw fixation allows correction of spinal deformities and avoids nonunion. Cortical bony trajectory screw (CBTS) is a new procedure in which screw follows an inferior to superior pathway in the sagittal plane and a...

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Autores principales:	Mohamed F Khattab, MD., Mostafa A Kamal, MD., Naser H Zaher, MD.
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2020
Materias:	cortical bony trajectory screw conventional screw trajectory Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/4f65ba53ab134f6e93b5485d12f2778b
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spelling	oai:doaj.org-article:4f65ba53ab134f6e93b5485d12f2778b2021-12-02T10:19:57ZComparison of Surgical Outcomes between Cortical Bony Trajectory Screw and Traditional Trajectory Screw in Posterior Lumbar Interbody Fusion: A Systematic Review10.21608/esj.2020.23678.11242314-89502314-8969https://doaj.org/article/4f65ba53ab134f6e93b5485d12f2778b2020-01-01T00:00:00Zhttps://www.esj.journals.ekb.eg/article_85042_d76fd9038f3c238678b180bd6c4b3c79.pdfhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Pedicle screw is the main method for lumbar spine fixation. Pedicle screw fixation allows correction of spinal deformities and avoids nonunion. Cortical bony trajectory screw (CBTS) is a new procedure in which screw follows an inferior to superior pathway in the sagittal plane and a medial to lateral pathway in the transverse plane. CBTS reduces the operative and postoperative complications and has high fixation strength. Purpose: To compare the clinical and radiological outcomes between CBTS and traditional trajectory screw (TTS) in posterior lumbar interbody fusion. Study Design: Systematic review of literature. Materials and Methods: Comprehensive electronic search in PubMed, Cochrane Library databases, Google Scholar, and ResearchGate for articles that were published between 2009 and 2019 using the following keywords: cortical bony trajectory screw, cortical bony trajectory-pedicle screw, pedicle screw, and posterior lumbar interbody fusion. Results: Eleven articles met our inclusion criteria and were reported. The majority of the published data prove that the CBTS approach has a similar postoperative leg and back pain when compared to TTS although some of them reported less leg and back pain as regards CBTS. Oswestry Disability Index (ODI) and the operative time showed no significant differences between the CBTS and TTS. Radiological outcomes were similar in both procedures regarding fusion rates and vertebral slippage reduction. Blood loss during surgery was significantly less with CBTS compared to TTS. Conclusion: Both Oswestry Disability Index and operative time showed insignificant differences between the CBTS and TTS. Blood loss was significantly less with CBTS compared to TTS. Radiological outcomes were similar in both procedures. CBTS is a reasonable alternative technique to TTS in short segment posterior lumbar interbody fusion although the current literature did not prove its superiority. Mohamed F Khattab, MD.Mostafa A Kamal, MD.Naser H Zaher, MD.Egyptian Spine Associationarticlecortical bony trajectory screwconventional screw trajectoryNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 33, Iss 1, Pp 26-35 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	cortical bony trajectory screw conventional screw trajectory Neurology. Diseases of the nervous system RC346-429
spellingShingle	cortical bony trajectory screw conventional screw trajectory Neurology. Diseases of the nervous system RC346-429 Mohamed F Khattab, MD. Mostafa A Kamal, MD. Naser H Zaher, MD. Comparison of Surgical Outcomes between Cortical Bony Trajectory Screw and Traditional Trajectory Screw in Posterior Lumbar Interbody Fusion: A Systematic Review
description	Background Data: Pedicle screw is the main method for lumbar spine fixation. Pedicle screw fixation allows correction of spinal deformities and avoids nonunion. Cortical bony trajectory screw (CBTS) is a new procedure in which screw follows an inferior to superior pathway in the sagittal plane and a medial to lateral pathway in the transverse plane. CBTS reduces the operative and postoperative complications and has high fixation strength. Purpose: To compare the clinical and radiological outcomes between CBTS and traditional trajectory screw (TTS) in posterior lumbar interbody fusion. Study Design: Systematic review of literature. Materials and Methods: Comprehensive electronic search in PubMed, Cochrane Library databases, Google Scholar, and ResearchGate for articles that were published between 2009 and 2019 using the following keywords: cortical bony trajectory screw, cortical bony trajectory-pedicle screw, pedicle screw, and posterior lumbar interbody fusion. Results: Eleven articles met our inclusion criteria and were reported. The majority of the published data prove that the CBTS approach has a similar postoperative leg and back pain when compared to TTS although some of them reported less leg and back pain as regards CBTS. Oswestry Disability Index (ODI) and the operative time showed no significant differences between the CBTS and TTS. Radiological outcomes were similar in both procedures regarding fusion rates and vertebral slippage reduction. Blood loss during surgery was significantly less with CBTS compared to TTS. Conclusion: Both Oswestry Disability Index and operative time showed insignificant differences between the CBTS and TTS. Blood loss was significantly less with CBTS compared to TTS. Radiological outcomes were similar in both procedures. CBTS is a reasonable alternative technique to TTS in short segment posterior lumbar interbody fusion although the current literature did not prove its superiority.
format	article
author	Mohamed F Khattab, MD. Mostafa A Kamal, MD. Naser H Zaher, MD.
author_facet	Mohamed F Khattab, MD. Mostafa A Kamal, MD. Naser H Zaher, MD.
author_sort	Mohamed F Khattab, MD.
title	Comparison of Surgical Outcomes between Cortical Bony Trajectory Screw and Traditional Trajectory Screw in Posterior Lumbar Interbody Fusion: A Systematic Review
title_short	Comparison of Surgical Outcomes between Cortical Bony Trajectory Screw and Traditional Trajectory Screw in Posterior Lumbar Interbody Fusion: A Systematic Review
title_full	Comparison of Surgical Outcomes between Cortical Bony Trajectory Screw and Traditional Trajectory Screw in Posterior Lumbar Interbody Fusion: A Systematic Review
title_fullStr	Comparison of Surgical Outcomes between Cortical Bony Trajectory Screw and Traditional Trajectory Screw in Posterior Lumbar Interbody Fusion: A Systematic Review
title_full_unstemmed	Comparison of Surgical Outcomes between Cortical Bony Trajectory Screw and Traditional Trajectory Screw in Posterior Lumbar Interbody Fusion: A Systematic Review
title_sort	comparison of surgical outcomes between cortical bony trajectory screw and traditional trajectory screw in posterior lumbar interbody fusion: a systematic review
publisher	Egyptian Spine Association
publishDate	2020
url	https://doaj.org/article/4f65ba53ab134f6e93b5485d12f2778b
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Comparison of Surgical Outcomes between Cortical Bony Trajectory Screw and Traditional Trajectory Screw in Posterior Lumbar Interbody Fusion: A Systematic Review

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