The Spine Journal
Volume 10, Issue 4 , Pages 285-290 , April 2010

Inter- and intraobserver variability in the postoperative evaluation of transpedicular stabilization: computed tomography versus magnetic resonance imaging

  • Stephan W. Tohtz, MD

      Affiliations

    • Department of Orthopedics, Center for Musculoskeletal Surgery, Charité–Universitaetsmedizin, 10117 Berlin, Germany
    • Corresponding Author InformationCorresponding author. Department of Orthopedics, Center for Musculoskeletal Surgery, Charité–Universitaetsmedizin, Charitéplatz 1, 10117 Berlin, Germany. Tel.: (+49) 30-450-515109; fax: (+49) 30-450-515922.
    • ,
  • Patrick Rogalla, MD

      Affiliations

    • Department of Radiology, Charité–Universitaetsmedizin, 10117 Berlin, Germany
    • ,
  • Matthias Taupitz, MD

      Affiliations

    • Department of Radiology, Charité–Universitaetsmedizin, 10117 Berlin, Germany
    • ,
  • Carsten Perka, MD

      Affiliations

    • Department of Orthopedics, Center for Musculoskeletal Surgery, Charité–Universitaetsmedizin, 10117 Berlin, Germany
    • ,
  • Tobias Winkler, MD, PhD

      Affiliations

    • Department of Orthopedics, Center for Musculoskeletal Surgery, Charité–Universitaetsmedizin, 10117 Berlin, Germany
    • ,
  • Michael Putzier, MD

      Affiliations

    • Department of Orthopedics, Center for Musculoskeletal Surgery, Charité–Universitaetsmedizin, 10117 Berlin, Germany

Received 1 April 2009 ,Revised 18 November 2009 ,Accepted 25 December 2009.

References 

  1. Kosmopoulos V, Schizas C. Pedicle screw placement accuracy: a meta-analysis. Spine. 2007;32:E111–E120
  2. Yoo JU, Ghanayem A, Petersilge C, Lewin J. Accuracy of using computed tomography to identify pedicle screw placement in cadaveric human lumbar spine. Spine. 1997;22:2668–2671
  3. Belmont PJ, Klemme WR, Dhawan A, Polly DW. In vivo accuracy of thoracic pedicle screws. Spine. 2001;26:2340–2346
  4. Upendra BN, Meena D, Chowdhury B, et al. Outcome-based classification for assessment of thoracic pedicular screw placement. Spine. 2008;33:384–390
  5. Tehranzadeh J, Gabriele OF. The prone position for CT of the lumbar spine. Radiology. 1984;152:817–818
  6. Mahnken AH, Wildberger JE, Gehbauer G, et al. Multidetector CT of the spine in multiple myeloma: comparison with MR imaging and radiography. AJR Am J Roentgenol. 2002;178:1429–1436
  7. van Rijn JC, Klemetso N, Reitsma JB, et al. Observer variation in the evaluation of lumbar herniated discs and root compression: spiral CT compared with MRI. Br J Radiol. 2006;79:372–377
  8. Mirzai H, Eminoglu M, Orguc S. Are drains useful for lumbar disc surgery? A prospective, randomized clinical study. J Spinal Disord Tech. 2006;19:171–177
  9. Morse K, Weight M, Molinari R. Extensive postoperative epidural hematoma after full anticoagulation: case report and review of the literature. J Spinal Cord Med. 2007;30:282–287
  10. Doran SE, Papadopoulos SM, Miller LD. Internal fixation of the spine using a braided titanium cable: clinical results and postoperative magnetic resonance imaging. Neurosurgery. 1996;38:493–496
  11. Ebraheim NA, Rupp RE, Savolaine ER, Reinke D. Use of titanium implants in pedicular screw fixation. J Spinal Disord. 1994;7:478–486
  12. Ebraheim NA, Savolaine ER, Stitgen SH, Jackson WT. Magnetic resonance imaging after pedicular screw fixation of the spine. Clin Orthop Relat Res. 1992;279:133–137
  13. Liljenqvist U, Lepsien U, Hackenberg L, et al. Comparative analysis of pedicle screw and hook instrumentation in posterior correction and fusion of idiopathic thoracic scoliosis. Eur Spine J. 2002;11:336–343
  14. Fisher CG, Sahajpal V, Keynan O, et al. Accuracy and safety of pedicle screw fixation in thoracic spine trauma. J Neurosurg Spine. 2006;5:520–526
  15. Kuklo TR, Lenke LG, O'Brien MF, et al. Accuracy and efficacy of thoracic pedicle screws in curves more than 90 degrees. Spine. 2005;30:222–226
  16. Haaker RG, Eickhoff U, Schopphoff E, et al. Verification of the position of pedicle screws in lumbar spinal fusion. Eur Spine J. 1997;6:125–128
  17. Reichle E, Morlock M, Sellenschloh K, Eggers C. [Definition of pedicle malposition. Primary stability and loosening characteristics of pedicle screws in relation to position: spongious anchoring, cortical anchoring, perforation and malposition]. Orthopade. 2002;31:402–405
  18. Seller K, Wild A, Urselmann L, Krauspe R. [Prospective screw misplacement analysis after conventional and navigated pedicle screw implantation]. Biomed Tech (Berl). 2005;50:287–292
  19. Brooks D, Eskander M, Balsis S, et al. Imaging assessment of lumbar pedicle screw placement: sensitivity and specificity of plain radiographs and computer axial tomography. Spine. 2007;32:1450–1453
  20. Learch TJ, Massie JB, Pathria MN, et al. Assessment of pedicle screw placement utilizing conventional radiography and computed tomography: a proposed systematic approach to improve accuracy of interpretation. Spine. 2004;29:767–773
  21. Gertzbein SD, Robbins SE. Accuracy of pedicular screw placement in vivo. Spine. 1990;15:11–14
  22. Suk SI, Kim WJ, Lee SM. Thoracic pedicle screw fixation in spinal deformities: are they really safe?. Spine. 2001;26:2049–2057
  23. Yalcin S, Guven O. Reversible anterior cord syndrome due to penetration of the spinal canal by pedicular screws. Paraplegia. 1995;33:423–425
  24. Czervionke LF, Berquist TH. Imaging of the spine. Techniques of MR imaging. Orthop Clin North Am. 1997;28:583–616
  25. Gille O, Jolivet E, Dousset V, et al. Erector spinae muscle changes on magnetic resonance imaging following lumbar surgery through a posterior approach. Spine. 2007;32:1236–1241
  26. Peng CW, Chou BT, Bendo JA, Spivak JM. Vertebral artery injury in cervical spine surgery—anatomical considerations, management, and preventive measures. Spine J. 2009;9:70–76

 FDA device/drug status: not applicable.

 Author disclosures: none.

PII: S1529-9430(10)00004-5

doi: 10.1016/j.spinee.2009.12.020

The Spine Journal
Volume 10, Issue 4 , Pages 285-290 , April 2010

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