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The Journal of Bone and Joint Surgery (American) 82:1458 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Current Concepts Review

The Use of Pedicle-Screw Internal Fixation for the Operative Treatment of Spinal Disorders*

Robert W. Gaines, Jr., M.D.

Investigation performed at the Columbia Orthopaedic Group, Columbia Spine Center, and the Department of Orthopaedic Surgery, University of Missouri Health Sciences Center, Columbia, Missouri
*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.
Department of Orthopaedic Surgery, University of Missouri Health Sciences Center, One Hospital Drive, Columbia, Missouri 65212. E-mail address: rgaines@cogmds.com.

The first 150 words of the full text of this article appear below.


   Introduction
 
Pedicle screws have dramatically improved the outcomes of spinal reconstruction requiring spinal fusion.

Short-segment surgical treatments based on the use of pedicle screws for the treatment of neoplastic, developmental, congenital, traumatic, and degenerative conditions have been proved to be practical, safe, and effective.

The Funnel Technique provides a straightforward, direct, and inexpensive way to very safely apply pedicle screws in the cervical, thoracic, or lumbar spine.

Carefully applied pedicle-screw fixation does not produce severe or frequent complications.

Pedicle-screw fixation can be effectively and safely used wherever a vertebral pedicle can accommodate a pedicle screw - that is, in the cervical, thoracic, or lumbar spine.

Training in pedicle-screw application should be standard in orthopaedic training programs since pedicle-screw fixation represents the so-called gold standard of spinal internal fixation.

Pedicle screws have revolutionized the surgical treatment of spinal disorders, although their introduction and widespread adoption by spinal surgeons has created one of . . . [Full Text of this Article]


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