Clinical Study

Minimally Invasive Spinal Arthrodesis in Osteoporotic Population Using a Cannulated and Fenestrated Augmented Screw: Technical Description and Clinical Experience

Table 1

Clinical data of patients undergoing fenestrated pedicle screw augmentationa through minimally invasive approach.

Patient
number
Sex/Age (yrs)Preoperative diagnosisComorbidity factorsSurgical historyT/Fixation levelsSurgical procedureBone graftComplicationPMMA extravasation (number of screw related)FU (mo)

( 1 ) F/60Degenerative discopathy, stenosisNoneDisc herniationNL3-S1Percutaneous augmented FS + miniaccess TLIFAutologous + allograft (Ant.) Transient Radiculitis, Screw misplacementNone24
( 2 ) F/61L4 Burst fractureBMI > 30, AVC, viral hepatitis, depressionNYL3-S1Percutaneous augmented FSNoneNoneNone18
( 3 ) F/74L1 Burst fractureNH Lymphoma, cerebral hematoma, dementia, ethylismNND12-L2Percutaneous augmented FSNoneNoneNone12
( 4 ) F/73L1 Burst fractureAngor, ethylism, depression, arteritis MIDisc herniationYD12-L3Percutaneous augmented FSNoneNoneNone12
( 5 ) F/66Degenerative spondylolisthesis, disc herniationNephrectomy, hypertension, pace maker, epidural fibrosisArthrodesisNL4-L5Percutaneous augmented FS + miniaccess TLIFAutologous + allograft (Ant.)NoneNone21
( 6 ) F/71Degenerative discopathy, stenosisNoneNYL3-S1Percutaneous augmented FS + miniaccess TLIFAutologous + allograft (Ant.)NoneNone12
( 7 ) M/70Degenerative discopathy, stenosisHypothyroidismNNL2-L3Percutaneous augmented FSNoneNoneLateral external venous plexus, asymptomatic ( 1 ) 12
( 8 ) F/75Degenerative discopathy, stenosisRheumatoid arthritisNNL4-L5Percutaneous augmented FS + miniaccess TLIFAutologous + allograft (Ant.)NonePosterior leakage asymptomatic (none)14
( 9 ) M/83Degenerative discopathy, stenosisHTA, ischemic cardiomyopathy, prostate adenoma, atrial fibrillation, renal insufficiencyNNL4-S1Percutaneous augmented FS + miniaccess TLIFAutologous + allograft (Ant.)NoneLateral external venous plexus, asymptomatic ( 1 ) 16
( 1 0 ) F/71Degenerative discopathy, stenosisDepression, hypertensionLaminectomyYL4-S1Percutaneous augmented FSNoneNoneNone17
( 1 1 ) F/75Degenerative spondylolysthesis, stenosisBMI > 25, type 2 diabetes, hypertension, parkinsonNNL3-L5Percutaneous augmented FS + miniaccess TLIFAutologous + allograft (Ant.)NoneNone13
( 1 2 ) F/58L4 burst fractureHypertension, depressionNYL3-S1Percutaneous augmented FSNoneNoneNone10
( 1 3 ) M/78Degenerative discopathy, stenosisObesity, hypertension, type 2 diabetesNNL3-S1Percutaneous augmented FS + miniaccess for bone graftAutologous + allograft (Post Lat.)Subcutaneous
infection
Posterior leakage asymptomatic ( 1 ) 8
( 1 4 ) F/72Degenerative spondylolysthesis, stenosisBMI > 30, cerebral aneurysm embolizedLaminectomyNL2-L4Percutaneous augmented FS + miniaccess for bone graftAutologous + allograft (Post Lat.)NoneNone12
( 1 5 ) F/68Degenerative spondylolysthesis, stenosisNoneArthrodesisNL2-S1Percutaneous augmented FS + miniaccess for bone graftAutologous + allograft (Post Lat.)NoneIntradiscal extravasation, asymptomatic ( 1 ) 6

Total12F/3M, 71.2 yrsb78
augmented
screws
2 out of 15, 13,3%5 out of 15,
30% (no symptomatic)
13,3 mo mean FU

aPMMA: polymethylmethacrylate; bmean age (yrs); T/: tobacco; CA: carcinoma; BMI: body mass index; FS: fenestrated screws; TLIF: transforaminal lumbar interbody fusion; FU: followup; ant.: Interbody anterior bone graft; Post Lat.: posterolateral bone graft.