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BioMed Research International
Volume 2016 (2016), Article ID 8428530, 8 pages
Clinical Study

Technical Aspects on the Use of Ultrasonic Bone Shaver in Spine Surgery: Experience in 307 Patients

1Department of Neurosurgery, Faculty of Medicine, Muğla Sıtkı Koçman University, 48000 Muğla, Turkey
2Çankırı State Hospital, Department of Neurosurgery, 18000 Çankırı, Turkey
3Lund University, Skane University Hospital, Department of Translational Medicine, 205 02 Malmö, Sweden

Received 21 December 2015; Revised 11 March 2016; Accepted 30 March 2016

Academic Editor: Roger Härtl

Copyright © 2016 Derya Burcu Hazer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aim. We discuss technical points, the safety, and efficacy of ultrasonic bone shaver in various spinal surgeries within our own series. Methods. Between June 2010 and January 2014, 307 patients with various spinal diseases were operated on with the use of an ultrasonic bone curette with microhook shaver (UBShaver). Patients’ data were recorded and analyzed retrospectively. The technique for the use of the device is described for each spine surgery procedure. Results. Among the 307 patients, 33 (10.7%) cases had cervical disorder, 17 (5.5%) thoracic disorder, 3 (0.9%) foramen magnum disorder, and 254 (82.7%) lumbar disorders. Various surgical techniques were performed either assisted or alone by UBShaver. The duration of the operations and the need for blood replacement were relatively low. The one-year follow-up with Neck Disability Index (NDI) and Oswestry Disability Index (ODI) scores were improved. We had 5 cases of dural tears (1.6%) in patients with lumbar spinal disease. No neurological deficit was found in any patients. Conclusion. We recommend this device as an assistant tool in various spine surgeries and as a primary tool in foraminotomies. It is a safe device in spine surgery with very low complication rate.