Reliability of pedicle screw assessment utilizing plain radiographs versus CT reconstruction

被引：64

作者：

Berlemann U. ^{[1
]}

Heini P. ^{[1
]}

Müller U. ^{[1
]}

Stoupis C. ^{[2
]}

Schwarzenbach O. ^{[1
]}

机构：

[1] Department of Orthopaedic Surgery, Inselspital, Univsersity of Bern, CH-3010 Bern, Freiburgstrasse

[2] Department of Diagnostic Radiolgoy, Inselspital, University of Bern, Bern

来源：

European Spine Journal | 1997年 / 6卷 / 6期

关键词：

Accuracy; CT reconstruction; Pedicle screw; Placement; Plain radiographs;

D O I：

10.1007/BF01834069

中图分类号：

学科分类号：

摘要：

The position of 119 pedicle screws was assessed on plain antero- posterior and lateral radiographs taken immediately post-operatively and at 3 months' follow-up. The readings of five independent observers were compared with the 'gold standard' of CT reconstructions. The position of only 41% of implants (range 14%-56%) was assessed correctly on the plain radiographs (47% on follow-up films). Two-thirds of CT-detectable perforations were missed. As shown with perforations of the anterior cortex, detectability increased significantly with magnitude of perforation. No specifically difficult anatomic level or direction of malplacement could be identified. Interobserver variation was considerable. Plain radiographs were shown to be of limited use in assessing the position of pedicle screws.

引用

页码：406 / 410

页数：4

共 19 条

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