Bone Resorption Around Pedicle Screws After Pedicle Screw Plate Fixation.
10.3348/jkrs.2003.48.4.331
- Author:
Sun Won PARK
1
;
Joo Hyuk LEE
;
Shigeru EHARA
;
Su Ok SEONG
;
Joo Tae PARK
Author Information
1. Department of Radiology, Cheongju St. Mary's Hospital, Korea. ju2390@ncc.re.kr
- Publication Type:Original Article
- Keywords:
Spine, radiography;
Spine, bone resorption;
Pedicle screws, instability
- MeSH:
Bone Resorption*;
Follow-Up Studies;
Humans
- From:Journal of the Korean Radiological Society
2003;48(4):331-335
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To determine the frequency, level, distribution, onset, and pattern of progression of bone resorption that occurring around pedicle screws after pedicle screw plate fixation. MATERIALS AND METHODS: Bone resorption around 902 pedicle screws was analyzed in post-operative, and follow-up radiographs obtained from 156 patients who underwent pedicle screw plate fixation. To determine the resorption degree, categorized arbitrarily as grade 1 (less than 1 mm), grade 2 (1 mm or more, but less than 2 mm), or grade 3 (2 mm or more), the width of radiolucent zones was measured. In 39 patients in whom resorption was graded 1, 2, or 3, the pattern of progression of 78 screws was evaluated. RESUTLS: Resorption occurred around 78 (8.6%) screws in 39 (25%) patients, 26 of whom had more than one lesion. For 99% of screws, there was evidance of resorption within 12 weeks of pedicle screw plate fixation. During follow-up, 61.5% of screws (48/78) remained stable, while 38.5% (30 screws) showed progression to higher grades. The possibility of progression to a higher grade is less when the initial grade is lower. CONCLUSION: An understanding of the radiographic patterns of bone resorption is useful for monitoring a patient after pedicle screw plate fixation.
