Management of postoperative Complications after posterior lumber spinal fixation

ABSTRACT

Background: For increasing safety and reducing complications that may occur with Trans-Pedicular Scre Placement, different ways have been reported including application of C-arm X-ray view, application of axial computed tomography scan [CTS], frameless stereotactically guided screw placement and different guidance devices. However, the application of all these devices and techniques are not so easy and even in many operating rooms such kinds of instruments are not available. A posterior approach to anterior and middle column reconstruction is often preferred in the lumbar spine for two reasons, the first is that the morbidity associated with an anterior approach is significant and delays recovery, the second is that pedicle screws and rods or plates can be placed before dural retraction and dissection of the intervertebral disk