{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T00:23:55Z","timestamp":1721953435535},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T00:00:00Z","timestamp":1721865600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T00:00:00Z","timestamp":1721865600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Med Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Study design<\/jats:title>\n                <jats:p>Retrospective case series.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Objectives<\/jats:title>\n                <jats:p>We aimed to describe with a novel surgical approach for the removal of posterior thoracolumbar implant in patients with symptomatic failure of the implant and present our preliminary results with this method.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This retrospective, single-center study was performed in the neurosurgery department of a university hospital. Data were gathered from the medical files of 314 patients (243 women, 77.39%; 71 men, 22.61%) with symptomatic thoracolumbar implant failure that underwent implant removal operation using our novel technique between 2010 and 2020. Symptoms, radiological findings, intraoperative findings as well as clinical outcomes were evaluated.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In our series, the average age was 46.5\u00a0years (range: 21\u201384) with a mean follow-up duration of 7\u00a0years (range: 3\u00a0months to 10\u00a0years). Preoperatively, the most common symptoms were leg pain and numbness of the lower extremity. Postoperatively, no major complications were noted. Clinical progression of symptoms was avoided by surgery in all patients, while we came across removal difficulties due to screw\u2013screwdriver mismatch in 15 of 314 surgeries (4.78%). Our novel approach allowed successful screw removal including these challenging cases.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>We suggest that our novel approach is a practical and effective for the removal of posterior thoracolumbar implant in cases with symptomatic failure attributed to screw\u2013screwdriver mismatch. Further trials are warranted to assess the efficacy of this technique to overcome surgical problems associated with screw removal.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40001-024-01977-3","type":"journal-article","created":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T05:25:16Z","timestamp":1721885116000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Describing an old trick in posterior thoracal and lumbar \u0131mplant removal surgery: follow-up results for at least 10\u00a0years"],"prefix":"10.1186","volume":"29","author":[{"given":"Murat","family":"Yilmaz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ersin","family":"Ikizoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Onder","family":"Ertem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mert","family":"Arslan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serhat Resat","family":"Erbayraktar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kemal","family":"Yucesoy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,25]]},"reference":[{"key":"1977_CR1","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1007\/s00402-009-0962-1","volume":"130","author":"SI Stavridis","year":"2010","unstructured":"Stavridis SI, B\u00fccking P, Schaeren S, Jeanneret B, Schnake KJ. Implant removal after posterior stabilization of the thoraco-lumbar spine. Arch Orthop Trauma Surg. 2010;130:119\u201323.","journal-title":"Arch Orthop Trauma Surg"},{"key":"1977_CR2","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/j.jocn.2021.01.045","volume":"86","author":"S Kato","year":"2021","unstructured":"Kato S, Lewis SJ. Recognition of posterior thoracolumbar instrumentations used in spinal deformity surgery and techniques for implant removal. J Clin Neurosci. 2021;86:217\u201322.","journal-title":"J Clin Neurosci"},{"key":"1977_CR3","doi-asserted-by":"publisher","first-page":"E627","DOI":"10.1097\/BRS.0000000000000870","volume":"40","author":"CH Jeon","year":"2015","unstructured":"Jeon CH, Lee HD, Lee YS, Seo JH, Chung NS. Is it beneficial to remove the pedicle screw instrument after successful posterior fusion of thoracolumbar burst fractures? 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The approval of the local institutional review board had been obtained before the study (2020\/21-06).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"384"}}