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Related Experiment Videos

Wire-holding frame for sublaminar segmental spinal instrumentation

L S Segal1, E P Schwentker

  • 1Department of Orthopaedics, Pennsylvania State University, College of Medicine, Milton S. Hershey Medical Center, Hershey.

Spine
|May 15, 1994
PubMed
Summary

A novel wire-holding frame for sublaminar segmental instrumentation (SSI) has been utilized for 14 years, enhancing surgical safety and efficiency. This device minimizes neurologic injury risk and reduces glove perforation during spinal fusion procedures.

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Area of Science:

  • Spinal surgery
  • Orthopedic instrumentation
  • Surgical technique

Background:

  • Sublaminar segmental instrumentation (SSI) is a common spinal fusion technique.
  • Potential risks include neurologic injury and glove perforation.
  • A specialized wire-holding frame has been developed to mitigate these risks.

Purpose of the Study:

  • To evaluate the long-term utility and benefits of a wire-holding frame for SSI.
  • To assess the frame's impact on surgical safety and efficiency.

Main Methods:

  • A wire-holding frame for SSI has been in use for 14 years at the authors' institution.
  • The frame facilitates careful sublaminar wire passage.
  • The technique involves keeping wires taut against the lamina's undersurface.

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Main Results:

  • The frame reduces the risk of neurologic injury by maintaining wire tension.
  • Operative efficiency is improved through organized wire sequencing.
  • The risk of glove perforation is decreased by shielding the operative field from sharp wire ends.

Conclusions:

  • The wire-holding frame is a valuable tool for SSI, enhancing safety and efficiency.
  • This device offers a significant advantage in preventing intraoperative complications.
  • Consistent use over 14 years demonstrates its reliability and effectiveness.