Fundamentals in Spinal Surgery for Residents-Thoracic Pedicle Screws

Video Transcription

Video Summary

In this video, the presenter discusses thoracic pedicle screws, which are used for spinal fixation. The video begins with the presenter outlining the learning objectives and disclosing their personal disclosures. They then discuss the indications for thoracic fixation, which include fractures, dislocations, tumors, kyphosis, and scoliosis. The goal of surgery is to establish a solid fusion, and pedicle screws are the standard option for fixation due to their effectiveness. The presenter emphasizes the importance of selecting the right patient for fusion and using optimal technique. They explain the process of placing pedicle screws, including finding the starting point, using a curved probe for cannulation, tapping the pedicle, and placing the screw. The presenter mentions the use of adjuncts such as lateral thoracoscopy, neurophysiological monitoring, intraoperative CT, and navigation. They stress the importance of careful preparation and understanding patient-specific anatomy.

Asset Caption

Kai-Ming Fu, MD, PhD, FAANS

Keywords

thoracic pedicle screws

spinal fixation

indications for thoracic fixation

solid fusion

pedicle screw placement