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Placement of lumbar fixation screws using the cortical bone trajectory is a novel and potentially valuable technique. In this chapter, we discuss the current literature on clinical outcomes and biomechanical properties of the cortical bone trajectory. We examine indications for which this trajectory may be beneficial compared to a traditional pedicle screw trajectory. The reader is guided through the steps of performing a minimally invasive midline lumbar fusion using the cortical bone screw trajectory, and an illustrative case is provided. In addition, technical pearls as well as common complications and strategies for their avoidance are discussed.
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 0 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |