Percutaneous Transpedicular Stabilization In Gwalior

Posterior stabilization using PPS was done utilizing the ILLICO Minimally Invasive Surgery System (Alphatec Spine Inc., Carlsbad, CA, USA) from Th9 to L2 and PTPIF using autologous iliac bone graft at T11–12 was performed. The procedure was performed with the patient within the prone position after induction of  general anesthesia. Skin incisions measuring 2 to three cm long were marked over each chosen pedicle with the assistance of two-dimensional fluoroscopic images. the help of fluoroscopic images was needed through the procedure. A Jamshidi cannulated needle was wont to perforate each pedicle from T9 to L2. After confirming that the tip of the needle was placed correctly, the needle was led into the vertebral body through the pedicle at each vertebra. A guidewire was then inserted through the needle into the vertebral body. The needle was carefully removed leaving the guidewire in situ, then  cannulated screws were placed over the guidewire from T9 to L2, excepting T12. At T12, the needle was inserted with cephalad angulation within the  sagittal plane to succeed in the middle of the T11–12 disc. After the needle reached the disk space  with a perforation of the upper endplate at T12, the guidewire was inserted through the needle into the disk space. The needle was carefully removed leaving the guidewire in situ. A pedicle screw tapper for PPS was wont to widen the pathway to the disk space. The disk space was curetted by small discectomy instruments. After sufficient irrigation of the disk space, cancellous bone harvested from the iliac crest was jammed into the disk space through a cylindrical instrument produced for vertebroplasty using hydroxyapatite blocks by a bilateral transpedicular approach. Afterward, the rods of the acceptable bending were placed over the screws through subcutaneous soft tissues and muscles. After any bleeding within the wound was controlled, the surgical incisions were closed. We provide best Percutaneous Transpedicular Stabilization In Gwalior.