Cortical bone trajectory instrumentation provides favorable perioperative outcomes compared to pedicle screws for single-level lumbar spinal stenosis and degenerative spondylolisthesis

Nandakumar Menon; Justin Turcotte; Alessandro Speciale; Chad M Patton

doi:10.1016/j.jor.2020.04.001

Cortical bone trajectory instrumentation provides favorable perioperative outcomes compared to pedicle screws for single-level lumbar spinal stenosis and degenerative spondylolisthesis

J Orthop. 2020 Apr 26:22:146-150. doi: 10.1016/j.jor.2020.04.001. eCollection 2020 Nov-Dec.

Authors

Nandakumar Menon¹, Justin Turcotte¹, Alessandro Speciale¹, Chad M Patton¹

Affiliation

¹ AAMC Orthopedics, Anne Arundel Medical Center, 2000 Medical Parkway, Suite 101, Annapolis, MD, USA.

Abstract

Objective: To compare perioperative outcomes between cortical bone trajectory (CBT) instrumentation with pedicle screws (PS) in patients undergoing laminectomy and posterolateral fusion for single-level lumbar spinal stenosis, and degenerative grade I spondylolisthesis.

Methods: A consecutive series of 91 patients from a single institution between January 2017 and July 2019 were retrospectively reviewed.

Results: Patients in CBT group had significantly shorter operative time, lower blood loss and shorter length of stay.

Conclusion: CBT instrumentation demonstrated favorable perioperative outcomes that may enhance the overall value in patients undergoing laminectomy and posterolateral fusion for single-level lumbar spinal stenosis, and degenerative grade I spondylolisthesis.

Keywords: Length of stay; Operative time; Spinal stenosis; Spondylolisthesis; Surgical blood loss.