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Research ArticleArticles

Comparison Between Gearshift And Drill Techniques For Pedicle Screw Placement By Resident Surgeons

Jonathan Allen, Yusuf T. Akpolat, Shyam Kishan, Tim Peppers, Farbod Asgarzadie and Wayne K. Cheng
International Journal of Spine Surgery January 2015, 9 23; DOI: https://doi.org/10.14444/2023
Jonathan Allen
1Department of Orthopaedic Surgery, Loma Linda University
MD
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Yusuf T. Akpolat
1Department of Orthopaedic Surgery, Loma Linda University
MD
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Shyam Kishan
2Department of Orthopaedic Surgery, Indiana University
MD
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Tim Peppers
3Department of Orthopaedic Surgery, Seaside Spine
MD
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Farbod Asgarzadie
4Department of Neurological Surgery, Loma Linda University
MD
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Wayne K. Cheng
1Department of Orthopaedic Surgery, Loma Linda University
MD
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  • Article
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Article Figures & Data

Figures

  • Fig. 1
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    Fig. 1

    A, Gearshift. B, Drill.

  • Fig. 2
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    Fig. 2

    Number of violations by direction.

  • Fig. 3
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    Fig. 3

    Violation percentage per pedicle by individual residents.

  • Fig. 4
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    Fig. 4

    Violation comparison between gearshift and drill methods for pedicle screw placement.

    *No differences between drill and gearshift technique (p = 0.6).

  • Fig. 5
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    Fig. 5

    Violation percentage by vertebral level of gearshift and drill techniques.

  • Fig. 6
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    Fig. 6

    Comparison of segmental anatomic level with cortical violations.

    *Statistically higher violation rate (p = 0.016).

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International Journal of Spine Surgery
Vol. 9
1 Jan 2015
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Comparison Between Gearshift And Drill Techniques For Pedicle Screw Placement By Resident Surgeons
Jonathan Allen, Yusuf T. Akpolat, Shyam Kishan, Tim Peppers, Farbod Asgarzadie, Wayne K. Cheng
International Journal of Spine Surgery Jan 2015, 9 23; DOI: 10.14444/2023

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Comparison Between Gearshift And Drill Techniques For Pedicle Screw Placement By Resident Surgeons
Jonathan Allen, Yusuf T. Akpolat, Shyam Kishan, Tim Peppers, Farbod Asgarzadie, Wayne K. Cheng
International Journal of Spine Surgery Jan 2015, 9 23; DOI: 10.14444/2023
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Keywords

  • pedicle screw instrumentation
  • resident surgeon
  • gearshift
  • drill
  • pedicle violation
  • cortical violation
  • critical violation
  • noncritical violation
  • vertebral segment
  • accuracy
  • safety

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