Evaluation of Trans-laminar Facet Screw for Lumbar Spine Fixation and Fusion: A Systematic Review

Abstract

Abstract Background Translaminar facet screws are an excellent solution for stabilization of the vertebral motion. It is simple, does not require any specialized equipment, and has the advantages of being a procedure of lesser magnitude, lesser operative time and few complication rate. Recently there is growing interest in this technique to augment the anterior lumbar fusions to achieve global fusion less invasively. Aim of the Work to evaluate the role of translaminar facet screw in lumber fixation and fusion inclusion different techniques of translaminar facet screw fixation, its advantages and disadvantages. Methodology: This systematic review included a discussion of all available studies meeting the eligible criteria including: well conducted descriptive studies, cohort, articles, accepted manuscripts, clinical trials, analytic studies and the literature of reviews, technical notes. Results The small volume of the metal in comparison with pedicle screw constructs provides faster patient recovery and reduce the rate of infection and also provide an adequate area for placement of bone grafts. The low cost of the implants is an added advantage in view of the rising costs of health care. Conclusion Translaminar facet screw fixation is feasible, cheaper and effective in lumbar fixation. The technique is not demanding as transpedicular screw with easier learning curve.