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- W2143181808 abstract "Using the transverse processes of fresh porcine lumbar spines as an experimental model we evaluated the heat generated by a rotating burr of a high-speed drill in cutting the bone. The temperature at the drilled site reached 174°C with a diamond burr and 77°C with a steel burr. With water irrigation at a flow rate of 540 ml/hr an effective reduction in the temperature was achieved whereas irrigation with water at 180 ml/hr was much less effective. There was a significant negative correlation between the thickness of the residual bone and the temperature measured at its undersurface adjacent to the drilling site (p < 0.001). Our data suggest that tissues neighbouring the drilled bone, especially nerve roots, can be damaged by the heat generated from the tip of a high-speed drill. Nerve-root palsy, one of the most common complications of cervical spinal surgery, may be caused by thermal damage to nerve roots arising in this manner." @default.
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- W2143181808 date "2009-11-01" @default.
- W2143181808 modified "2023-10-03" @default.
- W2143181808 title "Potential risk of thermal damage to cervical nerve roots by a high-speed drill" @default.
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- W2143181808 doi "https://doi.org/10.1302/0301-620x.91b11.22196" @default.
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