caa a22 4500 44583305X CHVBK 20180317145321.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00586-011-1914-3 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1914-3 Role of ‘low cost Indian implants' in our practice: our experience with 1,572 pedicle screws [Elektronische Daten] [Saurabh Rawall, Kapil Mohan, Premick Nagad, Ashutosh Sabnis, Uday Pawar, Abhay Nene] Purpose: As Indian spine surgeons, we have to choose between ‘foreign implants' and ‘Indian implants'. An Indian four pedicle screw rod construct costs 330 US dollars (one-third that of a similar foreign construct). About 60% of patients cannot afford expensive foreign implants. There is little written data evaluating how these Indian implants fare. The purpose of our study was to evaluate implant failure rate with Indian implants and compare it to foreign implants. Methods: We analysed results of 1,572 titanium pedicle screws used in 239 patients with a minimum 1-year follow-up. Patients were divided into Indian and foreign implant groups. Radiological failures were classified as (1) surgery and disease failure, (2) bone failure and (3) implant failure. The null hypothesis was that there is no difference between implant failure rate for Indian and foreign implants. Results: A total of 128 (53.56%) of patients could not afford foreign implants. We used 679 foreign and 893 Indian pedicle screws. In foreign implant group, there was a single incident of implant failure (0.15%). In Indian implant group, there were five such incidents (0.56%). Conclusions: (1) Rate of failure for ‘low cost' Indian implants is very low (approximately 1 implant complication for every 200 screws). (2) There is no statistically significant difference in failure rates for Indian implants and foreign implants (P-value=0.2438). We recommend that Indian implants are a safe and viable option to make spine surgery cost effective in the Indian scenario. Springer-Verlag, 2011 Indian implants nationallicence Implant failure nationallicence Screw breakage nationallicence Screw rod disconnection nationallicence Rawall Saurabh Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, Mahim, 400016, Mumbai, Maharashtra, India aut Mohan Kapil Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, Mahim, 400016, Mumbai, Maharashtra, India aut Nagad Premick Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, Mahim, 400016, Mumbai, Maharashtra, India aut Sabnis Ashutosh Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, Mahim, 400016, Mumbai, Maharashtra, India aut Pawar Uday Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, Mahim, 400016, Mumbai, Maharashtra, India aut Nene Abhay Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, Mahim, 400016, Mumbai, Maharashtra, India aut European Spine Journal Springer-Verlag 20/10(2011-10-01), 1607-1612 0940-6719 20:10<1607 2011 20 586 https://doi.org/10.1007/s00586-011-1914-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1914-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rawall Saurabh Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, Mahim, 400016, Mumbai, Maharashtra, India aut NATIONALLICENCE 700 1- Mohan Kapil Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, Mahim, 400016, Mumbai, Maharashtra, India aut NATIONALLICENCE 700 1- Nagad Premick Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, Mahim, 400016, Mumbai, Maharashtra, India aut NATIONALLICENCE 700 1- Sabnis Ashutosh Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, Mahim, 400016, Mumbai, Maharashtra, India aut NATIONALLICENCE 700 1- Pawar Uday Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, Mahim, 400016, Mumbai, Maharashtra, India aut NATIONALLICENCE 700 1- Nene Abhay Division of Spine Surgery, Department of Orthopaedics, Spine Clinic, P D Hinduja National Hospital, Veer Savarkar Marg, Mahim, 400016, Mumbai, Maharashtra, India aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/10(2011-10-01), 1607-1612 0940-6719 20:10<1607 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer