Comparison of Three Different Techniques in Cervical Transpedicular Screw Insertion
Journal of Korean Neurosurgical Society
; : 360-365, 2006.
Article
in En
| WPRIM
| ID: wpr-153984
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ABSTRACT
OBJECTIVE: This is a cadaver study to assess the accuracy of three cervical screw insertion techniques: the blind technique (Group I), the laminotomy technique (Group II), and the funnel technique (Group III). METHODS: Ten human cadavers embalmed with formaldehyde were prepared. After exposing the spinous processes, the laminas and the lateral masses, titanium alloy transpedicular screws were inserted from C3 to C7. A total of 100 pedicles were ramdomly assigned to one of three techniques (the blind technique: 31 screws, the laminotomy technique: 51 screws, the funnel technique: 18 screws). Axial computed tomography with 1-mm slices, and sagittal and coronal reformation were performed to identify the accuracy of the screw insertion and the anatomic relationships. RESULTS: In Group I, 9 screws (29%) were either contained within or penetrated less than 1mm, which were rated as successful. In Group II, 24 screws (47%) were successful. In Group III, 16 screws (89%) were successful. In the multiple comparison, there was a statistically significant difference between Groups I and III and between Groups II and III (chi-square test and Bonfenoni test). CONCLUSION: The funnel technique can help a surgeon's understanding about the cervical pedicle more precisely than the other two techniques. The funnel technique is less dependent on lateral soft tissue retraction state.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Titanium
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Cadaver
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Alloys
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Formaldehyde
/
Laminectomy
Limits:
Humans
Language:
En
Journal:
Journal of Korean Neurosurgical Society
Year:
2006
Type:
Article