Biomechanical stability of transpedicular screw fixation in lower cervical spine / 中国组织工程研究

ABSTRACT

Transpedicular screw fixation for cervical spine is the strongest spinal posterior fixation that could provide tri-column biomechanical stability,and it has been gradually identified as a quite high value in clinical application.The pedicle of vertebral arch is adjacent to vital neurovascular structures;thereby pedicle screw fixation in the cervical spine has been considered as a potential risk of injury and been limited in clinics.This study aims to review the studies on the current situation and progress of pedicle screw fixation techniques in lower cervical disease by investigating cervical pedicle morphology,biomechanical property,transpedicular screw insertion techniques and internal fixation system,computer assisted image-guided navigation,the indication,contraindication and complications of pedicle screw fixation.The article shows that preoperative careful evaluation for the morphology of the lower cervical pedicles,using kinds of new image guided techniques and meticulous techniques of screw placement in operation are essential in reducing operational risk and offering widely application.