Inferolateral Entry Point for C2 Pedicle Screw Fixation in High Cervical Lesions
Journal of Korean Neurosurgical Society
; : 341-347, 2011.
Article
de En
| WPRIM
| ID: wpr-38521
Bibliothèque responsable:
WPRO
ABSTRACT
OBJECTIVE: The purpose of this retrospective study was to evaluate the efficacy and safety of atlantoaxial stabilization using a new entry point for C2 pedicle screw fixation. METHODS: Data were collected from 44 patients undergoing posterior C1 lateral mass screw and C2 screw fixation. The 20 cases were approached by the Harms entry point, 21 by the inferolateral point, and three by pars screw. The new inferolateral entry point of the C2 pedicle was located about 3-5 mm medial to the lateral border of the C2 lateral mass and 5-7 mm superior to the inferior border of the C2-3 facet joint. The screw was inserted at an angle 30degrees to 45degrees toward the midline in the transverse plane and 40degrees to 50degrees cephalad in the sagittal plane. Patients received followed-up with clinical examinations, radiographs and/or CT scans. RESULTS: There were 28 males and 16 females. No neurological deterioration or vertebral artery injuries were observed. Five cases showed malpositioned screws (2.84%), with four of the screws showing cortical breaches of the transverse foramen. There were no clinical consequences for these five patients. One screw in the C1 lateral mass had a medial cortical breach. None of the screws were malpositioned in patients treated using the new entry point. There was a significant relationship between two group (p=0.036). CONCLUSION: Posterior C1-2 screw fixation can be performed safely using the new inferolateral entry point for C2 pedicle screw fixation for the treatment of high cervical lesions.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Artère vertébrale
/
Études rétrospectives
/
Articulation zygapophysaire
Type d'étude:
Observational_studies
Limites du sujet:
Female
/
Humans
/
Male
langue:
En
Texte intégral:
Journal of Korean Neurosurgical Society
Année:
2011
Type:
Article