No abstract

Transpedicular screw fixation for the cervical spine must not be attempted in the Malaysian population before the exact pedicle diameters are known.Therefore, preoperative CT evaluation is a must before transpedicular fixation is performed, especially in female patients. Because the margin for mistake is very narrow, it is best avoided in upper cervical spines.

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No abstract

Two 3.5-mm cortical screws appear too big for fixation in one third of our sample presenting with type-II odontoid fracture. Fixation by two 2.7-mm screws is recommended for Malaysians and other Asian populations.