Routine insertion of the lateral mass screw via the posterior arch for C1 fixation: feasibility and related complications

Yeom, Jin S.; Kafle, Dashrath; Nguyen, Ngoc Quyen; Noh, Won; Park, Kunwoo; Chang, Bong‐Soon; Lee, Choon-Ki; Riew, K. Daniel

doi:10.1016/j.spinee.2012.06.010

Cited by 80 publications

(59 citation statements)

References 9 publications

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“…However, Yeom et al showed that C1 pedicle can be safely placed in routine practice. 11 Thomas et al describe a series of 26 patients who had C1 pedicle screws with good clinical outcomes. 4,11 No vertebral artery injuries were reported in any of these series utilizing pedicle or notched technique.…”

Section: C1 Pedicle Screwmentioning

confidence: 99%

“…11 Thomas et al describe a series of 26 patients who had C1 pedicle screws with good clinical outcomes. 4,11 No vertebral artery injuries were reported in any of these series utilizing pedicle or notched technique. 12 Obstacles of C1 pedicle screws are similar to that of lateral mass screws: vertebral artery injury, persistent 1st intersegmental artery injury, hypoglossal nerve injury, internal carotid artery injury, and occipital neuralgia.…”

Section: C1 Pedicle Screwmentioning

confidence: 99%

“…6,11,13,14,15,16 Up to 53.8% of people have a posterior arch height of less than 4 mm. 15 Both Lee et al and Qian et al have shown that women have a significantly lower outer cortical height than men so extra care should be taken when considering C1 pedicle screws in the female population.…”

mentioning

confidence: 99%

“…However, this resolved spontaneously except for a single case of transection. 11 Of importance, Lin et al does caution that anatomic variability in the posterior elements of the atlas requires extensive review of preoperative CT imaging for safe screw placement. 18 …”

mentioning

confidence: 99%

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Placement of C1 Pedicle Screws Using Minimal Exposure: Radiographic, Clinical, and Literature Validation

et al. 2015

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Background Traditional C1-2 fixation involves placement of C1 lateral mass screws. Evolving techniques have led to the placement of C1 pedicle screws to avoid exposure of the C1-C2 joint capsule. Our minimal dissection technique utilizes anatomical landmarks with isolated exposure of C2 and the inferior posterior arch of C1. We evaluate this procedure clinically and radiographically through a technical report.

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Section: C1 Pedicle Screwmentioning

confidence: 99%

Section: C1 Pedicle Screwmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Placement of C1 Pedicle Screws Using Minimal Exposure: Radiographic, Clinical, and Literature Validation

et al. 2015

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“…The articular cartilages were removed, and the joint spaces were distracted and packed with autogenous iliac bone graft. Lateral mass screws were inserted via the posterior arch in C-1 12,16 in all cases (Figs. 3 and 4).…”

Section: Brief Surgical Proceduresmentioning

confidence: 99%

A new technique for reduction of atlantoaxial subluxation using a simple tool during posterior segmental screw fixation

Suh

Padua

Riew

et al. 2013

SPI

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Object The authors introduce a simple technique and tool to facilitate reduction of atlantoaxial subluxation during posterior segmental screw fixation. Methods Two types of reduction tool have been designed: T-type and L-type. A T-shaped levering tool was used when a pedicle or pars screw was used for C-2, and an L-shaped tool was used when a laminar screw was used for C-2. Twenty-two patients who underwent atlantoaxial segmental screw fixation and fusion for the treatment of anteroposterior instability or subluxation, using either of these new types of reduction tool, were enrolled. Demographic, clinical, and surgical data, which had been prospectively collected in a database, were analyzed. The atlantodens interval was measured on lateral radiographs, and the space available for the spinal cord was measured on CT scans. Results The authors could attain reduction of the atlantoaxial subluxation without difficulty using either type of tool. The preoperative atlantodens interval ranged from −16.9 to 10.9 mm in a neutral position, and the postoperative interval ranged from −2.8 to 3.0 mm, with negative values due to extension-type or mixed-type instability. The mean space available for the spinal cord significantly increased, from 9.5 mm preoperatively to 15.4 mm postoperatively (p < 0.001). Conclusions This technique allowed for controlled manipulation and reduction of the atlantoaxial subluxation without difficulty.

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Perioperative Management: Surgical Site Infection Prevention, DVT Prophylaxis, and Blood Loss Management

Molliqaj

Robin

Czarnetzki

et al. 2019

Surgery of the Cranio-Vertebral Junction

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Routine insertion of the lateral mass screw via the posterior arch for C1 fixation: feasibility and related complications

Cited by 80 publications

References 9 publications

Placement of C1 Pedicle Screws Using Minimal Exposure: Radiographic, Clinical, and Literature Validation

Placement of C1 Pedicle Screws Using Minimal Exposure: Radiographic, Clinical, and Literature Validation

A new technique for reduction of atlantoaxial subluxation using a simple tool during posterior segmental screw fixation

Perioperative Management: Surgical Site Infection Prevention, DVT Prophylaxis, and Blood Loss Management

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