Anterior transpedicular screw fixation of cervical spine: Is it safe? Morphological feasibility, technical properties, and accuracy of manual insertion

KÖKTEKİR E., Toktas Z. O., Seker A., Akakin A., Konya D., KILIÇ T.

JOURNAL OF NEUROSURGERY-SPINE, vol.22, no.6, pp.596-604, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 22 Issue: 6
  • Publication Date: 2015
  • Doi Number: 10.3171/2014.10.spine14669
  • Journal Name: JOURNAL OF NEUROSURGERY-SPINE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.596-604
  • Keywords: anterior transpedicular screw fixation, fluoroscopy, accuracy, cervical, pedicle, anatomy, PEDICLE SCREW, COMPUTED-TOMOGRAPHY, PLACEMENT, RECONSTRUCTION, COMPLICATIONS, DIMENSIONS, CORPECTOMY, STRENGTH, 4-LEVEL, MIDDLE
  • Marmara University Affiliated: Yes

Abstract

OBJECT Due to lack of construct stability of the current anterior cervical approaches, supplemental posterior cervical approaches are frequently employed. The use of an anterior-only approach with anterior transpedicular screws (ATPSs) has been proposed as a means of providing 3-column fixation. This study was designed to investigate the feasibility of anterior transpedicular screw (ATPS) fixation of cervical spine, to obtain the morphological measurements for technical prerequisites, and to evaluate the accuracy of the ATPS using fluoroscopy.