Lateral Mass Screw Fixation Techniques for the Lower Cervical Spine

2021 ◽  
pp. 29-37
Author(s):  
Lei Shi ◽  
Yabo Yan ◽  
Wei Lei
Keyword(s):  
Cervical Spine ◽  
Screw Fixation ◽  
Lateral Mass ◽  
Lower Cervical Spine ◽  
Lateral Mass Screw ◽  
Fixation Techniques

scholarly journals Lateral Mass Screw Fixation for Stabilization of the Middle and Lower Cervical Spine : Avoidance and Management of Complications

2009 ◽  
Vol 23 (1) ◽  
pp. 6-10
Author(s):  
Nobuyuki Shimokawa ◽  
Yoshihiko Fu ◽  
Yuji Tsukazaki ◽  
Toshiyuki Sugino ◽  
Hidetoshi Ikeda ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Screw Fixation ◽  
Lateral Mass ◽  
Lower Cervical Spine ◽  
Lateral Mass Screw ◽  
Management Of Complications

scholarly journals Posterior Subaxial Cervical Spine Screw Fixation: A Review of Techniques

2018 ◽  
Vol 8 (7) ◽  
pp. 751-760 ◽  
Author(s):  
Andrei Fernandes Joaquim ◽  
Marcelo Luis Mudo ◽  
Lee A. Tan ◽  
K. Daniel Riew
Keyword(s):  
Cervical Spine ◽  
Literature Review ◽  
Screw Fixation ◽  
Surgical Techniques ◽  
Pedicle Screw Fixation ◽  
Lateral Mass ◽  
Modified Technique ◽  
Screw Insertion ◽  
Subaxial Cervical Spine ◽  
Fixation Techniques

Study Design: A narrative literature review. Objectives: To review the surgical techniques of posterior screw fixation in the subaxial cervical spine. Methods: A broad literature review on the most common screw fixation techniques including lateral mass, pedicle, intralaminar and transfacet screws was performed on PubMed. The techniques and surgical nuances are summarized. Results: The following techniques were described in detail and presented with illustrative figures, including (1) lateral mass screw insertion: by Roy-Camille, Louis, Magerl, Anderson, An, Riew techniques and also a modified technique for C7 lateral mass fixation; (2) pedicle screw fixation technique as described by Abumi and also a freehand technique description; (3) intralaminar screw fixation; and finally, (4) transfacet screw fixation, as described by Takayasu, DalCanto, Klekamp, and Miyanji. Conclusions: Many different techniques of subaxial screw fixation were described and are available. To know the nuances of each one allows surgeons to choose the best option for each patient, improving the success of the fixation and decrease complications.

Unilateral laminoplasty with lateral mass screw fixation for less invasive decompression of the cervical spine: a biomechanical investigation

2015 ◽  
Vol 24 (12) ◽  
pp. 2781-2787 ◽  
Author(s):  
Gregor Schmeiser ◽  
C. Schilling ◽  
T. M. Grupp ◽  
L. Papavero ◽  
K. Püschel ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Screw Fixation ◽  
Lateral Mass ◽  
Lateral Mass Screw ◽  
Less Invasive ◽  
Biomechanical Investigation

scholarly journals Lateral Mass Screw Fixation in the Cervical Spine: Introducing a New Technique

2020 ◽  
Author(s):  
Sreeramalingam Rathinavelu ◽  
Ariful Islam ◽  
Pankaj Shivhare ◽  
Sandip Chatterjee
Keyword(s):  
Cervical Spine ◽  
Screw Fixation ◽  
New Technique ◽  
Lateral Mass ◽  
Lateral Mass Screw ◽  
A New Technique

Risk factors for intraoperative lateral mass fracture of lateral mass screw fixation in the subaxial cervical spine

2014 ◽  
Vol 20 (1) ◽  
pp. 11-17 ◽  
Author(s):  
Shinichi Inoue ◽  
Tokuhide Moriyama ◽  
Toshiya Tachibana ◽  
Fumiaki Okada ◽  
Keishi Maruo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cervical Spine ◽  
Screw Fixation ◽  
Lateral Mass ◽  
Lateral Mass Screw ◽  
Screw Insertion ◽  
Significant Difference ◽  
Independent Risk Factors ◽  
Lateral Mass Fracture ◽  
Destructive Spondyloarthropathy

ObjectAlthough lateral mass screw fixation for the cervical spine is a safe technique, lateral mass fracture during screw fixation is occasionally encountered intraoperatively. This event is regarded as a minor complication; however, it poses difficulties in management that may affect fixation stability and clinical outcome. The purpose of this study is to determine the incidence and etiology of lateral mass fractures during cervical lateral mass screw fixation.MethodsA retrospective clinical review of patient records was performed in 117 consecutive patients (mean age 57 years, range 15–86 years) who underwent lateral mass screw fixation using a modified Magerl method from 1997 to 2010 at a single institution. A total of 555 lateral masses were included in this study. The outer diameters of the screws were 3.5 or 4.0 mm. In the retrospective clinical analysis, the incidence of intraoperative lateral mass fractures was reviewed. Potential risk factors for this complication were assessed using multivariate analysis.ResultsThe incidence of lateral mass fractures during cervical lateral mass screw fixation was 4.7% (26 lateral masses) among all cases. Among the disorders, the incidence was highest in patients with destructive spondyloarthropathy (DSA) (18.8%, 12 lateral masses). There was no significant difference with respect to lateral mass fracture between the use of 4.0-mm screws (5.6%) and 3.5-mm screws (3.6%). Independent risk factors identified by logistic regression were DSA (OR 7.89, p < 0.001) and screw insertion in the C-6 lateral masses (OR 2.80, p = 0.018).ConclusionsThe overall incidence of lateral mass fracture during cervical lateral mass screw fixation was 4.7%. Destructive spondyloarthropathy as an underlying cause of morbidity and screw placement in the C-6 lateral mass were identified as independent risk factors. Use of a 4.0-mm screw in patients with DSA may be a principal risk factor for this complication.

Measurements of Lateral Mass of Cervical Spine Using MRI for Lateral Mass Screw Fixation

2002 ◽  
Vol 9 (2) ◽  
pp. 121 ◽  
Author(s):  
Kyung-Soo Suk ◽  
Ki-Tack Kim ◽  
Sang-Hoon Lee ◽  
Kyung-Nam Ryu
Keyword(s):  
Cervical Spine ◽  
Screw Fixation ◽  
Lateral Mass ◽  
Lateral Mass Screw
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