Comparison of perpendicular to the coronal plane versus medial inclination for atlas pedicle screw insertion: an anatomic and radiological study in human cadavers

International Orthopaedics

Volumn 40, Issue 1, 2016, Pages 141-147

  Ma, Jun ^a   Tang, Jian ^b   Wang, Deguang ^a   Zhu, Yucheng ^a   Sui, Tao ^b   Cao, Xiaojian ^b  

^a XUZHOU MEDICAL UNIVERSITY   (China)

^b THE FIRST AFFILIATED HOSPITAL OF NANJING MEDICAL UNIVERSITY   (China)

Author keywords

Atlas; Computer tomography; Pedicle screw; Trajectory

Indexed keywords

ARTICLE; CADAVER; CERVICAL SPINE; COMPARATIVE STUDY; COMPUTED TOMOGRAPHY SCANNER; FEMALE; HUMAN; MALE; MEDIAL INCLINATION; PEDICLE SCREW; PERPENDICULAR TO THE CORONAL PLANE; PRIORITY JOURNAL; RADIOLOGICAL PARAMETERS; SPIRAL COMPUTER ASSISTED TOMOGRAPHY; STATISTICAL SIGNIFICANCE; ADULT; ANATOMY AND HISTOLOGY; COMPUTER ASSISTED TOMOGRAPHY; FIRST CERVICAL VERTEBRA; RADIOGRAPHY; SURGERY;

ADULT; CADAVER; CERVICAL ATLAS; FEMALE; HUMANS; MALE; PEDICLE SCREWS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84953638745     PISSN: 03412695     EISSN: 14325195     Source Type: Journal    
DOI: 10.1007/s00264-015-2947-8     Document Type: Article

References (25)

1. Dickman CA, Sonntag VK (1995) Surgical management of atlantoaxial nonunions. J Neurosurg 83(2):248–253. doi:10.3171/jns.1995.83.2.0248
2. Grob D, Crisco JJ 3rd, Panjabi MM, Wang P, Dvorak J (1992) Biomechanical evaluation of four different posterior atlantoaxial fixation techniques. Spine 17(5):480–490
3. Montesano PX, Juach EC, Anderson PA, Benson DR, Hanson PB (1991) Biomechanics of cervical spine internal fixation. Spine 16(3 Suppl):S10–S16
4. Glynn MK, Sheehan JM (1983) Fusion of the cervical spine for instability. Clin Orthop Relat Res 179:97–101
5. Fielding JW, Hensinger RN, Hawkins RJ (1980) Os Odontoideum. J Bone Joint Surg Am 62(3):376–383
6. Griswold DM, Albright JA, Schiffman E, Johnson R, Southwick W (1978) Atlanto-axial fusion for instability. J Bone Joint Surg Am 60(3):285–292
7. Husby J, Sorensen KH (1974) Fracture of the odontoid process of the axis. Acta Orthop Scand 45(2):182–192
8. Schatzker J, Rorabeck CH, Waddell JP (1971) Fractures of the dens (odontoid process). An analysis of thirty-seven cases. J Bone Joint Surg Br 53(3):392–405
9. Ma XY, Yin QS, Wu ZH, Xia H, Liu JF, Xiang M, Zhao WD, Zhong SZ (2009) C1 pedicle screws versus C1 lateral mass screws: comparisons of pullout strengths and biomechanical stabilities. Spine 34(4):371–377. doi:10.1097/BRS.0b013e318193a21b
10. Tan M, Wang H, Wang Y, Zhang G, Yi P, Li Z, Wei H, Yang F (2003) Morphometric evaluation of screw fixation in atlas via posterior arch and lateral mass. Spine 28(9):888–895. doi:10.1097/01.brs.0000058719.48596.cc
11. Ma XY, Yin QS, Wu ZH, Xia H, Liu JF, Zhong SZ (2005) Anatomic considerations for the pedicle screw placement in the first cervical vertebra. Spine 30(13):1519–1523
12. Gebauer M, Barvencik F, Briem D, Kolb JP, Seitz S, Rueger JM, Puschel K, Amling M (2010) Evaluation of anatomic landmarks and safe zones for screw placement in the atlas via the posterior arch. Eur Spine J 19(1):85–90. doi:10.1007/s00586-009-1181-8
13. Squires J, Molinari RW (2010) C1 lateral mass screw placement with intentional sacrifice of the C2 ganglion: functional outcomes and morbidity in elderly patients. Eur Spine J 19(8):1318–1324. doi:10.1007/s00586-010-1452-4
14. Hu Y, Kepler CK, Albert TJ, Yuan ZS, Ma WH, Gu YJ, Xu RM (2013) Accuracy and complications associated with the freehand C-1 lateral mass screw fixation technique: a radiographic and clinical assessment. J Neurosurg Spine 18(4):372–377. doi:10.3171/2013.1.spine12724
15. Lee SH, Kim KT, Suk KS, Lee JH, Son ES, Kwack YH, Oh HS (2012) Assessment of pedicle perforation by the cervical pedicle screw placement using plain radiographs: a comparison with computed tomography. Spine 37(4):280–285. doi:10.1097/BRS.0b013e31822338ad
16. Nakashima H, Yukawa Y, Imagama S, Kanemura T, Kamiya M, Yanase M, Ito K, Machino M, Yoshida G, Ishikawa Y, Matsuyama Y, Ishiguro N, Kato F (2012) Complications of cervical pedicle screw fixation for nontraumatic lesions: a multicenter study of 84 patients. J Neurosurg Spine 16(3):238–247. doi:10.3171/2011.11.spine11102
17. Resnick DK, Benzel EC (2002) C1-C2 pedicle screw fixation with rigid cantilever beam construct: case report and technical note. Neurosurgery 50(2):426–428
18. He F, Yin Q, Zhao T (2008) Classification of atlas pedicles and methodological study of pedicle screw fixation. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 22(8):905–909
19. Qian LX, Hao DJ, He BR, Jiang YH (2013) Morphology of the atlas pedicle revisited: a morphometric CT-based study on 120 patients. Eur Spine J 22(5):1142–1146. doi:10.1007/s00586-013-2662-3
20. Huang DG, He SM, Pan JW, Hui H, Hu HM, He BR, Li H, Zhang XF, Hao DJ (2014) Is the 4 mm height of the vertebral artery groove really a limitation of C1 pedicle screw insertion? Eur Spine J 23(5):1109–1114. doi:10.1007/s00586-014-3217-y
21. Pei-Feng J, Li-Ping W, Ji-Hong F, Yi-Kai L, Manas D (2011) Morphological asymmetry of the atlas and its clinical implications. J Manip Physiol Ther 34(7):463–467. doi:10.1016/j.jmpt.2011.05.003
22. Kim JH, Kwak DS, Han SH, Cho SM, You SH, Kim MK (2013) Anatomic consideration of the C1 laminar arch for lateral mass screw fixation via C1 lateral lamina: a landmark between the lateral and posterior lamina of the C1. J Kor Neurosurg Soc 54(1):25–29. doi:10.3340/jkns.2013.54.1.25
23. Panjabi MM, Shin EK, Chen NC, Wang JL (2000) Internal morphology of human cervical pedicles. Spine 25(10):1197–1205
24. Reinhold M, Magerl F, Rieger M, Blauth M (2007) Cervical pedicle screw placement: feasibility and accuracy of two new insertion techniques based on morphometric data. Eur Spine J 16(1):47–56. doi:10.1007/s00586-006-0104-1
25. Neo M, Sakamoto T, Fujibayashi S, Nakamura T (2005) The clinical risk of vertebral artery injury from cervical pedicle screws inserted in degenerative vertebrae. Spine 30(24):2800–2805