ArticleJournal of craniovertebral junction & spine
Easy method to simplify "freehand" subaxial cervical pedicle screw insertion.
Article in Journal of craniovertebral junction & spine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- Subaxial Cervical Pedicular Screw Insertion via the Nonanatomic Axis: Technical Notes and Preliminary Clinical Report.Global spine journal · 2023Article
- Subaxial Cervical Pedicular Screw Insertion via the Nonanatomic Axis: Identification of Entry Point and Trajectory Based on a Radiographic Study and Workshop.Global spine journal · 2023Article
- Medial Pedicle Pivot Point Using Preoperative Computed Tomography Morphometric Measurements for Cervical Pedicle Screw Insertion: A Novel Technique and Case Series.Journal of clinical medicine · 2022Article
- Validation of Freehand Cervical Pedicle Screw Placement in Subaxial Spine Using the "Burcev Technique": A Cadaveric Study.Journal of neurosciences in rural practice · 2021Article
- Significance of Preoperative Prone Position Computed Tomography in Free Hand Subaxial Cervical Pedicular Screwing.Journal of Korean Neurosurgical Society · 2021Article
- The "slide technique"-a novel free-hand method of subaxial cervical pedicle screw placement.BMC musculoskeletal disorders · 2020Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designTechnical note.
objectivesThe objective of this study is to check out safety and rationality of standardized and fast tricks to select trajectory of subaxial cervical pedicle screw (SCPS) insertion, based on simple angles to bony landmarks. MATERIALS AND
methodsStage 1 - Computed tomography (CT)-morphometric analysis of C3-C7 vertebrae of ten patients with cervical degenerative diseases. Stage 2 - SCPS insertion in 6 cadavers, according to the developed technique (59 pedicle screws). Stage 3 - SCPS insertion in 6 patients, according to the developed technique (32 pedicle screws).
resultsCT-morphometric analysis showed that the average length of C3-C7 pedicle channels was 32 mm, the average angle between a pedicle axis and an axis of contralateral lamina - 180°, the average angle between a pedicle axis and plane of a posterior surface of a lateral mass amounted to 90° and the coordinates of an optimal entry point - 2 mm from a lateral edge and 2 mm from an upper edge of the lateral mass posterior surface. During the cadaveric study, 39 screws had a satisfactory position (66.1%), 7 screws permissible (11.9%), and 13 screws unacceptable (22%). During the clinical study, 26 screws (81.25%) had satisfactory position, 4 (12.5%) had permissible position, and 2 (6.25%) unacceptable position.
conclusionDeveloped and clinically approved a method for simplicity SCPS insertion is relatively safe and cheap. No doubt, it requires further investigation, but the results of primary analysis allow us to recommend it to wide practical application.
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