SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021
The impact of odontoid screw fixation techniques on screw-related complications and fusion rates: a systematic review and meta-analysis.
Synthesis in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 21 citations in OpenAlex.
- Finite Element Analysis of Anterior Odontoid Screw Fixation for Type II Odontoid Fractures.Materials (Basel, Switzerland) · 2026Article
- Odontoid process type II and III fracture fixation using bone allograft screws versus cannulated screws: a biomechanical study.Archives of orthopaedic and trauma surgery · 2025Article
- [Treatment of geriatric odontoid fractures].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Odontoid Fractures: A Review of the Current State of the Art.Journal of clinical medicine · 2024Review
- Two-screw osteosynthesis is biomechanically superior to single-screw osteosynthesis for type II odontoid fractures.Scientific reports · 2024Article
- Does the Surgical Approach Matter in Treating Odontoid Fractures? A Comparison of Mechanical Complication Rates Between Anterior Versus Posterior Surgical Approaches: A Meta-Analysis and Systematic Review.Korean journal of neurotrauma · 2023Review
- Full-Endoscopic Anterior Odontoid Screw Fixation: A Novel Surgical Technique.Orthopaedic surgery · 2022Article
- Determination and optimization of ideal patient candidacy for anterior odontoid screw fixation.Surgical neurology international · 2021Article
- Risk Factors of Nonunion After Anterior Screw Fixation of Anderson and D'Alonzo Type II Odontoid Fractures.In vivo (Athens, Greece)Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe primary goal of this study was to conduct a systematic review and meta-analysis of articles focused on odontoid screw fixation (OSF) and screw-related complications or non-union rates.
methodsWe conducted a systematic review of the PubMed and Crossref databases between January 1982 and December 2019. Inclusion criteria comprised detailed descriptions of the surgical technique and screw-related complications (screw cut-out, loosening, breakage, malposition) or fusion rates.
resultsThe initial selection consisted of 683 abstracts. A total of 150 full texts were chosen for detailed study, and 83 articles were included in the analysis. The point estimates for screw-related complications were as follows: 1. screw malposition frequency-4.8%; 2. screw cut-out rate-5.0%; 3. screw loosening/pull-out-3.8%; and 4. screw fracture rate-3.1%. The point estimate for the non-union rate was 9.7%. Statistical analysis of the screw-related complications rate based on surgical technique details was also performed
conclusionsDouble-screw OSF performance in elder patients resulted in a higher risk of post-operative screw cut-out. In other cases, the development of screw-related complications did not depend on the method of intraoperative head fixation, selection of the implant entry point for OSF, type of the used screws, or cannulated instruments application. The outcomes of single-screw fixation through the anterior lip of the C2 vertebra were comparable to other techniques of OSF. Further, statistically reliable studies should be carried out to identify the optimal technique of OSF.
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Registered trials
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