SynthesisNeurosurgical review2022
Complications associated with subaxial placement of pedicle screws versus lateral mass screws in the cervical spine: systematic review and meta-analysis comprising 1768 patients and 8636 screws.
Synthesis in Neurosurgical review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Morphometric findings of the subaxial cervical spine among different geographic regions and the implications for cervical pedicle screw placement: a systematic review and meta-analysis.Neurosurgical review · 2026Pooled it
- Complications associated with subaxial placement of pedicle screws versus lateral mass screws in the cervical spine (C2-T1): systematic review and meta-analysis comprising 4,165 patients and 16,669 screws.Neurosurgical review · 2023Pooled it
- Posterior Cervical Fixation: Accuracy and Safety of Free-Hand Inserted Screws.Neurosurgery practice · 2026Article
- CT-based morphometry and Mimics-guided virtual implantation of a facet-fusion-integrated posterior cervical semi-open-door system: an anatomical feasibility study.BMC musculoskeletal disorders · 2025Article
- [Robotically assisted and navigated pedicle screw placement at the subaxial cervical spine].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Revealing the potential: radiological assessment of pedicle screw placement in the craniocervical junction and upper cervical spine.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 · 2025Article
- Comparison of open and percutaneous navigated pedicle screw placement for traumatic injuries of the subaxial cervical spine.Brain & spine · 2025Article
- Comparison of different imaging devices and navigation systems for cervical pedicle screw placement: an experimental study on screw accuracy, screw placement time and radiation dose.Scientific reports · 2024Article
- CT Anatomical Analysis of C4 Pedicle and Lateral Mass in Children Aged 0-14 in Southern China.Orthopaedic surgery · 2024Article
- Surgical technique of 3D computer-assisted navigated posterior fixation of the upper cervical spine: illustration of three cases.Journal of spine surgery (Hong Kong) · 2024Article
- Accurate Placement and Revisions for Cervical Pedicle Screws Placed With or Without Navigation: A Systematic Review and Meta-Analysis.Global spine journal · 2024Article
- Two-year results of single-level fixation with lateral mass screws for cervical degenerative spondylolisthesis: patient series.Journal of neurosurgery. Case lessons · 2023Article
- Comparison of Anterior Cervical Discectomy Fusion Combined with Lateral Mass Screw and with Cervical Pedicle Screw Fixation Surgery under O-Arm Navigation for Single-Stage Management of Severe Lower Cervical Fracture Dislocation.Orthopaedic surgery · 2023Article
- Cervical alignment and clinical outcome of anterior decompression with fusion vs. posterior decompression with fixation in kyphotic cervical spondylotic myelopathy.Frontiers in neuroscience · 2022Article
- The Attallah screw: Where safety meets robustness in posterior subaxial cervical instrumentation.Medicine internationalArticle
Corrections and comments
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Authors and funding
18 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Lateral mass screw (LMS) fixation for the treatment of subaxial cervical spine instability or deformity has been traditionally associated with few neurovascular complications. However, cervical pedicle screw (CPS) fixation has recently increased in popularity, especially with navigation assistance, because of the higher pullout strength of the pedicle screws. To their knowledge, the authors conducted the first meta-analysis comparing the complication rates during and/or after CPS and LMS placement for different pathologies causing cervical spine instability. A systematic literature search of PubMed and Embase from inception to January 12, 2021 was performed to identify studies reporting CPS and/or LMS-related complications. Complications were categorized into intraoperative and early postoperative (within 30 days of surgery) and late postoperative (after 30 days from surgery) complications. All studies that met the prespecified inclusion criteria were pooled and cumulatively analyzed. A total of 24 studies were conducted during the time frame of the search and comprising 1768 participants and 8636 subaxially placed screws met the inclusion criteria. The CPS group experienced significantly more postoperative C5 palsy (odds ratio [OR] = 3.48, 95% confidence interval [CI] = 1.27-9.53, p < 0.05). Otherwise, there were no significant differences between the LMS and CPS groups. There were no significant differences between the CPS and LMS groups in terms of neurovascular procedure-related complications other than significantly more C5 palsy in the CPS group.
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