Evidence map›Paper›PMID 40765195›Full record

ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2025

Outcome of cervical cases operated with posterior cervical pedicle screw placement: a single-center retrospective study.

Ali Borekci, Pinar Kuru Bektasoglu, Erhan Çelikoğlu

Abstract read
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Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Ali BorekciDepartment of Neurosurgery, University of Health Sciences, Fatih Sultan Mehmet Education and Research Hospital, İstanbul-Türkiye.
Pinar Kuru BektasogluDepartment of Neurosurgery, University of Health Sciences, Fatih Sultan Mehmet Education and Research Hospital, İstanbul-Türkiye.
Erhan ÇelikoğluDepartment of Neurosurgery, University of Health Sciences, Fatih Sultan Mehmet Education and Research Hospital, İstanbul-Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical pedicle screws offer biomechanical advantages over other stabilization systems. However, their placement carries a relatively high risk of vascular or neurological injury due to individual differences and the complex structure of the cervical spine. Therefore, understanding patient-specific anatomy is crucial for the safe and accurate placement of pedicle screws. In this study, we present our single-center case series over a seven-year period involving cervical pedicle screw placement in subaxial cases.

methodsWe retrospectively analyzed patients who underwent cervical subaxial pedicle screw placement between 2017 and 2024. A freehand surgical technique was employed, using a mini-laminotomy approach to ensure safe screw placement. During the procedure, the medial, superior, and inferior borders of the pedicle were palpated.

resultsA total of 70 cases were analyzed retrospectively. Fifty patients were male, and 20 were female. The patients ranged in age from 20 to 89 years (median age: 64 years). Fifty-seven patients (81.5%) had cervical stenosis as the surgical indication. Of the remaining cases, 11 patients had fractures and two had tumors. Among the 468 pedicle screws placed, 434 were graded as 0-1. The correct placement rate was 92.7%. Thirty-four screws were malpositioned (grade 2-3), representing a rate of 7.3%.

conclusionIn our case series, the accuracy of cervical subaxial pedicle screw placement was high. We believe that achieving this level of accuracy requires a strong understanding of anatomy, three-dimensional spatial awareness, and surgical experience.

Indexed as

Cervical VertebraePedicle ScrewsSpinal FusionAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung Adult

Identifiers

PMID40765195
PMCPMC12363150

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