ArticleActa neurochirurgica2026
How I do it: Condylar screws.
Article in Acta neurochirurgica, 2026. 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 authors.
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Abstract
backgroundCondylar screws have broadened fixation options for Craniocervical Fusion techniques and are used when occipital squama anchorage is inadequate. They may also outperform barplate constructs in patients with connective tissue disorders.
methodsThe condyles are entirely dissected, sacrificing the Posterior Condylar Emissary Vein. An entry 3 mm lateral to the foramen magnum is created. Hand drilling converges 20° medially, aiming toward the basion under fluoroscopy, under continuous hypoglossal EMG monitoring. A 34-mm lag screw is inserted and confirmed by intraoperative CT.
conclusionCondylar screws provide reliable fixation and are a useful adjunct to contemporary CCF techniques.
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