The Spine Journal
Volume 9, Issue 9 , Pages 729-734 , September 2009

Anatomical considerations for cervical pedicle screw insertion: the use of multiplanar computerized tomography measurements in 122 consecutive clinical cases

  • Adebukola Onibokun, MD

      Affiliations

    • Division of Neurosurgery, UCLA Medical Center, Los Angeles, CA 90095, USA
    • ,
  • Larry T. Khoo, MD

      Affiliations

    • Division of Neurosurgery, UCLA Medical Center, Los Angeles, CA 90095, USA
    • Corresponding Author InformationCorresponding author. UCLA Santa Monica Hospital, Department of Neurological & Orthopedic Surgery, University of California Los Angeles Comprehensive Spine Center, 1245 16th Street, Suite 200, Santa Monica, CA 90404, USA. Tel.: (310) 319-3295.
    • ,
  • Simona Bistazzoni, MD

      Affiliations

    • Department of Neurosurgery, INM Neuromed, Pozzilli, Italy
    • ,
  • Nan Fu Chen, MD

      Affiliations

    • Division of Neurosurgery, UCLA Medical Center, Los Angeles, CA 90095, USA
    • Division of Neurosurgery, Department of Surgery, Armed Forces Kaohsiung General Hospital, Kaohsiung, Taiwan
    • ,
  • Marco Sassi, MD

      Affiliations

    • Division of Neurosurgery, Istituto O. Galleazi, Milan, Italy

Received 10 June 2008 ,Accepted 29 April 2009.

References 

  1. Abumi K, Shono Y, Taneichi H, Ito M, Kaneda K. Correction of cervical kyphosis using pedicle screw fixation systems. Spine. 1999;24:2389–2396
  2. Abumi K, Kaneda K, Shono Y, Fujiya M. One-stage posterior decompression and reconstruction of the cervical spine by using pedicle screw fixation systems. J Neurosurg. 1999;90(1 Suppl):19–26
  3. Abumi K, Shono Y, Ito M, Taneichi H, Kotani Y, Kaneda K. Complications of pedicle screw fixation in reconstructive surgery of the cervical spine. Spine. 2000;25:962–969
  4. Abumi K, Itoh H, Taneichi H, Kaneda K. Transpedicular screw fixation for traumatic lesions of the middle and lower cervical spine: description of the techniques and preliminary report. J Spinal Disord. 1994;7:19–28
  5. Chazono M, Soshi S, Inoue T, Kida Y, Ushiku C. Anatomical considerations for cervical pedicle screw insertion: the use of multiplanar computerized tomography reconstruction measurements. J Neurosurg Spine. 2006;4:472–477
  6. Ebraheim NA, Xu R, Knight T, Yeasting RA. Morphometric evaluation of lower cervical pedicle and its projection. Spine. 1997;22:1–6
  7. Jeanneret B, Gebhard JS, Magerl F. Transpedicular screw fixation of articular mass fracture separation: results of an anatomical study and operative technique. J Spinal Disord. 1994;7:222–229
  8. Jones EL, Heller JG, Silcox DH, Hutton WC. Cervical pedicle screws versus lateral mass screws: anatomic feasibility and biomechanical comparison. Spine. 1997;22:977–982
  9. Karaikovic EE, Daubs MD, Madsen RW, Gaines RW. Morphologic characteristics of human cervical pedicles. Spine. 1997;22:493–500
  10. Kotani Y, Cunningham BW, Abumi K, McAfee PC. Biomechanical analysis of cervical stabilization systems: an assessment of transpedicular screw fixation in the cervical spine. Spine. 1994;19:2529–2539
  11. Panjabi MM, Shin EK, Chen NC, Wang JL. Internal morphology of human cervical pedicles. Spine. 2000;25:1197–1205
  12. Panjabi MM, Duranceau J, Goel V, Oxland T, Takata K. Cervical human vertebrae: quantitative three-dimensional anatomy of the middle and lower regions. Spine. 1991;16:861–869
  13. Rezcallah AT, Xu R, Ebraheim NA, Jackson T. Axial computed tomography of the pedicle in the lower cervical spine. Am J Orthop. 2001;30:59–61
  14. Sakamoto T, Neo M, Nakamura T. Transpedicular screw placement evaluated by axial computed tomography of the cervical pedicle. Spine. 2004;29:2510–2515
  15. Shin EK, Panjabi MM, Chen NC, Wang JL. The anatomic variability of human cervical pedicles: considerations for transpedicular screw fixation in the middle and lower cervical spine. Eur Spine J. 2000;9:61–66
  16. Uğur HC, Attar A, Uz A, et al. Surgical anatomic evaluation of the cervical pedicle and adjacent neural structures. Neurosurgery. 2000;47:1162–1168
  17. Xu R, Kang A, Ebraheim NA, Yeasting RA. Anatomic relation between the cervical pedicle and the adjacent neural structures. Spine. 1999;24:451–454

 FDA device/drug status: not applicable.

 Author disclosure: none.

PII: S1529-9430(09)00206-X

doi: 10.1016/j.spinee.2009.04.021

The Spine Journal
Volume 9, Issue 9 , Pages 729-734 , September 2009

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