Complications of Pedicle Screw Fixation in Reconstructive Surgery of the Cervical Spine

@article{Abumi2000ComplicationsOP,
  title={Complications of Pedicle Screw Fixation in Reconstructive Surgery of the Cervical Spine},
  author={Kuniyoshi Abumi and Yasuhiro Shono and Manabu Ito and Hiroshi Taneichi and Yoshihisa Kotani and Kiyoshi Kaneda},
  journal={Spine},
  year={2000},
  volume={25},
  pages={962-969}
}
Study Design. Retrospective evaluation of complications in 180 consecutive patients with cervical disorders who had been treated by using pedicle screw fixation systems. Objectives. To determine the risks associated with pedicle screw fixation in the cervical spine and to emphasize the importance of preoperative planning and surgical techniques in reducing the risks of this procedure. Summary of Background Data. Generally, pedicle screw fixation in the cervical spine has been considered too… 

Reconstruction of the Subaxial Cervical Spine Using Pedicle Screw Instrumentation

Pedicle screw provides excellent 3-dimensional fixations and is a useful procedure for reconstruction of the cervical spine in various kinds of disorders and can be minimized by sufficient preoperative imaging studies and strict control of screw placement during surgery.

Minimally Invasive Cervical Pedicle Screw Fixation by a Posterolateral Approach for Acute Cervical Injury

In this study, incidence of screw perforation was significantly lower in the MICEPS fixation group than in the conventional cervical pedicle screw group, and neither of the misplaced screws was laterally deviated in theMICEPS group.

Template guided cervical pedicle screw instrumentation

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Clinical results of the cervical pedicle screw system were excellent with few complications, but there is the possibility of screw perforation, which could cause neurovascular complications, so increased accuracy of screw insertion is needed to make this instrumentation safer.

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The placement of cervical pedicle screws using a fluoroscopy-assisted pedicle axis view technique provided good clinical results and a few complications for unstable cervical injuries, but a careful surgical procedure was needed to safely insert the screws and more improvement in imaging and navigation system is expected.

Cervical Pedicle Screws: Conventional Versus Computer-Assisted Placement of Cannulated Screws

Transpedicular screws in the cervical spine and cervicothoracic junction can be applied safely and with high accuracy in a conventional technique and the use of a CAS system seems to be beneficial, especially for pedicle instrumentation C3–C6.

Surgical Outcomes and Complications of Pedicle Screw Fixation in 200 Cases of unstable Cervical Spinal Injuries-Comparison between Plate Systems and Rod Systems -

Cervical pedicle screw fixation using a fluoroscopy assisted pedicle axis view technique provided good clinical result in both plate and rod systems, comparing plate systems.

Complications of cervical pedicle screw fixation for nontraumatic lesions: a multicenter study of 84 patients.

Surgeons should use PS fixation for nontraumatic cervical lesions only after thorough preoperative evaluation of each patient's cervical anatomy and after considering the risk factors specified in the present study, which occurred more often than in previous studies.

Management of fracture-dislocation of the lower cervical spine with the cervical pedicle screw system.

The cervical pedicle screw system is an effective and reliable method for the restoration of cervical stability and pre-operative imaging studies of the pedicles and strict screw insertion technique should be emphasised.
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