Surgical management of two- versus three-column injuries of the cervicothoracic junction: biomechanical comparison of translaminar screw and pedicle screw fixation using a cadaveric model.

@article{Kretzer2010SurgicalMO,
  title={Surgical management of two- versus three-column injuries of the cervicothoracic junction: biomechanical comparison of translaminar screw and pedicle screw fixation using a cadaveric model.},
  author={Ryan M Kretzer and Nianbin Hu and Jun Kikkawa and Ira M. Garonzik and George I Jallo and Paul Justin Tortolani and Paul C. Mcafee and Bryan Cunningham},
  journal={Spine},
  year={2010},
  volume={35 19},
  pages={E948-54}
}
STUDY DESIGN An in vitro cadaveric biomechanical study. OBJECTIVE To determine the stability of translaminar screws compared to pedicle screws at T1-T2 for constructs bridging the cervicothoracic junction. SUMMARY OF BACKGROUND DATA Instrumented fixation of the cervicothoracic junction is challenging both biomechanically, due to the transition from the mobile cervical to the rigid thoracic spine, and technically, due to the anatomic constraints of the T1-T2 pedicles. For these reasons, an… CONTINUE READING