Transpedicular screw fixation for traumatic lesions of the middle and lower cervical spine: description of the techniques and preliminary report.

  title={Transpedicular screw fixation for traumatic lesions of the middle and lower cervical spine: description of the techniques and preliminary report.},
  author={Kuniyoshi Abumi and Hiroshi Itoh and Hiroshi Taneichi and Kiyoshi Kaneda},
  journal={Journal of spinal disorders},
  volume={7 1},
Thirteen patients with fractures and/or dislocations of the middle and lower cervical spine were treated by transpedicular screw fixation using the Steffee variable screw placement system. Postoperative immobilization was either not used or simplified to short-term use of a soft neck collar. Recovery of nerve function and correction of kyphotic and/or translational deformities were satisfactory. All patients had solid fusion without loss of correction at the latest follow-up. There were no… 


The obtained results prove high efficiency and sufficient safety of the free-hand technique for the cervical spine fixation, which requires careful preoperative preparation and examination of patients, thorough knowledge of anatomy of the operated area, and experience and qualification of the surgeon.

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.

Accuracy of pedicle screw insertion in the cervical spine for internal fixation using frameless stereotactic guidance.

Results may be improved by the use of intraoperative CT scanning and navigated percutaneous screw insertion, which allow optimization of the transpedicular trajectory, and there remains some risk of criticaltranspedicular screw malpositioning in the subaxial cervical spine.

Subaxial Cervical Pedicle Screw in Traumatic Spinal Surgery

The indications, technical guidelines, and potential neurovascular complications and their prevention of the use of the CPS for trauma are reviewed and summarized.

Surgical Cervical Reconstruction with Pedicle Screw Fixation for Traumatic Cervical Instability

The results of this study suggest that CPS fixation using a CT- based navigation system is an effective surgical procedure for the treatment of traumatic cervical instability.

Utility of modified transarticular screw in the middle and lower cervical spine as intermediate fixation in posterior long fusion surgery.

The featured transarticular screw technique, which preserves the ventral cortex of the facet, as intermediate fixation in long fusion is a safe and easy procedure with few complications, especially in patients with RA.

Translaminar screw fixation in the subaxial pediatric cervical spine.

Rigid fixation with translaminar screws offers an alternative to subaxial fixation with lateral mass screws, allowing for formation of biomechanically sound spinal constructs and minimizing potential neurovascular morbidity.

Posterior Cervical Interbody Fusion – Single-Stage Approach of Anterior Reconstruction and Posterior Stabilization: A Case Report and Review of Literature

Transforaminal approach in the lower cervical spine seems to be a feasible technique along with the use of cervical pedicle screws and the safety and reproducibility of the approach need to be substantiated with a larger study.



Segmental spine plates with pedicle screw fixation. A new internal fixation device for disorders of the lumbar and thoracolumbar spine.

A new segmental spine plate fixation system, utilizing a posterior approach and screw fixation, has been developed for disorders of the lower thoracic or lumbar spine. The indications are significant

Internal Fixation of the Posterior Cervical Spine

Various wiring methods as well as alternative techniques of posterior cervical fixation will be discussed, and their indications, techniques, and potential complications will be presented.

Postoperative cervical spine specimens studied with the cryoplaning technique.

Sagittal high-resolution computed tomography scans of the frozen specimens were obtained and correlated with closely spaced cryosectional images at the same levels, facilitating accurate radiologic pathoanatomic correlations and detailed analysis of implant positioning, adequacy of reduction and decompression, and the cause of surgical complications.

One-stage anterior cervical decompression and posterior stabilization with circumferential arthrodesis. A study of twenty-four patients who had a traumatic or a neoplastic lesion.

Twenty-four patients had a combined anterior cervical decompression and posterior stabilization with circumferential spinal arthrodesis for treatment of either a tumor or an injury and all but two patients had substantial improvement, having regained strength or had a reduction in the deformity.

Anatomic Comparison of the Roy‐Camille and Magerl Techniques for Screw Placement in the Lower Cervical Spine

Analysis of the pooled data revealed that the Roy-Camille technique had less risk of nerve root injury, nerve roots placed “at risk” for injury, and errors in “zone” of placement, than the Magerl technique.

Posterior stabilization of the cervical spine.

It makes little sense to attempt a procedure such as C1-C2 transarticular screw fixation or posterior cervical plating without having had "hands on" experience with cadavers or anatomical models or having previously assisted in the procedure.

Acute fractures and dislocations of the cervical spine. An analysis of three hundred hospitalized patients and review of the literature.

  • H. Bohlman
  • Medicine
    The Journal of bone and joint surgery. American volume
  • 1979
It was found that laminectomy resulted in a high mortality rate and loss of motor function, steroids did not improve neural recovery in quadriplegics and their use was associated with gastrointestinal hemorrhage, and Massive epidural hemorrhage was found only in patients with ankylosing spondylitis.

A Mechanistic Classification of Closed, Indirect Fractures and Dislocations of the Lower Cervical Spine

The various spectra of injury are demonstrated, called phylogenies, and a classification based on the mechanism of injury is developed, which is possible to formulate a rational treatment plan for injuries to the cervical spine.

Biomechanics of Fixation Systems to the Cervical Spine

In cases of complete discoligamentous instability, only anterior H-plate and posterior hook plate procedures combined or the hook plate alone was able to guarantee both torsional and flexural stability higher than the intact spine.

Biomechanical Evaluation of Spinal Fixation Devices: Part III. Stability Provided by Six Spinal Fixation Devices and Interbody Bone Graft

The three-dimentional stability provided by six spinal fixation devices with or without interbody bone graft has been studied in an in vitro biomechanical model using five-vertebral (T11-L3) fresh