Radiological considerations of posterior cervical lateral mass fixation using plate and screw.
The aim of this study is to determine whether the posterior cervical fusion methods with the plate-screw system applied to the lateral mass of cervical spine are radiologically safe to patients. The lateral cervical X-rays and CT scans were done on 40 normal adults without cervical problem. Based on Roy-Camille and Magerl's method, the theological trajectory of screw was shown on films and the parameters were measured. The study based on Roy-Camille's method showed less than one percent chance of injury on the facet joint and the mean depth of the screw to be 10.5 +/- 1.4 mm. On the other hand, Magerl's method showed the mean depth of screw to be 11.9 +/- 1.5 mm which is slightly larger than that of Roy-Camille's method and no chance of facet injury occurred. A reduced lateral angle of screw (19.6 +/- 3.5 degrees C) performed with the concept based on Magerl's method resulted a longer depth of screw (13.5 +/- 2.1 mm). Both Roy-Camille and Magerl's methods seemed to be radiologically safe to normal persons. However, the authors recommend the reduced lateral angle (19.6 +/- 3.5 degrees C) of screw based on the Magerl's method more than an original Magerl's methods.
Yoon
Seung Hwan
SH
Department of Neurosurgery, Inha University Hospital, 7-206, 3 Ga, Shinheung-dong, Jung-gu, Incheon 400-711, Korea. nsysh@inha.ac.kr
Park
Hyoung Chun
HC
Park
Heon Seon
HS
Kim
Eun Young
EY
Ha
Yoon
Y
Chong
Chong Kweon
CK
Kim
Seung Min
SM
Rim
Dae Cheol
DC
D000328:Adult; D001860:Bone Plates; D001863:Bone Screws; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D013123:Spinal Fusion; D014057:Tomography, X-Ray Computed / Q000379:methods*