title: Clinical application of combined fixation in the cervical spine using posterior transfacet screws and pedicle screws.
abstract: The aim of the present study was to describe the clinical application of combined fixation in the cervical spine using posterior transfacet and pedicle screws. Ten patients with cervical disorders requiring stabilization were treated from May 2006 to December 2008. The operative details varied depending on indication, the need for decompression, and the number of levels to be included in the spinal construct. Radiographic analysis of the fusion was performed after surgery. A total of 23 transfacet screws were inserted at or caudal to the C4/5 facet. A total of 21 pedicle screws were placed. All patients underwent operative treatment without neurovascular complications. Fusion was achieved in all patients. When performed appropriately, the method of using posterior transfacet screws in the caudal cervical joints combined with pedicle screw fixation in the cephalic cervical spine is reliable and deserves more widespread use.
authors.affiliation: Department of Orthopaedic Surgery, Ningbo Sixth Hospital, 1059 Zhongshan East Road, Ningbo, Zhejiang 315040, China.
authors.forename: Guanyi
authors.initials: G
authors.lastname: Liu
authors.forename: Weihu
authors.initials: W
authors.lastname: Ma
authors.forename: Rongming
authors.initials: R
authors.lastname: Xu
authors.forename: Ryan
authors.initials: R
authors.lastname: Godinsky
authors.forename: Shaohua
authors.initials: S
authors.lastname: Sun
authors.forename: Jianxiang
authors.initials: J
authors.lastname: Feng
authors.forename: Liujun
authors.initials: L
authors.lastname: Zhao
authors.forename: Yong
authors.initials: Y
authors.lastname: Hu
authors.forename: Leijie
authors.initials: L
authors.lastname: Zhou
authors.forename: Jiayong
authors.initials: J
authors.lastname: Liu
mesh_terms: D000328:Adult; D000368:Aged; D001863:Bone Screws; D002574:Cervical Vertebrae / Q000033:anatomy & histology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods*; D006801:Humans; D016268:Internal Fixators; D055959:Intervertebral Disc Degeneration / Q000473:pathology / Q000601:surgery; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009777:Occipital Bone / Q000033:anatomy & histology / Q000601:surgery; D019637:Orthopedic Procedures / Q000379:methods; D013123:Spinal Fusion; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome