title: Feasibility of translaminar screw placement in Korean population: morphometric analysis of cervical spine.
abstract: OBJECTIVE
  To analyze the feasibility of unilateral and bilateral translaminar screw placement in Koran population, and compare the acceptance rate using previously reported data in American population.
  
  
  METHODS
  The translaminar lengths, thickness, heights, and sagittal-diagonal measurements were performed. The feasibility analysis was performed using unilateral and bilateral 3.5 mm cervical screw placement on the CT scans within 0.5 mm of safety margin. We also performed radiographic analysis of the morphometric dimensions and the feasibility of unilateral and bilateral translaminar screw placement at C3-C7.
  
  
  RESULTS
  Korean population had similar or significantly shorter translaminar lengths and thickness (lengths and thickness in C7 among males; lengths in C6-C7 and thickness in C4 among females) than American population, but had similar or significantly longer translaminar heights and sagittal-diagonal measurements (heights in C3-C7 and sagittal-diagonal measurements in C3-C6 among males; heights in C7 and sagittal-diagonal measurements in C3-C7 among females). Unilaterally, translaminar screw acceptance rates in C3-C7 were similar between Korean and American male population, but the rates in C4-C6 were significantly smaller between Korean and American female population. Bilaterally, translaminar screw acceptance rates in C3 and C5-C6 were significantly larger between Korean and American male population, but the rates in C3-C7 were similar between Korean and American female population.
  
  
  CONCLUSIONS
  The feasibility of unilateral and bilateral translaminar screw placement is different depending on different ethnics. Subaxial cervical unilateral translaminar screw placement among Korean male population and bilateral placement at C4-C7 among Korean female population are more acceptable than American population.
authors.affiliation: Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.; Department of Neurosurgery, Guro Cham Teun Teun Hospital, Seoul, Korea.
authors.forename: Gyu Yeul
authors.initials: GY
authors.lastname: Ji
authors.affiliation: Department of Neurosurgery, Guro Cham Teun Teun Hospital, Seoul, Korea.
authors.forename: Chang Hyun
authors.initials: CH
authors.lastname: Oh
authors.affiliation: Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Sang Hyuk
authors.initials: SH
authors.lastname: Park
authors.affiliation: Department of Neurosurgery, Hasan Sadikin Hospital, Bandung, Indonesia.
authors.forename: Ferry
authors.initials: F
authors.lastname: Kurniawan
authors.affiliation: Department of Neurosurgery, Guro Cham Teun Teun Hospital, Seoul, Korea.
authors.forename: Junho
authors.initials: J
authors.lastname: Lee
authors.affiliation: Department of Neurosurgery, Guro Cham Teun Teun Hospital, Seoul, Korea.
authors.forename: Jae Kyun
authors.initials: JK
authors.lastname: Jeon
authors.affiliation: Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea. shindongah@me.com.
authors.forename: Dong Ah
authors.initials: DA
authors.lastname: Shin
authors.affiliation: Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Keung Nyun
authors.initials: KN
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D044466:Asian People; D001863:Bone Screws; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging* / Q000601:surgery*; D003710:Demography; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D056910:Republic of Korea; D014057:Tomography, X-Ray Computed; D044465:White People
keywords: American; Korean; Translaminar; cervical fusion; cervical spine; ethics