Abstract
Pedicle screw fixation has already been proved to provide the strongest stability for reconstruction of the unstable cervical spine in several biomechanical studies. However, it has generally been considered too risky at C3–6 levels due to its potential for injury to the surrounding neurovascular structures such as the vertebral arteries, the spinal cord, or the nerve roots. Anatomically, the cervical pedicle diameter is smaller than that of the thoracolumbar pedicles, and the pedicle axis is largely inclined in the transverse plane. Therefore, accurate identification of the pedicle screw entry point matched with trajectory angle is required for successful placement of the pedicle screws. This chapter introduces cervical pedicle screw fixation in the treatment of cervical spine injuries and describes its indications, procedural steps, imaging technique, technical pitfalls, and postoperative course in detail.
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Yukawa, Y. (2010). Posterior Pedicle Screw Fixation. In: Patel, V., Burger, E., Brown, C. (eds) Spine Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03694-1_17
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DOI: https://doi.org/10.1007/978-3-642-03694-1_17
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