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Pedicle Screw Fixation in Cervical Spine

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Cervical Spine Surgery: Standard and Advanced Techniques

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Abstract

Cervical pedicle screw fixation is an effective procedure for stabilizing an unstable motion segments, as this procedure can offer the strongest stability among several instruments used in cervical spine. However, it has generally been considered too risky due to the potential for injury to neurovascular structures. So far it has not widely been used.

We introduce the imaging technique of pedicle axis views using fluoroscope in detail, to show the screw entry point matched with trajectory angle. We also inform knacks and pitfalls during surgery to increase the accuracy of screw placement and obtain good surgical outcomes, avoiding serious neurovascular injuries.

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References

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Wakayama Medical University, Wakayama City, Japan

    Yasutsugu Yukawa

Authors
  1. Yasutsugu Yukawa
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Correspondence to Yasutsugu Yukawa .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Klinikum rechts der Isar, Technische Universität München, Munich, Germany

    Heiko Koller

  2. Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden

    Yohan Robinson

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Yukawa, Y. (2019). Pedicle Screw Fixation in Cervical Spine. In: Koller, H., Robinson, Y. (eds) Cervical Spine Surgery: Standard and Advanced Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-93432-7_68

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  • DOI: https://doi.org/10.1007/978-3-319-93432-7_68

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-93431-0

  • Online ISBN: 978-3-319-93432-7

  • eBook Packages: MedicineMedicine (R0)

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