Lateral Mass Screw Fixation

  • Bruce D. DardenEmail author
  • Marco C. MendozaEmail author


Traditional methods of posterior fixation of the cervical spine date back to the late 1800s and included various wiring techniques between the spinous processes. Nearly a century later, Roy-Camille described the use of lateral mass screws which is now well accepted by surgeons. Potential complications of this technique include injury to adjacent nerve roots, vertebral artery compromise, facet joint violation, and screw fixation failure. Numerous modifications including the Magerl, the Anderson, and the An technique use entry points and drilling trajectories to avoid these complications and achieve solid bony fixation. As a result, lateral mass screw fixation is a safe and reliable method of posterior fixation in the subaxial cervical spine.

Supplementary material

Video 71.1

Caption (MP4 176,874 kb)

370679_1_En_71_MOESM2_ESM.pptx (197.3 mb)
Data 71.2 Caption (PPTX 201,992 kb)


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Orthocarolina Spine CenterCharlotteUSA
  2. 2.Tahoe Fracture and Orthopedic Medical Clinic, IncCarson CityUSA

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