Abstract
Background: To evaluate the safety and efficacy of lateral mass screws at C7 in the treatment of cervical degenerative disease. Methods: Patients with cervical degenerative disease who underwent posterior cervical fusion and fixation from 2009 to 2015 were included in the study. All complications were captured. Postoperative X-ray and computed tomography (CT) confirmed fusion at 6 and 12 months after surgery. X-ray and CT confirmed screw loosening, misplacement, pull-out, breakage, or rod breakage. Results: Seventy-two patients underwent cervical laminectomy and fixation with lateral mass screws at C7 and had at least 1 year follow-up. One patient had C3 screw pull-out; revision was not required. There were no complications related to the C7 screws, and all were in the lateral mass. Conclusions: Lateral mass screws are as safe and effective as pedicle screws at C7 in long-segment posterior cervical fixation, have a lower rate of perioperative complications than pedicle screws, and are technically easier to place.
Original language | English (US) |
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Article number | 218 |
Journal | Surgical Neurology International |
Volume | 8 |
Issue number | 1 |
DOIs | |
State | Published - Sep 7 2017 |
Externally published | Yes |
Keywords
- Cervical spine
- Lateral mass screw
- Pedicle screw
- Posterior fusion
- Spinal degenerative disease
ASJC Scopus subject areas
- Surgery
- Clinical Neurology