Lower Cervical Pedicle Screws Placement techniques to explore.doc

 PAGE \* MERGEFORMAT 29 Lower Cervical Pedicle Screws Placement techniques to explore Author: Xie Jing-ming, Wang Ying-Song, Zhang Ying, Lu Ning, Cao Jin, Chang Yang Jie ‘ Abstract [Objective] To investigate the cervical pedicle screws under the nail home the skills and surgical experience. [Method] in July 2004 ~ April 2006, in the early specimens on the basis of operation, C-arm-guided use of cervical pedicle screws under the treatment of cervical disease in 15 cases. Conventional posterior approach, surgery revealed the lateral mass to its lateral margin, discern the facet joint surface at the bottom of the upper edge of the base; choice within the outer edge of lateral mass of 5 mm, the facet joint surface below the 3 mm at the base of the nail into the point, ball-milling to the cortex. 2 mm hand-drilled open and spies confirm that maintain the end-plate parallel and 40 ° ~ 45 ° inclination angle. Non-tapping 3.5 mm cortical bone screw insertion. [Results] In addition to a C4 screw failed, the total placement C3 ~ 7 lower cervical spine pedicle screw 86, with an average screw length (26 ± 1.6) mm, CT within the tilt angle under the nail average 37.9 ° ± 5.4 °. Surgery in two (2.9%) in the open circuit occurs when the activities of pin tract bleeding. Postoperative CT showing pedicle wall injury in 6 (8.8%). No neurological complications after vascular injury. [Conclusion] cervical pedicle screw technique is relatively safe, set the key to success is to hand nailing. Keywords: cervical spine; pedicle screw; surgical treatment And the thoracic and lumbar pedicle screw fixation is similar to cervical pedicle offers a strong stability. Under the cervical pedicle is anatomically with particularity, the more obvious side of thoracolumbar fine, and once the process of pedicle screws with the adjacent cervical spinal cord injury, vertebral artery or nerve roots, will be serious consequences. Since 1994, Abumi et al [1] first repor