کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4098280 1268611 2010 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The anatomic suitability of the C2 vertebra for intralaminar and pedicular fixation: a computed tomography study
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
The anatomic suitability of the C2 vertebra for intralaminar and pedicular fixation: a computed tomography study
چکیده انگلیسی

Background contextSeveral methods have been used to stabilize the atlantoaxial joint, including the use of C2 pedicle and laminar screws. No report has used computed tomography (CT) angiograms to compare the risk to the vertebral artery or assess the suitability for each fixation technique.PurposeTo compare the suitability of C2 pedicle versus laminar screws using CT angiograms.Study designWe retrospectively evaluated the anatomic dimensions of the C2 lamina and pedicle in 50 patients using CT angiograms.MethodsWe retrospectively reviewed the last 50 patients admitted who underwent CT angiograms of the head and neck. Data recorded included the pedicle length and width and the laminar length and width. Vertebral artery anatomy was also assessed to determine if an aberrant location would preclude pedicle fixation.ResultsMean pedicle length and width were 15.5±3.5 and 4.7±1.7 mm, respectively, with 24% of patients having anatomy that would preclude 3.5-mm pedicle screw fixation. The mean lamina length and width were 25.2±3.6 and 5.5±1.4 mm, and more than 90% of patients could tolerate a 3.5-mm C2 laminar screw.ConclusionPreoperative CT angiography or noncontrast CT is an excellent method to delineate the anatomy at C2 to determine the suitability for pedicle or intralaminar fixation. In cases where vertebral artery anatomy precludes C2 pedicle fixation, more than 90% of patients may be a candidate for C2 intralaminar fixation.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Spine Journal - Volume 10, Issue 10, October 2010, Pages 896–899
نویسندگان
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