EVALUATION OF SAFETY FOR C1 LATERAL MASS SCREWS VIA THE POSTERIOR ARCH IN THE TREATMENT OF CERVICAL SPINE TRAUMA INSTABILITY

Văn Cường Vũ, Thế Hưng Đinh, Hồng Phong Phạm

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Abstract

Objectives: To present the accuracy and safety of a technique posterior arch C1 lateral mass and C2 pedicle screw fixation. Material and methods: A prespective study in 60 patients had C1C2 fracture instability. Results: A total of 120 screw posterior arch C1 in 60 patients had been inserted. On the postoperative vascular-enhanced computed tomography scan, we analyzed the direction and grade of pedicle perforation: grade 1 (no perforation) 100 % left screw, right screw grade 1 55.4%, grade 2 44.6%. Conclusion: we had been inserted posterior arch C1 screw for C1C2 fracture instability with high accurac. This technique has been clinically validated to provide an accuratetrajectory for posterior arch C1 placement in the cervical spine.

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References

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