KMID : 1001920120520020114
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Journal of Korean Neurosurgical Society 2012 Volume.52 No. 2 p.114 ~ p.119
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Clinical Outcome of Modified Cervical Lateral Mass Screw Fixation Technique
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Kim Seong-Hwan
Seo Won-Deog Kim Ki-Hong Yeo Hyung-Tae Choi Gi-Hwan Kim Dae-Hyun
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Abstract
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Objective: The purpose of this study was 1) to analyze clinically-executed cervical lateral mass screw fixation by the Kim¡¯s technique as suggested in the previous morphometric and cadaveric study and 2) to examine various complications and bicortical purchase that are important for b-one fusion.
Methods: A retrospective study was done on the charts, operative records, radiographs, and clinical follow up of thirty-nine patients. One hundred and seventy-eight lateral mass screws were analyzed. The spinal nerve injury, violation of the facet joint, vertebral artery injury, and the bicortical purchases were examined at each lateral mass.
Results: All thirty-nine patients received instrumentations with poly axial screws and rod systems, in which one hundred and seventy-eight screws in total. No vertebral artery injury or nerve root injury were observed. Sixteen facet joint violations were observed (9.0%). Bicortical purchases were achieved on one hundred and fifty-six (87.6%). Bone fusion was achieved in all patients.
Conclusion: The advantages of the Kim¡¯s technique are that it is performed by using given anatomical structures and that the complication rate is as low as those of other known techniques. The Kim¡¯s technique can be performed easily and safely without fluoroscopic assistance for the treatment of many cervical diseases.
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KEYWORD
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Lateral mass screw, Cervical vertebra, Kim¡¯s technique, Complication
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