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- Title
Modified translaminar screw fixation in the cervicothoracic junction (C7-T2): a technical note.
- Authors
Xia, Dong-Dong; Yan, Mei-Jun; Zhang, Jing-Jie; Zhou, Feng; Xu, Hong-Ming; Wang, Yong-li; Tan, Jun; Wang, Xiang-Yang
- Abstract
<bold>Purpose: </bold>To describe and illustrate a modified technique for using translaminar screw in the cervicothoracic junction (C7-T2).<bold>Methods: </bold>12 patients (8 males and 4 females, average age was 52 years) underwent insertion of unilateral or bilateral translaminar screws by using our modified technique. With this modified technique, a tiny unicortical "hole" was made at the middle of the contralateral lamina, and the screw can be directly visualized through the unicortical "hole" to prevent violating the spinal canal.<bold>Results: </bold>With this modified technique, the mean operation time was 205 min (range 145-360) and mean estimated blood loss was 445 ml (range 260-1250). The mean length of the laminar screws was 27 (range 24-30) mm. The results of the 12 patients with an average follow-up of 17 (6-33) months demonstrated this modified technique to be safe and effective in the fixation of cervicothoracic junction.<bold>Conclusion: </bold>In this modified technique, a tiny unicortical "hole" which was made at the middle of the dorsal lamina of cervicothoracic junction (C7-T2). By directly visualizing the screw inserting against the dorsal cortices of the lamina, this modified technique can reduce the risk of violation of the spinal canal and shorten the operation time.
- Subjects
BONE screws; INTERNAL fixation in fractures; SPINAL surgery; OPERATIVE surgery; SPINAL canal; SURGERY; CERVICAL vertebrae; THORACIC vertebrae; SPINAL fusion; EQUIPMENT &; supplies
- Publication
European Spine Journal, 2016, Vol 25, Issue 6, p1661
- ISSN
0940-6719
- Publication type
journal article
- DOI
10.1007/s00586-016-4418-3