Simultaneous Use of Both Bilateral Intralaminar and Pedicle Screws for C2 Stabilization

Asian Spine Journal

Osamu Tono¹  Kiyoshi Tarukado¹  Toshio Doi¹ 

[1] Department of Orthopedic Surgery, Kyushu University Beppu Hospital, Oita, Japan.;

关键词: Spinal fusion;    Pedicle screws;    Laminar;   

DOI  :  10.4184/asj.2015.9.5.789

来源: DOAJ

【 摘 要 】

Four patients underwent stabilization surgery using both bilateral C2 pedicle screw (PS) and intralaminar screw (LS). Neural and vascular injury resulting from incorrect screw placement was assessed using computed tomography (CT). The evaluation of bone union was assessed by lateral flexion-extension X-ray films and CT. The symptoms were improved in all patients. There were no intraoperative complications. Furthermore, there were no cases of neurological worsening or vascular injury from incorrect screw placement. Failure of instrumentation or screw loosening during the follow-up period did not occur in any of the patients. All cases had accomplished bone union at the final follow-up. Theoretically, the stabilization technique using both bilateral C2 PS and LS at the same time can provide more stability than any other single technique. Simultaneous use of both bilateral C2 PS and LS is potentially a good choice for surgical repair.

【 授权许可】

Unknown