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

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-extensio...

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Main Authors: Kiyoshi Tarukado, Osamu Tono, Toshio Doi
Format: Article
Language:English
Published: Korean Spine Society 2015-10-01
Series:Asian Spine Journal
Subjects:
Online Access:http://www.asianspinejournal.org/upload/pdf/asj-9-789.pdf
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author Kiyoshi Tarukado
Osamu Tono
Toshio Doi
author_facet Kiyoshi Tarukado
Osamu Tono
Toshio Doi
author_sort Kiyoshi Tarukado
collection DOAJ
description 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.
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spelling doaj.art-c7af3980ba22491a940ecce1930e9a9e2022-12-22T02:06:24ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462015-10-019578979310.4184/asj.2015.9.5.789843Simultaneous Use of Both Bilateral Intralaminar and Pedicle Screws for C2 StabilizationKiyoshi Tarukado0Osamu Tono1Toshio Doi2Department of Orthopedic Surgery, Kyushu University Beppu Hospital, Oita, Japan.Department of Orthopedic Surgery, Kyushu University Beppu Hospital, Oita, Japan.Department of Orthopedic Surgery, Kyushu University Beppu Hospital, Oita, Japan.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.http://www.asianspinejournal.org/upload/pdf/asj-9-789.pdfSpinal fusionPedicle screwsLaminar
spellingShingle Kiyoshi Tarukado
Osamu Tono
Toshio Doi
Simultaneous Use of Both Bilateral Intralaminar and Pedicle Screws for C2 Stabilization
Asian Spine Journal
Spinal fusion
Pedicle screws
Laminar
title Simultaneous Use of Both Bilateral Intralaminar and Pedicle Screws for C2 Stabilization
title_full Simultaneous Use of Both Bilateral Intralaminar and Pedicle Screws for C2 Stabilization
title_fullStr Simultaneous Use of Both Bilateral Intralaminar and Pedicle Screws for C2 Stabilization
title_full_unstemmed Simultaneous Use of Both Bilateral Intralaminar and Pedicle Screws for C2 Stabilization
title_short Simultaneous Use of Both Bilateral Intralaminar and Pedicle Screws for C2 Stabilization
title_sort simultaneous use of both bilateral intralaminar and pedicle screws for c2 stabilization
topic Spinal fusion
Pedicle screws
Laminar
url http://www.asianspinejournal.org/upload/pdf/asj-9-789.pdf
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