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논문 기본 정보

자료유형
학술저널
저자정보
Yoon Gyo Jung (Department of Neurological Surgery Asan Medical Center University of Ulsan College of Medicine) Subum Lee (Department of Neurological Surgery Asan Medical Center University of Ulsan College of Medicine) Seong Kyun Jeong (Department of Neurological Surgery Asan Medical Center University of Ulsan College of Medicine) Myeongjong Kim (Department of Neurosurgery Asan Medical Center University of Ulsan College of Medicine Seoul Kor) 박진훈 (서울아산병원)
저널정보
대한신경손상학회 Korean Journal of Neurotrauma Korean Journal of Neurotrauma Vol.16 No.1
발행연도
2020.1
수록면
18 - 27 (10page)

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초록· 키워드

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In cases of unstable cervical traumatic lesions, the biomechanical superiority of the cervicalpedicle screw (CPS) allows the lesion to be stabilized effectively. In this study, we review andsummarize the indications, technical guidelines, and potential neurovascular complicationsand their prevention of the use of the CPS for trauma. For patients with fractured lamina orlateral mass, a CPS is reliable for stabilization. In addition, the CPS can penetrate througha linear cervical spinal pedicle fracture gap and could stabilize three-column injury. CPSreduce the range of surgical approach and preserve the motion segment using short-segmentfxation. Fluoroscopy-guided CPS insertion is popular and cost-effective. Image-guidednavigation systems improve accuracy. Three-dimensional template-guided CPS placementis simple to use. Most spine surgeons can perform laminoforaminotomy easily. Freehandtechnique that can be performed quickly without heavy equipment is suitable for emergencysituation. Possible complications due to screw misplacement are vertebral artery injury owingto a laterally misplaced screw, dural sac or spinal cord injury from a medially misplacedscrew, and nerve root injury caused by a superiorly or inferiorly misplaced screw. To preventneurovascular complications, meticulous preoperative anatomical evaluation and followingthe fve steps are most important.

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