지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 272 - 276 (5page)
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초록· 키워드
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Study Design: Retrospective study of 37 consecutive female patients with cervical spondylotic myelopathy who underwent reconstructed computed tomography (CT) scanning of the cervical spine. Purpose: The purpose of this study was to investigate whether the vertebral lateral notch of the cervical spine is an effective landmark to determine the entry point for lateral mass screwing. A modified Roy-Camille technique was used to determine the entry point associated with the lateral notch of the cervical spine. Overview of Literature: The Roy-Camille technique has been a popular technique for the posterior fixation of the cervical spine. A problem with this technique is determining the entry point on the lateral mass via visual inspection, such as in cases with degenerative or destructive cervical facet joints. Methods: Thirty-three female patients with cervical spondylotic myelopathy underwent reconstructed CT scanning of the cervical spine. Overall, 132 vertebrae from C3 to C6 were reviewed using reconstructed CT. The probable trajectory using a modified Roy- Camille technique was determined using reconstructed CT scans, and the optimal entry point was identified. Horizontal and vertical distances from the vertebral lateral notch were measured. Results: The entry point determined using the modified Roy-Camille technique was significantly superior and medial compared with that determined using the conventional Roy-Camille technique. At C3 and C4 levels, the entry point using the modified technique was 1.4 mm below and 4.4 mm medial to the lateral notch, and at C5 and C6 levels, it was 2.3 mm below and 4.9 mm medial to the lateral notch. Conclusions: The vertebral lateral notch of the cervical spine was an effective landmark to determine the entry point for lateral mass screwing. The modified Roy-Camille technique proposed here may prevent surgical complications and poor outcomes.
목차
등록된 정보가 없습니다.
참고문헌 (9)
참고문헌 신청
Roy-Camille R / 1992 / Treatment of lower cervical spinal injuries: C3 to C7 / Spine (Phila Pa 1976) 17(10 Suppl):S442~S446
Heller JG / 1991 / Anatomic comparison of the Roy-Camille and Magerl techniques for screw placement in the lower cervical spine / Spine (Phila Pa 1976) 16(10 Suppl):S552~S557
Barrey C / 2005 / Quantitative anatomic evaluation of cervical lateral mass fixation with a comparison of the Roy-Camille and the Magerl screw techniques / Spine (Phila Pa 1976) 30:E140~E147
Xu R / 1995 / Anatomy of C7 lateral mass and projection of pedicle axis on its posterior aspect / J Spinal Disord 8:116~120
Karaikovic EE / 2000 / Surgical anatomy of the cervi-cal pedicles: landmarks for posterior cervical pedicle entrance localization / J Spinal Disord 13:63~72
Heller JG / 1991 / Anatomic comparison of the Roy-Camille and Magerl techniques for screw placement in the lower cervical spine / Spine (Phila Pa 1976) 16(10 Suppl):S552~S557
Barrey C / 2005 / Quantitative anatomic evaluation of cervical lateral mass fixation with a comparison of the Roy-Camille and the Magerl screw techniques / Spine (Phila Pa 1976) 30:E140~E147
Xu R / 1995 / Anatomy of C7 lateral mass and projection of pedicle axis on its posterior aspect / J Spinal Disord 8:116~120
Karaikovic EE / 2000 / Surgical anatomy of the cervi-cal pedicles: landmarks for posterior cervical pedicle entrance localization / J Spinal Disord 13:63~72
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