Open Access

Design and application of subaxial cervical pedicle screw placement guide device

  • Authors:
    • Qiang Wang
    • Runlin Xing
    • Yiwen Zeng
  • View Affiliations

  • Published online on: April 11, 2019     https://doi.org/10.3892/etm.2019.7479
  • Pages: 4357-4362
  • Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

In the present study, a novel subaxial cervical pedicle screw placement guide device was designed and developed. In cervical specimens (C3‑C7), a pedicle screw was inserted into the left pedicle using the guide device with a keyhole partial laminectomy and tapping technique, and the right pedicle by drilling using the Abumi technique. After removing the pedicle screws, the channel wall of each pedicle screw was probed with a pedicle probe. The vertebral body was then dissociated for direct observation of the screw channel. Among the 10 specimens, 2 of the 50 pedicles (4%) in the guide device group were perforated. Screw placement failed in 8 of 50 pedicles (16%) in the Abumi technique group. Significant differences were observed in the outcomes for the guide device and Abumi technique groups. The subaxial cervical pedicle screw placement guide device developed in the present study decreased the failure rate of pedicle screw placement.

References

1 

Abumi K, Itoh H, Taneichi H and Kaneda K: Transpedicular screw fixation for traumatic lesions of the middle and lower cervical spine: Description of the techniques and preliminary report. J Spinal Disord. 7:19–28. 1994. View Article : Google Scholar : PubMed/NCBI

2 

Nishizawa K, Mori K, Nakamura A and Imai S: Novel landmark for cervical pedicle screw insertion point from computed tomography-based study. Asian Spine J. 11:82–87. 2017. View Article : Google Scholar : PubMed/NCBI

3 

Deng T, Jiang M, Lei Q, Cai L and Chen L: The accuracy and the safety of individualized 3D printing screws insertion templates for cervical screw insertion. Comput Assist Surg (Abingdon). 21:143–149. 2016. View Article : Google Scholar : PubMed/NCBI

4 

Uehara M, Takahashi J, Ikegami S, Kuraishi S, Futatsugi T and Kato H: Screw perforation rates in 359 consecutive patients receiving computer-guided pedicle screw insertion along the cervical to lumbar spine. Eur Spine J. 26:2858–2864. 2017. View Article : Google Scholar : PubMed/NCBI

5 

Schnake KJ, Tropiano P, Berjano P and Lamartina C: Cervical spine surgical approaches and techniques. Eur Spine J. 25 (Suppl 4):S486–S487. 2016. View Article : Google Scholar

6 

Wu Z, Wei Y and Yu L: Analysis and prevention of the direction error of transpedicular fixation for the cervical spinal fracture. Chin J Spine Spinal Cord. 14:178–179. 2004.(In Chinese).

7 

Reinhold M, Magerl F, Rieger M and Blauth M: Cervical pedicle screw placement: Feasibility and accuracy of two new insertion techniques based on morphometric data. Eur Spine J. 16:47–56. 2007. View Article : Google Scholar : PubMed/NCBI

8 

Karaikovic EE, Yingsakmongkol W and Gaines RW Jr: Accuracy of cervical pedicle screw placement using the funnel technique. Spine (Phila Pa 1976). 26:2456–2462. 2001. View Article : Google Scholar : PubMed/NCBI

9 

Bozbuga M, Ozturk A, Ari Z, Sahinoglu K, Bayraktar B and Cecen A: Morphometric evaluation of subaxial cervical vertebrae for surgical application of transpedicular screw fixation. Spine (Phila Pa 1976). 29:1876–1880. 2004. View Article : Google Scholar : PubMed/NCBI

10 

Chazono M, Soshi S, Inoue T, Kida Y and Ushiku C: Anatomical considerations for cervical pedicle screw insertion: The use of multiplanar computerized tomography reconstruction measurements. J Neurosurg Spine. 4:472–477. 2006. View Article : Google Scholar : PubMed/NCBI

11 

Yukawa Y, Kato F, Yoshihara H, Yanase M and Ito K: Cervical pedicle screw fixation in 100 cases of unstable cervical injuries: Pedicle axis views obtained using fluoroscopy. J Neurosurg Spine. 5:488–493. 2006. View Article : Google Scholar : PubMed/NCBI

12 

Richter M, Cakir B and Schmidt R: Cervical pedicle screws: Conventional versus computer-assisted placement of cannulated screws. Spine (Phila Pa 1976). 30:2280–2287. 2005. View Article : Google Scholar : PubMed/NCBI

13 

Wang D, Tang T and Huang S: Anatomical study and clinical application of pedicle screw fixation in lower cervical spine. Chin J Orthop. 11:659–662. 1998.(In Chinese).

14 

Cervical pedicle screw instrumentation is more reliable with O-arm-based 3D navigation, . analysis of cervical pedicle screw placement accuracy with O. European Spine Journal. 27:2729–2736. 2018.PubMed/NCBI

15 

Neo M, Fujibayashi S, Miyata M, Takemoto M and Nakamura T: Vertebral artery injury during cervical spine surgery: A survey of more than 5600 operations. Spine (Phila Pa 1976). 33:779–785. 2008. View Article : Google Scholar : PubMed/NCBI

16 

Tse MS, Chan CH, Wong KK and Wong WC: Quantitative anatomy of C7 vertebra in Southern Chinese for insertion of lateral mass screws and pedicle screws. Asian Spine J. 10:705–710. 2016. View Article : Google Scholar : PubMed/NCBI

17 

Sanelli PC, Tong S, Gonzalez RG and Eskey CJ: Normal variation of vertebral artery on CT angiography and its implications for diagnosis of acquired pathology. J Comput Assist Tomogr. 26:462–470. 2002. View Article : Google Scholar : PubMed/NCBI

18 

Bruneau M, Cornelius JF, Marneffe V, Triffaux M and George B: Anatomical variations of the V2 segment of the vertebral artery. Neurosurgery 59 (1 Suppl 1). ONS20–ONS24. 2006.

19 

Simsek S, Uz A, Er U and Apaydin N: Quantitative evaluation of the anatomical parameters for subaxial cervical spondylectomy: An anatomical study. J Neurosurg Spine. 18:568–574. 2013. View Article : Google Scholar : PubMed/NCBI

20 

Munusamy T, Thien A, Anthony MG, Bakthavachalam R and Dinesh SK: Computed tomographic morphometric analysis of cervical pedicles in a multi-ethnic Asian population and relevance to subaxial cervical pedicle screw fixation. Eur Spine J. 24:120–126. 2015. View Article : Google Scholar : PubMed/NCBI

21 

Al-Saeed O, Marwan Y, Kombar OR, Samir A and Sheikh M: The feasibility of transpedicular screw fixation of the subaxial cervical spine in the Arab population: A computed tomography-based morphometric study. J Orthop Traumatol. 17:231–238. 2016. View Article : Google Scholar : PubMed/NCBI

22 

Panjabi MM, Duranceau J, Goel V, Oxland T and Takata K: Cervical human vertebrae. Quantitative three-dimensional anatomy of the middle and lower regions. Spine (Phila Pa 1976). 16:861–869. 1991. View Article : Google Scholar : PubMed/NCBI

23 

Abumi K, Shono Y, Ito M, Taneichi H, Kotani Y and Kaneda K: Complications of pedicle screw fixation in reconstructive surgery of the cervical spine. Spine (Phila Pa 1976). 25:962–969. 2000. View Article : Google Scholar : PubMed/NCBI

24 

Ludwig SC, Kowalski JM, Edwards CC II and Heller JG: Cervical pedicle screws: Comparative accuracy of two insertion techniques. Spine (Phila Pa 1976). 25:2675–2681. 2000. View Article : Google Scholar : PubMed/NCBI

25 

Aoude AA, Fortin M, Figueiredo R, Jarzem P, Ouellet J and Weber MH: Methods to determine pedicle screw placement accuracy in spine surgery: A systematic review. Eur Spine J. 24:990–1004. 2015. View Article : Google Scholar : PubMed/NCBI

26 

Ebraheim NA, Xu R, Knight T and Yeasting RA: Morphometric evaluation of lower cervical pedicle and its projection. Spine (Phila Pa 1976). 22:1–6. 1997. View Article : Google Scholar : PubMed/NCBI

27 

Yoshimoto H, Sato S, Hyakumachi T, Yanagibashi Y and Masuda T: Spinal reconstruction using a cervical pedicle screw system. Clin Orthop Relat Res. 111–119. 2005. View Article : Google Scholar : PubMed/NCBI

28 

Kast E, Mohr K, Richter HP and Börm W: Complications of transpedicular screw fixation in the cervical spine. Eur Spine J. 15:327–334. 2006. View Article : Google Scholar : PubMed/NCBI

Related Articles

Journal Cover

June 2019
Volume 17 Issue 6

Print ISSN: 1792-0981
Online ISSN:1792-1015

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
APA
Wang, Q., Xing, R., & Zeng, Y. (2019). Design and application of subaxial cervical pedicle screw placement guide device. Experimental and Therapeutic Medicine, 17, 4357-4362. https://doi.org/10.3892/etm.2019.7479
MLA
Wang, Q., Xing, R., Zeng, Y."Design and application of subaxial cervical pedicle screw placement guide device". Experimental and Therapeutic Medicine 17.6 (2019): 4357-4362.
Chicago
Wang, Q., Xing, R., Zeng, Y."Design and application of subaxial cervical pedicle screw placement guide device". Experimental and Therapeutic Medicine 17, no. 6 (2019): 4357-4362. https://doi.org/10.3892/etm.2019.7479