دورية أكاديمية

C2 Anatomy for Translaminar Screw Placement Based on Computerized Tomographic Measurements

التفاصيل البيبلوغرافية
العنوان: C2 Anatomy for Translaminar Screw Placement Based on Computerized Tomographic Measurements
المؤلفون: Kriangsak Saetia, Anuchit Phankhongsab
المصدر: Asian Spine Journal, Vol 9, Iss 2, Pp 205-209 (2015)
بيانات النشر: Korean Spine Society, 2015.
سنة النشر: 2015
المجموعة: LCC:Medicine
مصطلحات موضوعية: Anatomy, Atlanto-axial fusion, Bone screws, Medicine
الوصف: Study DesignAnatomical study.PurposeTo evaluate the anatomy of the C2 lamina for translaminar screw placement based on computerized tomographic measurements.Overview of LiteratureC2 translaminar screw insertion is a novel technique for atlanto-axial fixation. The risk of vertebral artery injury can be decreased by this technique. However, a large series of anatomical studies on C2 anatomy in Asian populations is still lacking.MethodsTwo hundred adult C2 vertebrae were evaluated by computerized tomographic imaging. The measured parameters included inner and outer transverse diameters of C2 lamina, C2 laminar length and spino-laminar angle. C2 vertebrae with lamina screw placement feasibility were defined as those with inner transverse diameter larger than 3.5 mm.ResultsThe mean inner transverse diameter of the C2 lamina was 4.23±1.22 mm. It was significantly larger in males than in females (4.44±1.29 mm vs. 3.96±1.06 mm, p=0.005). The mean outer transverse diameter of C2 lamina was 6.64±1.36 mm. The mean C2 laminar length was 37.26±4.42 mm. The mean C2 spino-laminar angle was 56.42±6.42 degrees. Seventy-nine percents of patients had inner transverse diameter larger than 3.5 mm.ConclusionsC2 translaminar screw fixation was feasible in the majority of the adult population. However, there were some people who had small C2 lamina. We recommend preoperative computed tomography evaluation to confirm the feasibility of screw placement.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1976-1902
1976-7846
Relation: http://www.asianspinejournal.org/upload/pdf/asj-9-205.pdf; https://doaj.org/toc/1976-1902; https://doaj.org/toc/1976-7846
DOI: 10.4184/asj.2015.9.2.205
URL الوصول: https://doaj.org/article/9e10d1b320fe4395bcff7e7332d93d35
رقم الأكسشن: edsdoj.9e10d1b320fe4395bcff7e7332d93d35
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:19761902
19767846
DOI:10.4184/asj.2015.9.2.205