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How I do it: cervical lateral mass screw fixation

Tessitore, Enrico ; El-Hassani, Yassine ; Schaller, Karl

In: Acta Neurochirurgica, 2011, vol. 153, no. 8, p. 1695-1699

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    Titre
    • How I do it: cervical lateral mass screw fixation
    Auteur
    • Tessitore, Enrico. Neurosurgical Unit, Faculty of Medicine, Geneva University Medical Center, Rue Gabrielle Perret-Gentil 4, 1211, Geneva 14, Switzerland
    • El-Hassani, Yassine. Neurosurgical Unit, Faculty of Medicine, Geneva University Medical Center, Rue Gabrielle Perret-Gentil 4, 1211, Geneva 14, Switzerland
    • Schaller, Karl. Neurosurgical Unit, Faculty of Medicine, Geneva University Medical Center, Rue Gabrielle Perret-Gentil 4, 1211, Geneva 14, Switzerland
    Type de document
    • Postprint
    Identifiant OAI-PMH
    • oai:doc.rero.ch:320227
    Summary
    Background: Cervical lateral mass screw fixation is indicated for the treatment of cervical subaxial C3-C7 lesions associated with instability. Method: The authors first describe the surgical anatomy of the subaxial cervical posterior approach. Then the Magerl technique is detailed. In particular, tricks to avoid complications are presented. The ideal screw entry point, direction, size and exit point are mentioned. A surgical video, artist's drawings and a radiological case report are included. Conclusion: The Magerl technique is a safe and effective lateral mass fixation technique. Respecting anatomical landmarks is crucial to avoid nerve root, vertebral artery and facet joint injury