The feasibility of transpedicular screw fixation of the subaxial cervical spine in the Arab population: a computed tomography-based morphometric study
| Autor: | Mehraj Sheikh, Yousef Marwan, Ahmed Samir, Osama Al-Saeed, Osama Kombar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
musculoskeletal diseases Adult Male medicine.medical_specialty Sports medicine Population Bone Screws Pedicle Screw fixation 03 medical and health sciences 0302 clinical medicine Reference Values Statistical significance Cervical spine medicine Humans Orthopedics and Sports Medicine education Computed tomography Retrospective Studies Orthodontics Transpedicular fixation education.field_of_study business.industry musculoskeletal system Neurovascular bundle Surgery Arabs medicine.anatomical_structure Bridge (graph theory) Cross-Sectional Studies Kuwait Orthopedic surgery Cervical Vertebrae Feasibility Studies Original Article Female 030101 anatomy & morphology Anatomy business Tomography X-Ray Computed 030217 neurology & neurosurgery Cervical vertebrae |
| Zdroj: | Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology |
| ISSN: | 1590-9999 1590-9921 |
| Popis: | Background Transpedicular screw fixation of the cervical spine provides excellent biomechanical stability. The feasibility of inserting a 3.5-mm screw in the pedicle requires a minimum pedicle diameter of 4.5 mm. This diameter allows at least 0.5 mm bony bridge medially and laterally in order to avoid pedicle violation which can result in neurovascular complications. We aim to evaluate the feasibility of this technique in Arab people since no data are available about this population. Materials and methods This cross-sectional study involved a retrospective review of computed tomography scans of normal cervical spines of 99 Arab adults. Ten morphometric measurements were obtained. Data were analyzed using a p value of ≤0.05 as the cut-off level of statistical significance. Results Our sample included 63 (63.6 %) males and 36 (36.4 %) females, with a mean age of 35.5 ± 16.5 years. The morphometric parameters of C3–C7 spine pedicles were larger in males than in females. The outer pedicle width (OPW) was 25 % of all subjects at C3–C6 vertebrae. Statistically significant differences in the OPW between males and females were noted at C3 (p = 0.032) and C6 (p = 0.004). Conclusions Inserting pedicle screws in the subaxial cervical spine is feasible among the majority of Arab people. Level of evidence Level 3. |
| Databáze: | OpenAIRE |
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