Accuracy of Axis Drill Guides in the Cases of Atlantoaxial Instabilities Associated With High-Riding Vertebral Arteries, Narrow Pedicles, and Complex Deformities: Comparison of 3 Fixation Methods

Autor: Azad Malikov, Ahmet Eren Secen, Ozgur Ocal, Denizhan Divanlioglu, Ahmet Deniz Belen, Ali Dalgic
Rok vydání: 2022
Předmět:
Zdroj: World Neurosurgery. 168:e336-e343
ISSN: 1878-8750
Popis: The current study's objective was to contrast the accuracy of C2 navigation template-assisted versus free-hand pedicle and/or pars screw fixation in high-risk cases where a high-riding vertebral artery or narrow pedicle and complex deformities were associated.In our hospital, CT data of 30 subjects with pathology on COur results stated that the accurate placement rate is not noticeably different between navigation template-assisted and free hand pedicle screws, where the HRVA and narrow pedicles associated, but was better in navigational template group with complex deformities. Pars screws were found to be superior in terms of accuracy.The current study suggests that navigational template assisted pedicle screws are risky for high-risk individuals with abnormal anatomy, such as those with a high-riding vertebral artery, a narrow pedicle, and complex abnormalities, and alternative C2 pars screws may be a reliable option for such individuals.
Databáze: OpenAIRE