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Transfacetal Screw Fixation for Subaxial Cervical Spine
Deepak K Singh1, Arun K Singh1, Satish Nayak1
1Department of Neurosurgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Neurology India
|March 10, 2022
Summary
Posterior transfacetal screw fixation offers a biomechanically effective and rigid solution for subaxial cervical spine surgery. This technique provides immediate, stable fixation with a good patient outcome.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Spine Surgery
Background:
- Transfacetal screw fixation has significantly advanced in modern subaxial cervical spine surgery.
- This technique offers biomechanical effectiveness by engaging four cortical surfaces of the facets.
Purpose of the Study:
- To demonstrate the surgical technique of posterior transfacetal screw fixation for the subaxial cervical spine.
Main Methods:
- Posterior transfacetal screw fixation was performed with posterior decompression.
- Screws were inserted 1 mm caudal to the midpoint of the lateral mass, perpendicular to the facet joint sagittally and straight coronally.
- Bone chips were applied to the decorticated lateral mass post-decompression.
Main Results:
- The patient experienced an uneventful recovery.
- Good clinical status was maintained at follow-up.
Conclusions:
- Transfacetal screw fixation is a biomechanically effective, rigid, and cost-efficient method for immediate fixation in the subaxial cervical spine.
