Computerized tomographic measurement of the cervical pedicles diameter in a Malaysian population and the feasibility for transpedicular fixation

Spine
Mohd Imran YusofAbdul Halim Yusof

Abstract

The cervical pedicle diameter size differs between Asians and non-Asians. The authors studied the transverse pedicle diameter of the C2-C7 of the cervical spine in a Malaysian population using computerized tomography (CT) measurements. The transverse diameter of the pedicle is the determinant of the feasibility of this technique because the sagittal diameter of the pedicle has been wider than the transverse pedicle diameter. To study the average transverse pedicle diameter of the cervical spine in a Malaysian population, and evaluate the feasibility and safety of pedicle screw fixation in these patients. Cervical transpedicular screw fixation has been safe and is most probably going to be the gold standard for cervical spine fixation. However, its use in the Asian population should be considered cautiously because our cervical pedicle diameter may not be adequate to accommodate the standard pedicle screw size, which can be dangerous because there are vital structures located adjacent to the pedicles. The measurements of the cervical pedicles were performed on CT images using its measurement tools. CT cutting was made at 2.5-mm intervals. The pedicle transverse diameters were defined as the most outer diameter of the pedicle, ta...Continue Reading

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Citations

Jan 23, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·M ReinholdF Magerl
Jul 29, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·James P SieradzkiMartin L Lazarus
Apr 25, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Masaaki ChazonoKeishi Marumo
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Aug 27, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Thangaraj MunusamyShree Kumar Dinesh
Jan 14, 2010·Journal of Spinal Disorders & Techniques·Hassan AloshDaniel M Sciubba
Feb 14, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Kadir KotilYildiray Savas
May 13, 2010·Spine·Eskandar HassanAbdul Halim Yusof
Oct 30, 2010·Spine·Jiayong LiuNabil A Ebraheim
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Feb 8, 2018·Acta neurochirurgica·Leonard WestermannDominik Baschera
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Jan 29, 2019·Asian Spine Journal·Joseph AlbanoKanwarpaul Grewal
Dec 21, 2011·Journal of Orthopaedic Surgery·Kadir KotilYildiray Savas

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