The Spine

  • Robert A. McGuireJr.


During the last decade, the use of cannulated screws in the treatment of spinal disorders has become fairly commonplace. This technique allows direct stabilization of cervical fractures and also facilitates the placement of screws into the thoracic and lumbar vertebral body using the transpedicular approach. The chapter addresses the anatomy, biomechanics, techniques, and potential complications associated with the utilization of cannulated screws in the spine.


Lateral Mass Screw Placement Cannulated Screw Odontoid Fracture Transverse Ligament 
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  1. 1.
    Penning L. Normal movement of the cervical spine. Am J Roentgenol 1979;130:317–319.Google Scholar
  2. 2.
    Etter C, Coscia M, Jaberg H, Aebi M. Direct anterior fixation of dens fractures with a cannulated screw system. Spine 1991;16:S25–S32.PubMedCrossRefGoogle Scholar
  3. 3.
    Bohler J. Anterior stabilization for acute fractures and nonunions of the dens. J Bone Joint Surg 1982;64A:18–27.Google Scholar
  4. 4.
    Magerl F, Seemann PS. Stable posterior fusion of the atlas and axis by transarticular screw fixation. In: Weidner PA, ed. Cervical Spine, vol 1. New York: Springer-Verlag, 1987;322–327.Google Scholar
  5. 5.
    McGuire R, Harkey HL. Modification of technique and results of transarticular CI C2 stabili-zation. Orthopedics 1995;18:10,1029–1032.PubMedGoogle Scholar
  6. 6.
    Anderson LD, D’Alonzo RT. Fractures of the odontoid process of the axis. J Bone Joint Surg 1974;56A:1663–1664.Google Scholar
  7. 7.
    Schatzker J, Rorabeek CH, Waddell JP. Fracture of the dens: an analysis of thirty-seven cases. J Bone Joint Surg 1971;53B:392–405.Google Scholar
  8. 8.
    Sasso RC, Heggeness MH, Dohrety BJ. Bio-mechanics of odontoid fracture fixation: com- parison of one and two screw techniques. Spine 1993;18:1950–1953.PubMedCrossRefGoogle Scholar
  9. 9.
    Grazino G, Jaggers C, Lee M, Lynch W. A comparative study of fixation techniques for type II fractures of the odontoid process. Spine 1993; 18:2383–2387.CrossRefGoogle Scholar
  10. 10.
    Heller JG, Also MD, Schaffler MB, Brahme SK, Miller CW, Garfin SR. Quantitive dens morphology. Orthop Trans 1990;14:693.Google Scholar
  11. 11.
    Montesano PX, Anderson PA, Schlehr F, Thalgott JS, Lowery G. Odontoid fractures treated by anterior odontoid screw fixation. Spine 1991;16: S33–37.PubMedCrossRefGoogle Scholar
  12. 12.
    Grob D, Crisco JJ, Panjabi MM, Wang P, Devorak J. Biomechanical evaluation of four different posterior atlantoaxial fixation techniques. Spine 1992; 17:480–490.PubMedCrossRefGoogle Scholar
  13. 13.
    Montesano P, Juach EC, Anderson PA, Benson DR, Hanson PB. Biomechanics of cervical fixation. Spine 1991;16:S10–516.PubMedCrossRefGoogle Scholar
  14. 14.
    Jeanneret B, Magerl F. Primary posterior fusion CI C2 in odontoid fractures: indications, techniques, and results of transarticular screw fixation. J Spinal Disorders 1992;5:464–475.CrossRefGoogle Scholar
  15. 15.
    Zdeblick TA. A prospective, randomized study of lumbar fusion. Spine 1993;18:983–991.PubMedCrossRefGoogle Scholar
  16. 16.
    Saillant G. Etude anatomique des pedicules vertebraux: application chirurgicale. Rev Chir Orthop 1976;62:151–160.PubMedGoogle Scholar
  17. 17.
    Weinstein JN, Spratt KF, Spengler D, Brick C. Spinal pedicle fixation: reliability and validity of roentgenogram-based assessment and surgical factors on successful screw placement. Spine 1988; 13:1012–1018.PubMedCrossRefGoogle Scholar
  18. 18.
    Krag MH, VanHal ME, Beynnon BD. Placement of transpedicular vertebral screws close to anterior vertebral cortex. Spine 1989;14:879–883.PubMedCrossRefGoogle Scholar
  19. 19.
    Magerl F. Stabilization of the lower thoracic and lumbar spine with external skeletal fixation. Clin Orthop 1984;189:125–141.PubMedGoogle Scholar
  20. 20.
    King D. Internal fixation of lumbosacral fusion. J Bone Joint Surg 1959;41B:248–259.Google Scholar
  21. 21.
    Boucher HH. A method of spine fusion. J Bone Joint Surg 1959;41B:248–259.Google Scholar
  22. 22.
    Jacobs RR, Montesano PX, Jackson RP. Enhancement of lumbar spine fusion by use of trans-laminar facet joint screws. Spine 1989;14:12–15.PubMedCrossRefGoogle Scholar

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© Springer-Verlag New York, Inc. 1996

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  • Robert A. McGuireJr.

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