Literature DB >> 34045826

Analyzing parsicle screws as a viable alternative to pars screws and pedicle screws for C2 posterior instrumentation fixation.

Eric Dilbone1, Rishabh Gupta1, Byron Stephens1.   

Abstract

INTRODUCTION: This study examined the possible clinical utility of "parsicle screws" in securing C2 instrumentation.
METHODS: Ten patients' C2 vertebrae were virtually reconstructed using computer-aided design software. Pedicle, pars, and parsicle screws were virtually placed in the vertebrae.
RESULTS: In addition to establishing the trajectory and theoretical safety of parsicle screws, this study determined that parsicle screws were significantly longer than pars screws (p = 0.005).
CONCLUSION: The additional length of parsicle screws may improve construct stability. As such, parsicle screws should be examined as an alternative to pars screws in patients unable to receive C2 pedicle screws.
© 2021 Published by Elsevier B.V. on behalf of Professor P K Surendran Memorial Education Foundation.

Entities:  

Keywords:  3D model; C2; CAD; Pars; Parsicle; Pedicle

Year:  2021        PMID: 34045826      PMCID: PMC8144100          DOI: 10.1016/j.jor.2021.05.024

Source DB:  PubMed          Journal:  J Orthop        ISSN: 0972-978X


  8 in total

1.  Safety and Accuracy of Anatomic and Lateral Fluoroscopic-Guided Placement of C2 Pars/Pedicle Screws and C1 Lateral Mass Screws, and Freehand Placement of C2 Laminar Screws.

Authors:  Narayanam Anantha Sai Kiran; Laxminadh Sivaraju; Kanneganti Vidyasagar; Sarita Aryan; Vivek Raj; Niranjana Rajagopal; Dilip Mohan; Sumit Thakar; Arun Sadashiva Rao; Alangar S Hegde
Journal:  World Neurosurg       Date:  2018-07-02       Impact factor: 2.104

2.  The C2 "Parsicle" Screw: Introduction of a Novel Posterior Surgical Technique For Upper Cervical Fixation.

Authors:  Christopher C Kepler; Taolin Fang; Wesley H Bronson; Glenn S Russo; Gregory D Schroeder
Journal:  Clin Spine Surg       Date:  2020-05       Impact factor: 1.876

3.  Minimizing Pedicle Screw Pullout Risks: A Detailed Biomechanical Analysis of Screw Design and Placement.

Authors:  Rohan-Jean Bianco; Pierre-Jean Arnoux; Eric Wagnac; Jean-Marc Mac-Thiong; Carl-Éric Aubin
Journal:  Clin Spine Surg       Date:  2017-04       Impact factor: 1.876

Review 4.  Comparison of safety and stability of C-2 pars and pedicle screws for atlantoaxial fusion: meta-analysis and review of the literature.

Authors:  Robert E Elliott; Omar Tanweer; Akwasi Boah; Michael L Smith; Anthony Frempong-Boadu
Journal:  J Neurosurg Spine       Date:  2012-10-05

5.  Evaluation of the Fixation Strength of Pedicle Screws Using Cortical Bone Trajectory: What Is the Ideal Trajectory for Optimal Fixation?

Authors:  Keitaro Matsukawa; Eiko Taguchi; Yoshiyuki Yato; Hideaki Imabayashi; Naobumi Hosogane; Takashi Asazuma; Koichi Nemoto
Journal:  Spine (Phila Pa 1976)       Date:  2015-08-01       Impact factor: 3.468

6.  Risk of vertebral artery injury: comparison between C1-C2 transarticular and C2 pedicle screws.

Authors:  Jin S Yeom; Jacob M Buchowski; Ho-Joong Kim; Bong-Soon Chang; Choon-Ki Lee; K Daniel Riew
Journal:  Spine J       Date:  2013-05-14       Impact factor: 4.166

7.  Biomechanical evaluation of fixation strength among different sizes of pedicle screws using the cortical bone trajectory: what is the ideal screw size for optimal fixation?

Authors:  Keitaro Matsukawa; Yoshiyuki Yato; Hideaki Imabayashi; Naobumi Hosogane; Yuichiro Abe; Takashi Asazuma; Kazuhiro Chiba
Journal:  Acta Neurochir (Wien)       Date:  2016-01-15       Impact factor: 2.216

8.  Radiologic Analysis of C2 to Predict Safe Placement of Pedicle Screws.

Authors:  Rex A W Marco; Christopher I Phelps; Rebecca C Kuo; W U Zhuge; Clinton W Howard; Vivek P Kushwaha; Derek T Bernstein
Journal:  Int J Spine Surg       Date:  2018-03-30
  8 in total

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