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Higher fusion rate and higher risk with C2 pedicle compared to C2 pars screws
May 2013
Higher fusion rate and higher risk with C2 pedicle compared to C2 pars screws
Study Type:Meta-analysis/Systematic Review
OE Level Evidence:2
Journal Level of Evidence:N/A
Comparison of safety and stability of C-2 pars and pedicle screws for atlantoaxial fusion: meta-analysis and review of the literature
J Neurosurg Spine. 2012 Dec;17(6):577-93. doi: 10.3171/2012.9.SPINE111021. Epub 2012 Oct 5Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
This meta-analysis and systematic review included 38 articles comparing outcomes of vertebral artery injury, screw malposition and successful arthrodesis related to C-2 pedicle and pars screws in atlantoaxial fusion. The results demonstrated a lower risk of vertebral artery injury with pars screws (1.1% vs 1.5%), but higher rate of successful fusion with pedicle screws (98% vs 94%). Differences in...
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