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Cervical Posterior Instrumentation Surgery Using a Patient-Specific Screw Guide Templating System: A Case Report
Posterior cervical pedicle screw (CPS) is one of the most robust forms of posterior instrumentation. Nonetheless, the spinal cord, nerve roots, and vertebral artery are situated in proximity to the cervical pedicle, engendering a significant risk of damage to these structures during CPS insertion. H...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664967/ https://www.ncbi.nlm.nih.gov/pubmed/38022001 http://dx.doi.org/10.7759/cureus.47538 |
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author | Hirao, Yukino Takahashi, Hiroshi Koda, Masao Funayama, Toru Yamazaki, Masashi |
author_facet | Hirao, Yukino Takahashi, Hiroshi Koda, Masao Funayama, Toru Yamazaki, Masashi |
author_sort | Hirao, Yukino |
collection | PubMed |
description | Posterior cervical pedicle screw (CPS) is one of the most robust forms of posterior instrumentation. Nonetheless, the spinal cord, nerve roots, and vertebral artery are situated in proximity to the cervical pedicle, engendering a significant risk of damage to these structures during CPS insertion. Here, we report a case of cervical posterior instrumentation surgery using a patient-specific three-dimensional (3D) screw guide templating system approved for the cervical spine (Myspine Cervical®). A 62-year-old man presented to our hospital with progressive numbness and paresthesia in both hands and fingers, as well as gait disturbance, which had persisted for one year. A neurological examination revealed severe myelopathy. Imaging findings showed severe spinal cord compression due to ossification of the posterior longitudinal ligament (OPLL) from C3/4 to C6/7. On the diagnosis of compression myelopathy due to cervical OPLL, we performed a posterior decompression and fusion surgery using a patient-specific 3D screw guide templating system (Myspine Cervical®). No severe complications occurred during the surgery. Evaluation of the CPS position by postoperative CT showed that all the CPS placements were accurate. The implementation of the patient-specific 3D screw guide templating system facilitated the secure and precise insertion of CPS in comparison to other surgical assist devices. |
format | Online Article Text |
id | pubmed-10664967 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-106649672023-10-23 Cervical Posterior Instrumentation Surgery Using a Patient-Specific Screw Guide Templating System: A Case Report Hirao, Yukino Takahashi, Hiroshi Koda, Masao Funayama, Toru Yamazaki, Masashi Cureus Neurosurgery Posterior cervical pedicle screw (CPS) is one of the most robust forms of posterior instrumentation. Nonetheless, the spinal cord, nerve roots, and vertebral artery are situated in proximity to the cervical pedicle, engendering a significant risk of damage to these structures during CPS insertion. Here, we report a case of cervical posterior instrumentation surgery using a patient-specific three-dimensional (3D) screw guide templating system approved for the cervical spine (Myspine Cervical®). A 62-year-old man presented to our hospital with progressive numbness and paresthesia in both hands and fingers, as well as gait disturbance, which had persisted for one year. A neurological examination revealed severe myelopathy. Imaging findings showed severe spinal cord compression due to ossification of the posterior longitudinal ligament (OPLL) from C3/4 to C6/7. On the diagnosis of compression myelopathy due to cervical OPLL, we performed a posterior decompression and fusion surgery using a patient-specific 3D screw guide templating system (Myspine Cervical®). No severe complications occurred during the surgery. Evaluation of the CPS position by postoperative CT showed that all the CPS placements were accurate. The implementation of the patient-specific 3D screw guide templating system facilitated the secure and precise insertion of CPS in comparison to other surgical assist devices. Cureus 2023-10-23 /pmc/articles/PMC10664967/ /pubmed/38022001 http://dx.doi.org/10.7759/cureus.47538 Text en Copyright © 2023, Hirao et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Neurosurgery Hirao, Yukino Takahashi, Hiroshi Koda, Masao Funayama, Toru Yamazaki, Masashi Cervical Posterior Instrumentation Surgery Using a Patient-Specific Screw Guide Templating System: A Case Report |
title | Cervical Posterior Instrumentation Surgery Using a Patient-Specific Screw Guide Templating System: A Case Report |
title_full | Cervical Posterior Instrumentation Surgery Using a Patient-Specific Screw Guide Templating System: A Case Report |
title_fullStr | Cervical Posterior Instrumentation Surgery Using a Patient-Specific Screw Guide Templating System: A Case Report |
title_full_unstemmed | Cervical Posterior Instrumentation Surgery Using a Patient-Specific Screw Guide Templating System: A Case Report |
title_short | Cervical Posterior Instrumentation Surgery Using a Patient-Specific Screw Guide Templating System: A Case Report |
title_sort | cervical posterior instrumentation surgery using a patient-specific screw guide templating system: a case report |
topic | Neurosurgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664967/ https://www.ncbi.nlm.nih.gov/pubmed/38022001 http://dx.doi.org/10.7759/cureus.47538 |
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