Acta Medica Okayama 74巻 6号
2020-12 発行

C-Arm-Free Minimally Invasive Cervical Pedicle Screw Fixation (MICEPS): A Technical Note

Tanaka, Masato Department of Orthopaedic Surgery, Okayama Rosai Hospital
Fujiwara, Yoshihiro Department of Orthopaedic Surgery, Okayama Rosai Hospital
Uotani, Koji Department of Orthopaedic Surgery, Okayama Rosai Hospital
Kadiri, Venkatesh Department of Orthopaedic Surgery, Okayama Rosai Hospital
Yamauchi, Taro Department of Orthopaedic Surgery, Okayama Rosai Hospital
Publication Date
2020-12
Abstract
A minimally invasive posterolateral approach designed to avoid the lateral misplacement of midcervical pedicle screws was reported, but there is no technical report that describes this technique without C-arm fluoroscopy. We report the results of a 2.5 years follow-up of a 62-year-old female patient with C4 metastatic breast cancer. The patient suffered from severe neck pain and impending quadriplegia for 2 months after radiation therapy. We performed C-arm-free minimally invasive cervical pedicle screw fixation (MICEPS). The patient was suc-cessfully treated with surgery, and her neck pain was well controlled. She had neither neurological deficits nor neck pain at the final (2.5-year) follow-up. C-arm-free MICEPS is a useful technique; in addition, the sur-geons and staff have no risk of radiation exposure, there is a reduced need for postoperative imaging, and a decreased revision rate can be expected with C-arm-free MICEPS.
Document Type
Case Report
Keywords
cervical spine
navigation surgery
minimally invasive surgery
cervical pedicle screw
C-arm free
Link to PubMed
74_6_551.pdf 9.25 MB