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Lateral Mass Fixation in the Subaxial Cervical Spine

Kurd, Mark F. MD; Millhouse, Paul W. MD; Schroeder, Gregory D. MD; Kepler, Christopher K. MD, MBA; Vaccaro, Alexander R. MD, PhD

doi: 10.1097/BSD.0000000000000302
SURGICAL TECHNIQUE
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The use of lateral mass screws and rods in the subaxial spine has become the standard method of fixation for posterior cervical spine fusions. Multiple techniques have been described for the placement of lateral mass screws, including the Magerl, the Anderson, and the An techniques. While these techniques are all slightly different, the overall goal is to obtain solid bony fixation while avoiding the neurovascular structures. The use of lateral mass screws has been shown to be a safe and effective technique for achieving a posterior cervical fusion.

The Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA

P.W.M. has been a consultant for Pacira and has stock/stock options with Globus; G.D.S. has received travel/accommodations/meeting expense reimbursement from Medtronic; C.K.K. is a consultant for Healthgrades Inc.; and A.R.V. is a board member for AO Spine, Innovative Surgical Design, Association of Collaborative Spine Research, and Spinicity, as well as a consultant for DePuy, Medtronics, Stryker Spine, Globus, Stout Medical, Gerson Lehrman Group, Guidepoint Global, Medacorp, Innovative Surgical Design, Orthobullets, Expert testimony, Ellipse, and Vertex. A.R.V. is also employed by Rothman Institute and has received royalties from Medtronics, Stryker Spine, Biomet Spine, Globus, Aesculap, Thieme, Jaypee, Elsevier, and Taylor Francis. A.R.V. has stock/stock options in Replication Medica, Globus, Paradigm Spine, Stout Medical, Spine Medica, Computational Biodynamics, Progressive Spinal Technologies, Spinology, Small Bone Innovations, Cross Current, In Vivo, Flagship Surgical, Advanced Spinal Intellectual Properties, Cytonics, Bonovo Orthopaedics, Electrocore, Gamma Spine, Location Based Intelligence, FlowPharma, R.S.I., Rothman Institute and Related Properties, Innovative Surgical Design, and Spinicity.

Reprints: Gregory D. Schroeder, MD, The Rothman Institute at Thomas Jefferson University Hospital, 925 Chestnut St, Philadelphia, PA 19107 (e-mail: gregdschroeder@gmail.com).

Received May 18, 2015

Accepted May 26, 2015

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