{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:18:56Z","timestamp":1761823136579},"reference-count":42,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1999,1]]},"abstract":"<jats:p content-type=\"fine-print\"><jats:italic>Object.<\/jats:italic> This retrospective study was conducted to analyze the results of one-stage posterior decompression and reconstruction of the cervical spine by using pedicle screw fixation systems in 46 patients.<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Methods.<\/jats:italic> Causes of cervical myelopathy in these 46 patients included spondylosis or ossification of the posterior longitudinal ligament, rheumatoid arthritis, metastatic or primary vertebral tumors, cervical spinal injuries, and spinal cord tumor. Thirty-three patients underwent this one-stage procedure as primary surgery. In the remaining 13 patients who had previously undergone laminectomies, the one-stage procedure was performed as salvage surgery. Cervical pedicle screws were inserted into the pedicles after probing and tapping. Graft bone was placed on the bilateral lateral masses, and pedicle screws were interconnected longitudinally by either plates or rods. Postoperatively, 26 patients showed improved neurological status (at least one grade improvement on Frankel's functional classification). There were no cases of neurological deterioration postoperatively. Solid bony fusion was obtained in all patients, except in seven patients with metastatic tumor who did not receive bone grafts. Correction of kyphosis was satisfactory. Postoperative radiological evaluation revealed that 10 (5.3%) of 190 screws inserted into the cervical vertebrae had perforated the cortex of the pedicles; however, no neurovascular complications were caused by the perforations.<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Conclusions.<\/jats:italic> The pedicle screw fixation procedure, which does not require the lamina to be used as a stabilizing anchor, has proven to be valuable when performing one-stage posterior decompressive and reconstructive surgery in the cervical spine. The risk to neurovascular structures in this procedure, however, cannot be completely eliminated. Thorough knowledge of local anatomy and application of established surgical techniques are essential for this procedure.<\/jats:p>","DOI":"10.3171\/spi.1999.90.1.0019","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T15:48:06Z","timestamp":1241711286000},"page":"19-26","source":"Crossref","is-referenced-by-count":31,"title":["One-stage posterior decompression and reconstruction of the cervical spine by using pedicle screw fixation systems"],"prefix":"10.3171","volume":"90","author":[{"given":"Kuniyoshi","family":"Abumi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiyoshi","family":"Kaneda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Shono","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masanori","family":"Fujiya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Spin Disord","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1097\/00002517-199407010-00003","article-title":"Transpedicular screw fixation for traumatic lesions of the middle and lower cervical spine: description of the techniques and preliminary report.","volume":"7","author":"Abumi","year":"1994"},{"key":"b2","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1853","DOI":"10.1097\/00007632-199708150-00010","article-title":"Pedicle screw fixation for nontraumatic lesions of the cervical spine.","volume":"22","author":"Abumi","year":"1997"},{"key":"b3","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1249","DOI":"10.1097\/00007632-198911000-00019","article-title":"Biomechanical evaluation of spinal fixation devices: part III: stability provided by six spinal fixation devices and interbody bone graft.","volume":"14","author":"Abumi","year":"1989"},{"key":"b4","series-title":"Spine","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1097\/00007632-199103001-00012","article-title":"Posterior cervical arthrodesis with AO reconstruction plates and bone graft.","volume":"16","author":"Anderson","year":"1991"},{"key":"b5","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"88","DOI":"10.3171\/jns.1984.60.1.0088","article-title":"Treatment of pedicular fractures of the axis: a clinical study and screw fixation technique.","volume":"60","author":"Borne","year":"1984"},{"key":"b6","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1789","DOI":"10.1097\/00007632-199508150-00007","article-title":"Instrumentation of the cervicothoracic junction after destabilization.","volume":"20","author":"Bueff","year":"1995"},{"key":"b7","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"991","DOI":"10.2106\/00004623-197759080-00001","article-title":"Cervical facet fusion for control of instability following laminectomy.","volume":"59","author":"Callahan","year":"1977"},{"key":"b8","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"713","DOI":"10.2106\/00004623-196749040-00013","article-title":"Cervical kyphosis and instability following multiple laminectomies in children.","volume":"49","author":"Cattell","year":"1967"},{"key":"b9","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1227\/00006123-198809000-00003","article-title":"Posterior stabilization of the cervical spine fractures and subluxations using plates and screws.","volume":"23","author":"Cooper","year":"1988"},{"key":"b10","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/00007632-199701010-00001","article-title":"Morphometric evaluation of lower cervical pedicle and its projection.","volume":"22","author":"Ebraheim","year":"1997"},{"key":"b11","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"341","DOI":"10.3171\/jns.1994.81.3.0341","article-title":"Posterior plates in the management of cervical instability: long-term results in 44 patients.","volume":"81","author":"Fehlings","year":"1994"},{"key":"b12","series-title":"Neurosurg Clin North Am","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1016\/S1042-3680(18)30385-1","article-title":"Image-guided spine surgery.","volume":"7","author":"Foley","year":"1996"},{"key":"b13","series-title":"Paraplegia","first-page":"179","article-title":"The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia.","volume":"7","author":"Frankel","year":"1969"},{"key":"b14","series-title":"Clin Orthop Rel Res","first-page":"149","article-title":"A modified technique for cervical facet fusions.","volume":"230","author":"Garfin","year":"1988"},{"key":"b15","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2026","DOI":"10.1097\/00007632-199609010-00021","article-title":"Computer-aided pedicle screw placement using frameless stereotaxis.","volume":"21","author":"Glossop","year":"1996"},{"key":"b16","series-title":"Spine","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1097\/00007632-199602010-00014","article-title":"Posterior cervical arthrodesis and stabilization with a lateral mass plate: clinical and tomographic evaluation of lateral mass screw placement and associated complications.","volume":"21","author":"Graham","year":"1996"},{"key":"b17","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2442","DOI":"10.1097\/00007632-199511001-00013","article-title":"Complications of posterior cervical plating.","volume":"20","author":"Heller","year":"1995"},{"key":"b18","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"963","DOI":"10.3171\/jns.1994.80.6.0963","article-title":"Cervical corpectomy and plate fixation for postlaminectomy kyphosis.","volume":"80","author":"Herman","year":"1994"},{"key":"b19","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2127","DOI":"10.1097\/00007632-199810010-00018","article-title":"Pathological features of spinal disorders in patients treated with long term hemodialysis.","volume":"23","author":"Ito","year":"1998"},{"key":"b20","series-title":"Spine","doi-asserted-by":"publisher","first-page":"977","DOI":"10.1097\/00007632-199705010-00009","article-title":"Cervical pedicle screws versus lateral mass screws: anatomic feasibility and biomechanical comparison.","volume":"22","author":"Jones","year":"1997"},{"key":"b21","series-title":"Spine","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1097\/00007632-199703010-00005","article-title":"Morphologic characteristics of human cervical pedicles.","volume":"22","author":"Karaikovic","year":"1997"},{"key":"b22","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1171","DOI":"10.1097\/00007632-198911000-00007","article-title":"Analysis of cervical instability resulting from laminectomies for removal of spinal cord tumor.","volume":"14","author":"Katsumi","year":"1989"},{"key":"b23","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2529","DOI":"10.1097\/00007632-199411001-00007","article-title":"Biomechanical analysis of cervical stabilization systems: an assessment of transpedicular screw fixation in the cervical spine.","volume":"19","author":"Kotani","year":"1994"},{"key":"b24","series-title":"Arthritis Rheum","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1002\/art.1780270402","article-title":"Destructive spondylarthropathy in hemodialyzed patients: a new syndrome.","volume":"27","author":"Kuntz","year":"1984"},{"key":"b25","series-title":"Spine","doi-asserted-by":"publisher","first-page":"661","DOI":"10.1097\/00007632-199603150-00001","article-title":"Postnatal development and structure of the neurocentral junction: its relevance for spinal surgery.","volume":"21","author":"Maat","year":"1996"},{"key":"b26","series-title":"Cervical Spine I.","first-page":"217","article-title":"Stable dorsal fusion of the cervical spine (C2-Th1) using hook plates","author":"Magerl","year":"1987"},{"key":"b27","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"680","DOI":"10.1227\/00006123-199105000-00007","article-title":"Cervical spondylotic myelopathy: treatment with posterior decompression and Luque rectangle bone fusion.","volume":"28","author":"Maurer","year":"1991"},{"key":"b28","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"1791","DOI":"10.2106\/00004623-199512000-00001","article-title":"One-stage anterior cervical decompression and posterior stabilization: a study of one hundred patients with a minimum of two years of follow-up.","volume":"77","author":"McAfee","year":"1995"},{"key":"b29","series-title":"Spine","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1097\/00007632-198701000-00002","article-title":"Spinal deformity and instability after multilevel cervical laminectomy.","volume":"12","author":"Mikawa","year":"1987"},{"key":"b30","series-title":"The Cervical Spine","first-page":"775","article-title":"Posterior approach and fusions","author":"Murphy","year":"1989"},{"key":"b31","series-title":"Spine","doi-asserted-by":"publisher","first-page":"861","DOI":"10.1097\/00007632-199108000-00001","article-title":"Cervical human vertebrae: quantitative three-dimensional anatomy of the middle and lower regions.","volume":"16","author":"Panjabi","year":"1991"},{"key":"b32","series-title":"J Biomech","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1016\/0021-9290(75)90085-8","article-title":"Cervical spine mechanics as a function of transection of components.","volume":"8","author":"Panjabi","year":"1975"},{"key":"b33","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"278","DOI":"10.3171\/jns.1985.63.2.0278","article-title":"Cervical facetectomy and its effect on spine strength.","volume":"63","author":"Raynor","year":"1985"},{"key":"b34","series-title":"South Med J","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1097\/00007611-196005000-00006","article-title":"Indications and techniques for early stabilization of the neck in some fracture dislocations of cervical spine.","volume":"53","author":"Robinson","year":"1960"},{"key":"b35","series-title":"Spine","first-page":"334","article-title":"Persistently electrified pedicle stimulation instruments in spinal instrumentation: technical and protocol development.","volume":"23","author":"Rose","year":"1997"},{"key":"b36","series-title":"Spinal Trauma.","first-page":"163","article-title":"Rationale and techniques of internal fixation in trauma of the cervical spine","author":"Roy-Camille","year":"1991"},{"key":"b37","series-title":"The Cervical Spine","first-page":"390","article-title":"Internal fixation of the unstable cervical spine by a posterior osteosynthesis with plates and screws","author":"Roy-Camille","year":"1989"},{"key":"b38","series-title":"Spine","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1097\/00007632-198807000-00015","article-title":"A biomechanical evaluation of cervical spinal stabilization methods in a bovine model.","volume":"13","author":"Sutterlin","year":"1988"},{"key":"b39","series-title":"Spine","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1097\/00007632-199502000-00001","article-title":"Static and cyclical load in morphology of the second cervical vertebra and the posterior projection of the C2 pedicle axis.","volume":"20","author":"Xu","year":"1995"},{"key":"b40","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"441","DOI":"10.3171\/jns.1982.57.4.0441","article-title":"Incidence of spinal column deformity after multilevel laminectomy in children and adults.","volume":"57","author":"Yasuoka","year":"1982"},{"key":"b41","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"170","DOI":"10.2106\/00004623-198971020-00002","article-title":"Cervical kyphosis and myelopathy: treatment by anterior corpectomy and strut-grafting.","volume":"71","author":"Zdeblick","year":"1989"},{"key":"b42","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"22","DOI":"10.2106\/00004623-199274010-00004","article-title":"Cervical stability after foraminotomy: a biomechanical in vitro analysis.","volume":"74","author":"Zdeblick","year":"1992"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/90\/1\/article-p19.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/90\/1\/article-p19.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/90\/1\/article-p19.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,16]],"date-time":"2023-04-16T00:33:33Z","timestamp":1681605213000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/90\/1\/article-p19.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,1]]},"references-count":42,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/spi.1999.90.1.0019","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[1999,1]]}}}