{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:04:15Z","timestamp":1791493455111,"version":"4.3.4"},"reference-count":15,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T00:00:00Z","timestamp":1752883200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medical Sciences"],"abstract":"<jats:p>Background: Traumatic fractures of the cervical spine pose significant challenges in management, particularly in young patients, where preserving mobility is crucial. Patient Characteristics: A 30-year-old woman presented with a C3 lateral mass and pedicle fracture following a motor vehicle collision. Initial conservative management with a rigid cervical collar for three months failed to reduce the diastasis, and the debilitating neck pain worsened. Preoperative imaging confirmed fracture instability without spinal cord compression. Intervention and Outcome: Preoperative screw trajectory planning was conducted with the My Spine MC system (Medacta), and fine-tuning was achieved on a 3D-printed model of the vertebra. A posterior midline approach was employed to expose the C3 vertebra, and a Herbert screw was inserted under fluoroscopic guidance. Imaging at three months demonstrated significant fracture reduction and early bone fusion. The patient achieved substantial improvement in functional mobility without complications. Conclusion: Herbert screw fixation holds potential as a less-invasive alternative to conventional posterior stabilization for selected cervical fractures. This technical note provides the reader with the required information to support surgical planning and execution.<\/jats:p>","DOI":"10.3390\/medsci13030092","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T10:35:31Z","timestamp":1753094131000},"page":"92","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cervical Lateral Mass and Pedicle Fracture Reduced with a Herbert Screw: A Technical Note"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0912-8484","authenticated-orcid":false,"given":"Antonio","family":"Colamaria","sequence":"first","affiliation":[{"name":"Division of Neurosurgery, Policlinico \u201cRiuniti\u201d Foggia, University of Foggia, 71122 Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6351-9999","authenticated-orcid":false,"given":"Francesco","family":"Carbone","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Policlinico \u201cRiuniti\u201d Foggia, University of Foggia, 71122 Foggia, Italy"},{"name":"Department of Neurosurgery, Karlsruher Neurozentrum, St\u00e4dtisches Klinikum Karlsruhe, 76133 Karlsruhe, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4737-067X","authenticated-orcid":false,"given":"Augusto","family":"Leone","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Karlsruher Neurozentrum, St\u00e4dtisches Klinikum Karlsruhe, 76133 Karlsruhe, Germany"},{"name":"Faculty of Human Medicine, Charit\u00e9 Universit\u00e4tsmedizin, 10117 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Palmieri","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Policlinico \u201cRiuniti\u201d Foggia, University of Foggia, 71122 Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savino","family":"Iodice","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Policlinico \u201cRiuniti\u201d Foggia, University of Foggia, 71122 Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca Maria","family":"Baldassarre","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Policlinico \u201cRiuniti\u201d Foggia, University of Foggia, 71122 Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4090-8470","authenticated-orcid":false,"given":"Giovanni","family":"Cirrottola","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Policlinico \u201cRiuniti\u201d Foggia, University of Foggia, 71122 Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Ble","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Policlinico \u201cRiuniti\u201d Foggia, University of Foggia, 71122 Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5201-5202","authenticated-orcid":false,"given":"Uwe","family":"Spetzger","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Policlinico \u201cRiuniti\u201d Foggia, University of Foggia, 71122 Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7381-9194","authenticated-orcid":false,"given":"Giuseppe","family":"Di Perna","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Policlinico \u201cRiuniti\u201d Foggia, University of Foggia, 71122 Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"762","DOI":"10.3171\/jns.1986.65.6.0762","article-title":"Complications associated with the halo-vest. 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