{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T08:00:17Z","timestamp":1793692817889,"version":"4.5.1"},"reference-count":39,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Placement of pedicle screw in the subaxial cervical spine is a challenging and complex technique but provides significant biomechanical advantages. Despite its potential complications, the role and use of cervical pedicle screw (CPS) are growing. A literature review of the significant articles on applying pedicle screws in the subaxial cervical spine was done (articles between 1994 and 2020). Furthermore, our center\u00b4s experience of 15 years related to CPS is also discussed in this study. Transpedicular instrumentation in the subaxial cervical spine requires profound anatomical knowledge and meticulous surgical technique. This technique provides superior biomechanical stability compared to the other cervical fixation techniques. Pull-out strength of CPS is twice as compared to the lateral mass screws. There have been numerous variations in the technique of CPS, varying from open techniques to minimally invasive and the use of biomodels and templates during this procedure. Clinically, CPS can be used in different cervical trauma situations, such as fracture\u2013dislocations, floating lateral mass, and fractures associated with ankylosing spondylitis. Despite the possibility of neurovascular injury due to the proximity of the vertebral artery, spinal cord, and spinal nerves to the cervical pedicles, scientific literature, and our center \u00d7 s experience show low risk, and this technique can be performed safely. CPS placement is a safe procedure, and it has great potential in the management of cervical spine trauma.<\/jats:p>","DOI":"10.4103\/jcvjs.jcvjs_19_23","type":"journal-article","created":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T05:32:07Z","timestamp":1695015127000},"page":"299-305","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":13,"title":["The role of cervical pedicle screw in cervical spine trauma: A single-center retrospective study"],"prefix":"10.4103","volume":"14","author":[{"given":"Igor Ebert","family":"Cechin","sequence":"first","affiliation":[{"name":"Department of Spine Surgery, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alderico Gir\u00e3o Campos De","family":"Barros","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahsan Ali","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil"},{"name":"Section of Neurosurgery, The Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Eduardo Carelli Teixeira Da","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,9,18]]},"reference":[{"key":"R1-20240904","doi-asserted-by":"crossref","first-page":"78","DOI":"10.5435\/00124635-200602000-00003","article-title":"Subaxial cervical spine trauma","volume":"14","author":"Kwon","year":"2006","journal-title":"J Am Acad Orthop Surg"},{"key":"R2-20240904","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1007\/s12178-016-9377-0","article-title":"Subaxial cervical spine trauma","volume":"9","author":"Feuchtbaum","year":"2016","journal-title":"Curr Rev Musculoskelet Med"},{"key":"R3-20240904","doi-asserted-by":"crossref","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","journal-title":"J Spinal Disord"},{"key":"R4-20240904","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1177\/2192568218759940","article-title":"Posterior subaxial cervical spine screw fixation","volume":"8","author":"Joaquim","year":"2018","journal-title":"Rev Tech Glob Spine J"},{"key":"R5-20240904","doi-asserted-by":"crossref","first-page":"1821","DOI":"10.1097\/01.BRS.0000083287.23521.48","article-title":"Pedicle screws enhance primary stability in multilevel cervical corpectomies:biomechanical in vitro comparison of different implants including constrained and nonconstrained posterior instumentations","volume":"28","author":"Schmidt","year":"2003","journal-title":"Spine (Phila Pa 1976)"},{"key":"R6-20240904","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1097\/00007632-199705010-00009","article-title":"Cervical pedicle screws versus lateral mass screws","volume":"22","author":"Jones","year":"1997","journal-title":"Anatomic feasibility and biomechanical comparison. 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