{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T11:47:08Z","timestamp":1790682428259,"version":"4.1.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The authors report experience with 14 cases where two transfacet screws were used for transfacetal fixation of each joint for stabilization of the lumbar spinal segment and one transfacet screw was used for transfacetal fixation of each joint for stabilization of the cervical spinal segment. The anatomical subtleties of the technique of insertion of screws are elaborated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>During the period from July 2024 to October 2024, 14 patients having spinal segmental vertical instability related to lumbar canal stenosis were treated in Helmya Military Hospital by insertion of screws into each articular assembly by transfacetal technique. We positioned the patient, then made a wide surgical exposure, and inserted the screws in an appropriate angulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>During the period of follow-up, all treated patients had high patients\u2019 satisfaction rate with relief of symptoms, and spinal levels showed firm bone fusion. There was no complication related to the insertion of the screws. There was no incidence of screw misplacement or implant rejection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Screw insertion into the firm and largely cortical bones of facets of the lumbar spine can provide robust fixation and firm stabilization of the spinal segment. The large size of the facets provides an opportunity to insert screws at each spinal segment. The firm and cortical bone material and absence of any neural or vascular structure in the course of the screw traverse provide strength and safety to the process.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcvjs.jcvjs_75_25","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T13:02:04Z","timestamp":1763643724000},"page":"396-400","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Experience of using only transfacetal screws for cervical and lumbar spinal stabilization without decompression for degenerative spine disease"],"prefix":"10.4103","volume":"16","author":[{"given":"Amr Abdelmonam A. Mostafa","family":"ElKatatny","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Kasr Al-Ainy, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Massoud","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Armed Forces College of Medicine, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul","family":"Goel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lilavati Hospital and Research Center, Bandra, Mumbai, India"},{"name":"Department of Neurosurgery, K.J. Somaiya Medical College, Hospital and Research Center, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ihab","family":"Hosney","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Armed Forces College of Medicine, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherif","family":"Abdelkader","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Military Medical Academy, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Abdelbaset","sequence":"additional","affiliation":[{"name":"Department of Orthopedic, Military Medical Academy, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Islam","family":"Zarad","sequence":"additional","affiliation":[{"name":"Department of Orthopedic, Military Medical Academy, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled Mamoun","family":"Mones","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kasr Al-Ainy, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Nada","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Portsaid University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussein","family":"Fathalla","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kasr Al-Ainy, Cairo University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"R1-20260421","doi-asserted-by":"crossref","first-page":"15","DOI":"10.4103\/0974-8237.135210","article-title":"Only fixation for lumbar canal stenosis: Report of an experience with seven cases","volume":"5","author":"Goel","year":"2014","journal-title":"J Craniovertebr Junction Spine"},{"key":"R2-20260421","doi-asserted-by":"crossref","first-page":"65","DOI":"10.4103\/0974-8237.77669","article-title":"Facet distraction spacers for treatment of degenerative disease of the spine: Rationale and an alternative hypothesis of spinal degeneration","volume":"1","author":"Goel","year":"2010","journal-title":"J Craniovertebr Junction Spine"},{"key":"R3-20260421","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/0974-8237.85306","article-title":"Facet distraction-arthrodesis technique: Can it revolutionize spinal stabilization methods?","volume":"2","author":"Goel","year":"2011","journal-title":"J Craniovertebr Junction Spine"},{"key":"R4-20260421","doi-asserted-by":"crossref","first-page":"689","DOI":"10.3171\/2011.2.SPINE10601","article-title":"Facetal distraction as treatment for single- and multilevel cervical spondylotic radiculopathy and myelopathy: A preliminary report","volume":"14","author":"Goel","year":"2011","journal-title":"J Neurosurg Spine"},{"key":"R5-20260421","doi-asserted-by":"crossref","first-page":"672","DOI":"10.3171\/2011.8.SPINE11249","article-title":"Distraction of facets with intraarticular spacers as treatment for lumbar canal stenosis: Report on a preliminary experience with 21 cases","volume":"19","author":"Goel","year":"2013","journal-title":"J Neurosurg Spine"},{"key":"R6-20260421","doi-asserted-by":"crossref","first-page":"55","DOI":"10.4103\/0974-8237.100049","article-title":"Only fixation as rationale treatment for spinal canal stenosis","volume":"2","author":"Goel","year":"2011","journal-title":"J Craniovertebr Junction Spine"},{"key":"R7-20260421","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/S0002-9610(44)90201-1","article-title":"Internal fixation for lumbosacral fusion","volume":"66","author":"King","year":"1944","journal-title":"Am J Surg"},{"key":"R8-20260421","doi-asserted-by":"crossref","first-page":"520","DOI":"10.4103\/0028-3886.22624","article-title":"Translaminar facetal screw (Magerl\u2019s) fixation","volume":"53","author":"Rajasekaran","year":"2005","journal-title":"Neurol India"},{"key":"R9-20260421","first-page":"175","article-title":"Stability of the lumbar spine and method of instrumentation","volume":"59","author":"Vanden Berghe","year":"1993","journal-title":"Acta Orthop Belg"},{"key":"R10-20260421","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1097\/00003086-198410000-00014","article-title":"Stabilization of the lower thoracic and lumbar spine with external skeletal fixation","volume":"189","author":"Magerl","year":"1984","journal-title":"Clin Orthop Relat Res"},{"key":"R11-20260421","first-page":"100","article-title":"Guide device for percutaneous placement of translaminar facet screws after anterior lumbar interbody fusion. Technical note","volume":"98","author":"Jang","year":"2003","journal-title":"J Neurosurg"},{"key":"R12-20260421","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1097\/01.brs.0000157473.17313.6f","article-title":"Fluoroscopically assisted percutaneous translaminar facet screw fixation following anterior lumbar interbody fusion: Technical report","volume":"30","author":"Shim","year":"2005","journal-title":"Spine (Phila Pa 1976)"}],"container-title":["Journal of Craniovertebral Junction and Spine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.jcvjs_75_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:44:18Z","timestamp":1787067858000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.jcvjs_75_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jcvjs.jcvjs_75_25","relation":{},"ISSN":["0974-8237","0976-9285"],"issn-type":[{"value":"0974-8237","type":"print"},{"value":"0976-9285","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-04-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}