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- W2315055294 abstract "Biomechanical study.To compare the relative rigidity of C2 transpedicular versus intralaminar fixation with and without offset connectors in C2-C6 subaxial constructs.Insufficient biomechanical data exists on C2 laminar fixation in subaxial constructs, and no study has considered C2-C6 subaxial constructs or the use of offset connectors.Six fresh-frozen cadaveric cervical spines underwent rigidity testing in the intact condition and after a destabilizing C3-C6 laminectomy. Specimens were instrumented with 20 mm pedicle and 20 mm intralaminar screws at C2, and with 14 mm lateral mass screws from C3-C6. In random order, three conditions (C2 pedicle screws, C2 laminar screws, and C2 laminar screws with offset connectors) were tested in flexion-extension, axial rotation, and lateral bending.Laminar screws in C2-C6 constructs were equivalent to transpedicular fixation in flexion-extension (P = 0.985), were significantly more rigid than pedicle screws in axial rotation (P = 0.002), and were significantly less rigid than pedicle screws in lateral bending (P = 0.002). Laminar screw constructs were more rigid than the intact condition in all planes." @default.
- W2315055294 created "2016-06-24" @default.
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- W2315055294 date "2011-01-01" @default.
- W2315055294 modified "2023-10-14" @default.
- W2315055294 title "Biomechanical Comparison of Transpedicular Versus Intralaminar C2 Fixation in C2–C6 Subaxial Constructs" @default.
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- W2315055294 doi "https://doi.org/10.1097/brs.0b013e3181eea6e2" @default.
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