Evaluating laminar and lateral mass screw techniques in cervical injury management: A case series

The cervical spine is a dynamic structure that protects adjacent nervous innervation and maintains the range of motion (ROM) of the head and neck. Fractures in this area can lead to high mortality and morbidity, with bone fractures accounting for 56 % of cervical spinal cord injuries. This case series presents a series of cervical pathologies treated with posterior decompression and stabilization using laminar and lateral mass screw fixation. This series examines four distinct cases. The initial case pertained to a female patient, aged 72, who exhibited tetraparesis resulting from a burst fracture occurring in the C3-C5 vertebrae.

• 1
  All patients showed improved cervical curvature and range of motion with the advantages of reduction of intraoperative haemorrhage, as well as a decrease in postoperative rehabilitation duration.
• 2
  Overall, the data shows a general trend of improvement in VAS and ODI scores over time, with SF-12 scores stabilizing or slightly decreasing by 12 months post-operation.
• 3
  The use of a lateral mass screw for subaxial cervical injuries can be employed to manage cervical spine pathologies like fractures and infections, including spondylitis TB.