Department of Orthopaedic Surgery, Okayama Rosai Hospital.
Acta Med Okayama. 2020 Dec;74(6):551-556. doi: 10.18926/AMO/61216.
A minimally invasive posterolateral approach designed to avoid the lateral misplacement of midcervical pedicle screws was reported, but there is no technical report that describes this technique without C-arm fluoroscopy. We report the results of a 2.5 years follow-up of a 62-year-old female patient with C4 metastatic breast cancer. The patient suffered from severe neck pain and impending quadriplegia for 2 months after radiation therapy. We performed C-arm-free minimally invasive cervical pedicle screw fixation (MICEPS). The patient was suc-cessfully treated with surgery, and her neck pain was well controlled. She had neither neurological deficits nor neck pain at the final (2.5-year) follow-up. C-arm-free MICEPS is a useful technique; in addition, the sur-geons and staff have no risk of radiation exposure, there is a reduced need for postoperative imaging, and a decreased revision rate can be expected with C-arm-free MICEPS.
一种旨在避免中颈椎椎弓根螺钉外侧移位的微创经后路入路已被报道，但没有不使用 C 臂透视的技术报告来描述这种技术。我们报告了一位 62 岁女性 C4 转移性乳腺癌患者 2.5 年随访的结果。患者在放疗后 2 个月出现严重的颈部疼痛和四肢瘫痪。我们进行了无 C 臂微创颈椎椎弓根螺钉固定术（MICEPS）。患者手术成功，颈部疼痛得到了很好的控制。最终（2.5 年）随访时，她既没有神经功能缺损，也没有颈部疼痛。无 C 臂 MICEPS 是一种有用的技术；此外，外科医生和工作人员没有辐射暴露的风险，术后影像学检查的需求减少，预计无 C 臂 MICEPS 可降低翻修率。
