Posterior arch C-1 screw technique: a cadaveric comparison study.

CONCLUSIONS The PALM technique showed statistically fewer medial penetrations than the GHLM technique in this study. The reason for this is not clear, but may stem from a more angulated "up-and-in" screw direction necessary with a lower starting point.
PMID: 28304240 [PubMed - as supplied by publisher]

Source: Journal of Neurosurgery.Spine - March 16, 2017 Category: Neurosurgery Authors: Moisi M, Fisahn C, Tkachenko L, Jeyamohan S, Reintjes S, Grunert P, Norvell DC, Tubbs RS, Page J, Newell DW, Nora P, Oskouian RJ, Chapman J Tags: J Neurosurg Spine Source Type: research