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Review Question - QID 7977

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QID 7977 (Type "7977" in App Search)
Which of the flowing trajectories is preferred for placement of C1 lateral mass screws?

7.5 degrees lateral and 5 degrees cephalad

10%

120/1207

7.5 degrees medial and 10 degrees cephalad

15%

187/1207

10 degrees medial and 22 degrees cephalad

54%

655/1207

10 degrees lateral and 22 degrees cephalad

17%

207/1207

20 degrees medial and 22 degrees caudal

1%

18/1207

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The C1 lateral mass can safely accommodate screw fixation. Trajectory of 10 degrees medial and 22 degrees cephalad was safely applied in a series of 50 patients. Postoperative CT scans confirmed the safe trajectory. The benefit of lateral mass screws is that they can be safely placed despite the existence of an anomalous vertebral artery that could preclude the safe placement of transarticular screws.

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