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Article Open Access

The Attallah screw: Where safety meets robustness in posterior subaxial cervical instrumentation

  • Authors:
    • Mohammed Hasanain
    • Colya N. Englisch
    • Thomas Tschernig
    • Samah Saeed
    • Magomed Lepschokov
    • Ralf Ketter
    • Joachim Oertel
  • View Affiliations / Copyright

    Affiliations: Department of Neurosurgery, Saarland University Medical Center, D-66421 Homburg/Saar, Germany, Institute for Anatomy and Cell Biology, Saarland University, D-66421 Homburg/Saar, Germany
    Copyright: © Hasanain et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
  • Article Number: 35
    |
    Published online on: April 24, 2024
       https://doi.org/10.3892/mi.2024.159
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Abstract

Posterior fixation of the subaxial cervical spine (SCS) commonly relies on the application of lateral mass screws (LMS), with pedicle screws being a less prevalent alternative. The present study provides another option: A recently introduced novel approach, the Attallah screw, intended to ensure a safety profile comparable to that of LMS, combined with a strength profile similar to that of pedicle screws. The focus of the present study is the comparative analysis of peak insertion torques for these three screw types. Employing standard surgical techniques and instruments, Attallah screws were scheduled for insertion on the right side of the SCS in 15 cadavers, pedicle screws on the left side in 8 cadavers, and LMS on the left side in the remaining 7 cadavers. The peak insertion torque was recorded using an electronic torque screwdriver. The results revealed that the peak insertion torques were similar in the pedicle and the Attallah screw at C3, C4 and C7, but differed at C5 (mean ± SD; pedicle, 79.5±19.6 cNm; Attallah, 56.7±18.5 cNm; P=0.029) and C6 (pedicle, 85.4±28.7 cNm; Attallah, 49.8±17.9 cNm; P=0.004) in favor of the superior pedicle screw measurements. The peak insertion torques of the pedicle screw were superior to the corresponding data from the LMS from C4 to C7. By contrast, the peak insertion torques of the Attallah screw were only superior to those of the LMS at C7 (Attallah, 69.5±24.5 cNm; lateral mass, 40.5±21.4 cNm; P=0.030), although similar trends were observed at the other cervical levels. On the whole, the findings presented herein indicate the level‑dependent superior robustness of the Attallah screw as a posterior cervical fixation method compared to the LMS. However, from a biomechanical perspective, the pedicle screw remains the preeminent choice for fixation within the C5‑C6 range. 
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1 

Magerl F and Jeanneret B: Surgical management of tumor-related spinal instability. Recent Results Cancer Res. 108:163–1471. 1988.PubMed/NCBI View Article : Google Scholar

2 

Abumi K, Ito M and Sudo H: Reconstruction of the subaxial cervical spine using pedicle screw instrumentation. Spine (Phila Pa 1976). 37:E349–E356. 2012.PubMed/NCBI View Article : Google Scholar

3 

Kurd MF, Millhouse PW, Schroeder GD, Kepler CK and Vaccaro AR: Lateral mass fixation in the subaxial cervical spine. J Spinal Disord Tech. 28:259–263. 2015.PubMed/NCBI View Article : Google Scholar

4 

Wang Q, Xing R and Zeng Y: Design and application of subaxial cervical pedicle screw placement guide device. Exp Ther Med. 17:4357–462. 2019.PubMed/NCBI View Article : Google Scholar

5 

Jung YG, Lee S, Jeong SK, Kim M and Park JH: Subaxial cervical pedicle screw in traumatic spinal surgery. Korean J Neurotrauma. 16:18–27. 2020.PubMed/NCBI View Article : Google Scholar

6 

Larson AS, Mikula AL, Brinjikji W and Lanzino G: Pipeline embolization for recurrent vertebral artery thromboembolic events secondary to a misplaced pedicle screw. Neurol Sci. 42:1555–1558. 2021.PubMed/NCBI View Article : Google Scholar

7 

Liu B, Liu X, Shen X, Wang G and Chen Y: The ‘slide technique’-a novel free-hand method of subaxial cervical pedicle screw placement. BMC Musculoskelet Disord. 21(399)2020.PubMed/NCBI View Article : Google Scholar

8 

Joaquim AF, Tan L and Riew KD: Posterior screw fixation in the subaxial cervical spine: A technique and literature review. J Spine Surg. 6L:252–2561. 2020.PubMed/NCBI View Article : Google Scholar

9 

Jo DJ, Seo EM, Kim KT, Kim SM and Lee SH: Cervical pedicle screw insertion using the technique with direct exposure of the pedicle by laminoforaminotomy. J Korean Neurosurg Soc. 52:459–465. 2012.PubMed/NCBI View Article : Google Scholar

10 

Bendella H, Rink S, Wohler A, Feiser J, Wilden A, Grosheva M, Stoffels HJ, Meyer C, Manthou M, Nakamura M and Angelov DN: Anatomic conditions for bypass surgery between rostral (T7-T9) and caudal (L2, L4, S1) ventral roots to treat paralysis after spinal cord injury. Ann Anat. 222:139–145. 2019.PubMed/NCBI View Article : Google Scholar

11 

Jung YG, Jung SK, Lee BJ, Lee S, Jeong SK, Kim M and Park JH: The subaxial cervical pedicle screw for cervical spine diseases: The review of technical developments and complication avoidance. Neurol Med Chir (Tokyo). 60:231–243. 2020.PubMed/NCBI View Article : Google Scholar

12 

Tomasino A, Parikh K, Koller H, Zink W, Tsiouris AJ, Steinberger J and Härtl R: The vertebral artery and the cervical pedicle: Morphometric analysis of a critical neighborhood. J Neurosurg Spine. 13:52–60. 2010.PubMed/NCBI View Article : Google Scholar

13 

Soliman MAR, Aguirre AO, Khan S, Kuo CC, Ruggiero N, Mariotti BL, Fritz AG, Sharma S, Nezha A, Levy BR, et al: Complications associated with subaxial placement of pedicle screws versus lateral mass screws in the cervical spine (C2-T1): Systematic review and meta-analysis comprising 4,165 patients and 16,669 screws. Neurosurg Rev. 46(61)2023.PubMed/NCBI View Article : Google Scholar

14 

Soliman MAR, Khan S, Ruggiero N, Mariotti BL, Aguirre AO, Kuo CC, Fritz AG, Sharma S, Nezha A, Levy BR, et al: Complications associated with subaxial placement of pedicle screws versus lateral mass screws in the cervical spine: Systematic review and meta-analysis comprising 1768 patients and 8636 screws. Neurosurg Rev. 45:1941–1950. 2022.PubMed/NCBI View Article : Google Scholar

15 

Ebraheim NA, Klausner T, Xu R and Yeasting RA: Safe lateral-mass screw lengths in the Roy-Camille and Magerl techniques. An anatomic study. Spine (Phila Pa 1976). 23:1739–1742. 1998.PubMed/NCBI View Article : Google Scholar

16 

Jeanneret B, Gebhard JS and Magerl F: Transpedicular screw fixation of articular mass fracture-separation: Results of an anatomical study and operative technique. J Spinal Disord. 7:222–229. 1994.PubMed/NCBI View Article : Google Scholar

17 

Miller RM, Ebraheim NA, Xu R and Yeasting RA: Anatomic consideration of transpedicular screw placement in the cervical spine. An analysis of two approaches. Spine (Phila Pa 1976). 21:2317–2322. 1996.PubMed/NCBI View Article : Google Scholar

18 

Xu R, Ebraheim NA, Klausner T and Yeasting RA: Modified Magerl technique of lateral mass screw placement in the lower cervical spine: An anatomic study. J Spinal Disord. 11:237–240. 1998.PubMed/NCBI

19 

Hasanain M, Englisch CN, Garner M, Tschernig T, Wagenpfeil S, Ketter R and Oertel J: Radiological analyses of the dimensions of the pedicle and dorsal part of the transverse process of subaxial vertebrae in the context of cervical spine surgery. Ann Anat. 238(151790)2021.PubMed/NCBI View Article : Google Scholar

20 

Hasanain MA, Englisch CN, Garner M, Tschernig T, Wagenpfeil S, Ketter R and Oertel J: Comparison of the maximum possible lengths of insertable screws in the Subaxial Cervical Spine. Ann Anat. 239(151839)2022.PubMed/NCBI View Article : Google Scholar

21 

Simsek S, Uz A, Er U and Apaydin N: Quantitative evaluation of the anatomical parameters for subaxial cervical spondylectomy: An anatomical study. J Neurosurg Spine. 18:568–574. 2013.PubMed/NCBI View Article : Google Scholar

22 

Joaquim AF, Mudo ML, Tan LA and Riew KD: Posterior subaxial cervical spine screw fixation: A review of techniques. Global Spine J. 8:751–760. 2018.PubMed/NCBI View Article : Google Scholar

Related Articles

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Copy and paste a formatted citation
Spandidos Publications style
Hasanain M, Englisch CN, Tschernig T, Saeed S, Lepschokov M, Ketter R and Oertel J: The Attallah screw: Where safety meets robustness in posterior subaxial cervical instrumentation. Med Int 4: 35, 2024.
APA
Hasanain, M., Englisch, C.N., Tschernig, T., Saeed, S., Lepschokov, M., Ketter, R., & Oertel, J. (2024). The Attallah screw: Where safety meets robustness in posterior subaxial cervical instrumentation. Medicine International, 4, 35. https://doi.org/10.3892/mi.2024.159
MLA
Hasanain, M., Englisch, C. N., Tschernig, T., Saeed, S., Lepschokov, M., Ketter, R., Oertel, J."The Attallah screw: Where safety meets robustness in posterior subaxial cervical instrumentation". Medicine International 4.4 (2024): 35.
Chicago
Hasanain, M., Englisch, C. N., Tschernig, T., Saeed, S., Lepschokov, M., Ketter, R., Oertel, J."The Attallah screw: Where safety meets robustness in posterior subaxial cervical instrumentation". Medicine International 4, no. 4 (2024): 35. https://doi.org/10.3892/mi.2024.159
Copy and paste a formatted citation
x
Spandidos Publications style
Hasanain M, Englisch CN, Tschernig T, Saeed S, Lepschokov M, Ketter R and Oertel J: The Attallah screw: Where safety meets robustness in posterior subaxial cervical instrumentation. Med Int 4: 35, 2024.
APA
Hasanain, M., Englisch, C.N., Tschernig, T., Saeed, S., Lepschokov, M., Ketter, R., & Oertel, J. (2024). The Attallah screw: Where safety meets robustness in posterior subaxial cervical instrumentation. Medicine International, 4, 35. https://doi.org/10.3892/mi.2024.159
MLA
Hasanain, M., Englisch, C. N., Tschernig, T., Saeed, S., Lepschokov, M., Ketter, R., Oertel, J."The Attallah screw: Where safety meets robustness in posterior subaxial cervical instrumentation". Medicine International 4.4 (2024): 35.
Chicago
Hasanain, M., Englisch, C. N., Tschernig, T., Saeed, S., Lepschokov, M., Ketter, R., Oertel, J."The Attallah screw: Where safety meets robustness in posterior subaxial cervical instrumentation". Medicine International 4, no. 4 (2024): 35. https://doi.org/10.3892/mi.2024.159
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