The Impact of Lateral Mass Versus Pedicle Screws at C7 in C3-T1 Posterior Cervical Decompression and Fusion on Postsurgical Outcomes

Despite a greater number of decompressed levels among the lateral mass group, these patients experienced a shorter average operative time during C3-T1 PCDF. However, short-term surgical outcomes and opioid consumption up to a year postoperatively were similar between groups. Thus, there does not appear to be short-term safety or pain drawbacks to C7 pedicle screws that would justify the decreased biomechanical advantages of lateral mass screws.

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Publication Details

Journal
Clinical Spine Surgery A Spine Publication
Published
2025-12-17
DOI
https://doi.org/10.1097/bsd.0000000000001935
Primary Topic
Cervical and Thoracic Myelopathy
Type
article
Field-Weighted Citation Impact
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article

The Impact of Lateral Mass Versus Pedicle Screws at C7 in C3-T1 Posterior Cervical Decompression and Fusion on Postsurgical Outcomes

Michelle Davis, Ryan Cha, X. Becsey, Gregory R. Toci et al.
Clinical Spine Surgery A Spine Publication
Cervical and Thoracic Myelopathy
article

The Impact of Lateral Mass Versus Pedicle Screws at C7 in C3-T1 Posterior Cervical Decompression and Fusion on Postsurgical Outcomes

Michelle Davis, Ryan Cha, X. Becsey, Gregory R. Toci, Rachel Huang, Michael Carter, William Green, DK Thomas, Matthew Culkin, Alan S. Hilibrand, Jonathan Dalton, Gregory D. Schroeder, Jose A. Canseco, Mark F. Kurd, Lawrence Chiang, Yasmine Eichbaum, Alexander R. Vaccaro, Rajkishen Narayanan, Abigail R. Tingstad, Mitchell Ng, Christopher K. Kepler, Ian D. Kaye, Joshua Mathew
article en

Abstract

Despite a greater number of decompressed levels among the lateral mass group, these patients experienced a shorter average operative time during C3-T1 PCDF. However, short-term surgical outcomes and opioid consumption up to a year postoperatively were similar between groups. Thus, there does not appear to be short-term safety or pain drawbacks to C7 pedicle screws that would justify the decreased biomechanical advantages of lateral mass screws.

Clinical Spine Surgery A Spine Publication
Thomas Jefferson University Hospital (US), Rothman Orthopaedics (US)
Openalex Percentile: Top 25%
Cervical and Thoracic Myelopathy
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