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Higher fusion rate and higher risk with C2 pedicle compared to C2 pars screws
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Higher fusion rate and higher risk with C2 pedicle compared to C2 pars screws
J Neurosurg Spine. 2012 Dec;17(6):577-93. doi: 10.3171/2012.9.SPINE111021. Epub 2012 Oct 5

This meta-analysis and systematic review included 38 articles comparing outcomes of vertebral artery injury, screw malposition and successful arthrodesis related to C-2 pedicle and pars screws in atlantoaxial fusion. The results demonstrated a lower risk of vertebral artery injury with pars screws (1.1% vs 1.5%), but higher rate of successful fusion with pedicle screws (98% vs 94%). Differences in clinically significant screw malpositions between groups was not observed.

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OrthoEvidence. Higher fusion rate and higher risk with C2 pedicle compared to C2 pars screws. ACE Report. 2013;3(5):160. Available from: https://myorthoevidence.com/AceReport/Report/

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