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Fixing the Cervical Spine:

Surgical Approaches for the Neck

Chapter 16

Cervical Lateral Mass Screws for

Posterior Fusion Surgery

Screws placed in the pedicles of thoracic vertebra and in the lateral part of the cervical vertebra can be used to provide fixation for fusion across the low neck and upper thoracic spine.  Placement of cervical lateral mass screws constitutes  an “off-label” use although this is standard surgical practice. This means that the Food and Drug Administration has not yet allowed the manufacturer to advertise this type of treatment.