2Memorial Hospital, Department of Neurosurgery, Istanbul, Türkiye
3University of Health Sciences, Bakirkoy Mazhar Osman Mental Health Training and Research Hospital, Department of Neurosurgery, Istanbul, Türkiye DOI : 10.5137/1019-5149.JTN.44323-23.3 AIM: To provide a comprehensive analysis for accurate screw size selection and insertion angle during surgical procedures.
MATERIAL and METHODS: In this retrospective study, a total of 120 patients participated, resulting in the analysis of 240 occipital condyles using coronal, sagittal, and axial planes on CT scans. Statistical evaluation was performed using the Wilcoxon rank-sum test, with p<0.05 considered statistically significant.
RESULTS: The mean sagittal length and height were measured at 17.2 ± 1.7 mm and 9.1 ± 1.5 mm, respectively. The average condyle angle, a crucial factor for screw insertion, was assessed at 38.0 ± 5.5 mm in length, 19.6 ± 2.6 mm in width, and 9.5 ± 1.0 mm in height. Condyle height in the anterior and posterior hypoglossal canals was measured at 10.8 ± 1.4 mm and 9.0 ± 1.4 mm, respectively. Screw angle and condyle width were statistically smaller in females compared to the male population.
CONCLUSION: The OC is a significant anatomical structure in the craniovertebral junction, playing a crucial role in stability. The obtained morphological values are applicable to the Turkish population and offer statistically significant findings for preoperative planning involving occipital condyle screw instrumentation.
Keywords : Occipital condyle, Occiput-cervical junction, Morphometric trajectory analysis, Occipital condyle screws