Screws loosening in cervical anterior plate fixation

Case contributed by Dr Bruno Di Muzio


Image performed in the context of a MVA.

Patient Data

Age: 29-year-old
Gender: Female

CT Cervical spine

The craniocervical junction is intact.

Normal spinal alignment preserved. Straightening of the cervical lordosis.

No vertebral body fractures or facet joint dislocations. Previous ACDF involving C6, C7, and T1.

There is loosening of the T1 screws and residual instability (without static subluxation) at C7-T1.

Anterior plate well applied.

No regions of high-grade cervical canal or neural foramen stenosis.

Case Discussion

This case shows loosening of the T1 ACDF screws characterised by a rim of lucency around the screw, which exceeds 2 mm. 

PlayAdd to Share

Case information

rID: 44513
Published: 26th Apr 2016
Last edited: 28th Sep 2016
System: Spine
Inclusion in quiz mode: Excluded

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.