Johng Heller的实验中采用了直径3.5mm的螺钉，Howards的研究发现相邻侧块中
心间的距离平均13mm，螺钉进钉深度平均10－11mm。这在一定程度上勾画了侧块的
大小。
4.6 经生物力学试验显示，直径3.2、3.5、4.5mm的皮质骨螺钉，穿透双层骨
皮质，具有最大的拉出阻力，其中3.5的螺钉力量最大。经侧块钢板螺丝钉内固定
，钢板首尾两端的螺钉是固定的薄弱环节。
参考文献：
[1] Jasephs. Torg. Athletic Injuries to the Head Neck and Face [M]. se
cond edition 1991,372－373.
[2] Howard. AN; Roylene Gordin, et.T. Anatomic consideration for Plate
-Screw Fixation of the Cervical Spine[J]. Spine 1991,16:548－551.
[3] Xu R, Ebraheim NA, Nadaud MC, Yeasting RA, Stanescu S.The Location
of the Cervical Nerve Roots on the Posterior As-pect of the Cervical Sp
ine[J]. Spine 1995,20:2 267－71.[4] Ebraheim NA, Haman ST,Xu R, Yeastin
g RA.The Anatomic Location of the Dorsal Ramus of the Superior Articu
lar Process of the lateral Mass[J]. Spine 1998,23:1968－71.
[5] Zdeblick TA , Zou D, et al. Cervical Stability after Foraminotomy
J[J]. Bone and Joint Surg 1992,74－A:22－27.
[6] Robert A. Cadanan；Rollin M.Johnson et Cervical Facet Fusion for C
ontrol of Instability Following Laminectomy [J]. J. Bone and Joint Su
rg 1997, 59－A:991－1002
[7] Richard B. Raynor James Pugh et. Cervical Facetectomy and its Effe
ct on Spine Strength[J].J Neurosurg Aug 1995,63：278－282.
[8] Joseph F. Cusick; Narayan Yoganandan et Biomechanics of Cer-vical S
pine Faectomy and Fixation Techniques [J]. Spine 1988,13:808－812.
[9] Liming M Voo Srirangam K sis of Cervical Facetectomy[J]. Spine 199
7,22：964－969.
[1O] Heller JG, Carlson GD, Abitbol JJ, et al. Anatomic tle Roy-Camill
e and Magral techniques for screw placement in the lower cervical[J].
spine, 1991,16,552－557.
[11] Anderson PA, Henley MB, Grady MS, et al. Posterior cervical arthr
odesis with AO reconstruction plates and bone graft [J].Spine,1991,16:7
2－79.
[12] Ebraheim NA Xu R, Yeasting RA. The locatin of the vertebral arter
y foramen and its relation to posterior lateral mass screw fixation[J]
. Spine 1996,21:1291－1295.
[13] Heller JG, Estes BT. Biomechanical Study of Screws in the Lat-eral
Masses:Variables Affecting Pull－out Resistance[J]. J Bone and Joint
surg Sep 1996, 78－A:1315－1320.
[14] Smith ME, Cibischino M,Study of a Cervical Spine Stabilization Dev
ice: Roy-Camille Plates[J]. Spine 1997, 22:38－43.
[15] Swank ML, Sutterlin CE. Rigid internal fixation with lateral mass
plates in multilevel anterior and posterior reconstraction of the ce
rvical spine[J]. Spine 1997,22:274－282.
[16] 孙宇,王志国.颈椎椎弓根的观察及其临床意义[J].北京医科大学学报，1993
,25(4):279－280.
[17] E. Ladd Jones,Heller JG. Cervical Pedicle Screw Versus Lateral Ma
ss Screws[J]. Spine 1997,22:977－982.
[18] Gill K, Puschal S. Posterior Plating of the Cervical Spine-A Biom
echanical Comparison of Different Posterior Fusion Tech－niques[J]. Sp
ine 1988,13:813－816.
[19] 王东来，唐天驷，黄士中，等.下颈椎椎弓根内固定的解剖学研究与临床应用
[J]. 中华骨科杂志，1998, 18：659－662.
[20] Weis JC, chanical vical stabilization[J]. Spine 1996, 21:2108－2
114.
[21] Cusick JF, Pintar FA. Yoganandan N. et al. Wire fixation tech-niqu