%0 Journal Article
%T Computed Tomography-Based Occipital Condyle Morphometric Analysis in the Turkish Population: A Trajectory Analysis for Optimal Screw Selection.
%A Paksoy K
%A Avci I
%A Ozturk G
%A Albas T
%J Turk Neurosurg
%V 34
%N 4
%D 2024 Aug 23
%M 38874246
%F 0.972
%R 10.5137/1019-5149.JTN.44323-23.3
%X <B>OBJECTIVE: </B>To provide a comprehensive analysis for accurate screw size selection and insertion angle during surgical procedures.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>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.