- Preferred technique for children: Lateral mass screw fixation is the most common technique used for fusion of the subaxial cervical spine.
- Less stable than in adults: In children, extremely small screws may be required, necessitating more levels of fixation or consideration of an external orthosis.
- Angled screw insertion to increase stability: In children, the angled insertion technique of Magerl is usually preferable to the perpendicular Roy-Camille insertion technique (5) as it provides for a slightly longer screw length.
