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. 2009 Nov 15;19(1):105–112. doi: 10.1007/s00586-009-1213-4

Fig. 6.

Fig. 6

The trajectory of the C3 screw was correct, but the screw breached the inferior side of the pedicle wall (arrowhead). The distance of the C3 and C4 screw heads was so close that there was no room for the head of the C3 screw to get the correct direction (the C4 screw was inserted first)