Posterior fusion of the subaxial cervical spine: indications and techniques

Liu, James K.; Das, Kaushik

doi:10.3171/foc.2001.10.4.8

Cited by 41 publications

(26 citation statements)

References 65 publications

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“…This procedure can also be done in selected patients with multilevel disease and neutral cervical alignment or a reducible cervical kyphosis in whom a lordotic alignment can be achieved by appropriate positioning before securing the screw-rod system. [18] Even though multiple techniques for posterior cervical fusion were available historically including onlay grafts, spinous process wiring, facet wiring, Halifax interlaminar clamps, lateral mass plates and screws, [21] they have been replaced by the currently popular lateral mass fusion using polyaxial screw-rod constructs. The currently available literature points to the good outcomes associated with this procedure.…”

Section: Laminectomy With Lateral Mass Fusionmentioning

confidence: 99%

Surgical management of cervical spondylotic myelopathy

Muthukumar

2012

Neurol India

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Cervical spondylotic myelopathy (CSM) is emerging as the most common cause of spinal cord dysfunction in the elderly worldwide. In the past decade, our understanding of the biomechanics of the spine has improved along with advances in spinal instrumentation and this has led to significant changes in the surgical management of CSM. This review will discuss the indications, advantages and limitations of different operative approaches as well as the complications and prognosis of surgery for cervical spondylotic myelopathy. Choice of surgical approach for CSM should be based on the clinical and radiological characteristics of the individual patient and not on the preferences of the surgeon.

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Section: Laminectomy With Lateral Mass Fusionmentioning

confidence: 99%

Surgical management of cervical spondylotic myelopathy

Muthukumar

2012

Neurol India

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“…An anterior approach is particularly practical in polytrauma patients where placement in a prone position is not always feasible [25,26]. Posterior stabilization is frequently used to supplement anterior constructs in cases of multi-column instability or when excessive load on the anterior construct is anticipated [27]. Our literature search of case reports on traumatic subaxial SCIs showed some trends as well.…”

Section: Discussionmentioning

confidence: 90%

C2–C3 spinal fracture subluxation with ligamentous and vascular injury: a case report and review of management

Alexander

Dowlati

McGowan

et al. 2019

Spinal Cord Ser Cases

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Introduction Spinal cord injury is one of the leading causes of paralysis and permanent morbidity. High cervical spine injuries, in particular, have the potential to be fatal and debilitating due to injury to multiple components, including but not limited to, discoligamentous disruption, vascular insult and spinal cord injury. To date, no unifying algorithm exists making it challenging to guide treatment decisions. Case presentation We present the case of a 29-year-old polytrauma patient with an unstable C2-C3 fracture subluxation secondary to hyperextension and rotation injury with complete ligamentous dissociation and vertebral artery dissection after a high-velocity injury. We review the literature on injury patterns, associated complications and neurological outcomes in subaxial cervical spine injuries. Discussion Our patient's injuries had several components including fracture subluxation, ligamentous disruption, central cord syndrome, and vascular insult. The lack of a unifying algorithm to guide treatment decisions highlights the variations in pathology and subsequent limitations in generalizability of current literature. Our patient underwent an open anterior C2-C3 reduction and discectomy with fusion and plating and a subsequent C2-C4 posterior instrumented fusion. The patient regained some motor function postoperatively and through rehabilitation. Careful consideration of multiple components is crucial when treating subaxial spine injuries.

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“…2c-f). 21 Posterior spinal wiring techniques have been largely replaced by posterior screw constructs.…”

Section: Posterior Cervical Fusionmentioning

confidence: 99%

Update on Imaging of Spinal Fixation Hardware

Winegar

Kay

Chadaz

et al. 2019

Semin Musculoskelet Radiol

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This article discusses instrumented spinal surgeries, the radiologic assessment of spinal fixation hardware, and the potential complications of spinal hardware. Radiography is the standard for the postoperative assessment of spinal hardware. Computed tomography and magnetic resonance imaging play a valuable role in the detection of hardware and postsurgical-related complications such as infection, pseudarthrosis, and malpositioned instrumentation. Familiarity with the normal imaging appearance of implanted spinal hardware along with the expected progression of normal postoperative osseous arthrodesis enables recognition of potential complications and helps facilitate appropriate clinical management.

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Posterior fusion of the subaxial cervical spine: indications and techniques

Cited by 41 publications

References 65 publications

Surgical management of cervical spondylotic myelopathy

Surgical management of cervical spondylotic myelopathy

C2–C3 spinal fracture subluxation with ligamentous and vascular injury: a case report and review of management

Update on Imaging of Spinal Fixation Hardware

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