Posterior Fusion for the Subaxial Cervical Spine: A Review of the Major Techniques.

Autor: Mikhail CM; Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY USA., Dowdell JE 3rd; Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY USA., Hecht AC; Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY USA.
Jazyk: angličtina
Zdroj: HSS journal : the musculoskeletal journal of Hospital for Special Surgery [HSS J] 2020 Jul; Vol. 16 (2), pp. 188-194. Date of Electronic Publication: 2019 Oct 25.
DOI: 10.1007/s11420-019-09722-x
Abstrakt: Posterior fusion is a powerful tool to address pathology of the cervical spine, but the decision to fuse at any level should be made with great care. Various methods and constructs for posterior cervical fusion exist, all of which aim to restore the posterior tension band's ability to resist flexion forces. We identified articles regarding posterior fusion of the subaxial cervical spine in MEDLINE, Google Scholar, and PubMed. This article is a narrative review of earlier and current concepts regarding the posterior fusion of the subaxial cervical spine, including wiring, translaminar screws, lateral mass screws, and pedicle screws, weighing the strengths and weakness of the different modalities that the surgeon should bear in mind in creating operative plans individualized to patient pathology.
Competing Interests: Conflict of InterestChristopher M. Mikhail, MD; James E. Dowdell III, MD; and Andrew C. Hecht, MD, declare that they have no conflicts of interest.
(© Hospital for Special Surgery 2019.)
Databáze: MEDLINE
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