Novel use of percutaneous cervical pedicle inlet screws for supplemental posterior fixation after anterior cervical deformity correction
| Autor: | Deb A Bhowmick, Aaron Gelinne, Cole A Sloboda, Andrew L Abumoussa |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Percutaneous business.industry Radiography Diseases of the musculoskeletal system Neurovascular bundle pedicle Surgery Dissection Posterior fixation RC925-935 percutaneous Cervical deformity medicine Original Article Cervical Neurology (clinical) Cervical fusion business Fixation (histology) |
| Zdroj: | Journal of Craniovertebral Junction & Spine Journal of Craniovertebral Junction and Spine, Vol 12, Iss 3, Pp 302-305 (2021) |
| ISSN: | 0974-8237 |
| Popis: | Introduction: Correction of cervical deformity can be achieved using anterior cervical fixation and fusion techniques. However, supplemental posterior fixation is a critical component for ensuring biomechanical longevity and favorable patient outcomes. We present a novel percutaneous technique for posterior cervical fixation in patients where cervical pedicle (CP) screws may not be feasible and midline muscle dissection is not needed. Methods: Three patients presented to our hospital with cervical pathology amendable to circumferential cervical fusion. After adequate deformity correction was performed through an anterior cervical decompression and fusion, staged posterior supplemental fixation was achieved using percutaneous CP inlet (CPI) screws using a percutaneous muscle-sparing approach. Results: All three patients underwent CPI screw placement without postoperative neurovascular complications. Postoperative radiographic follow-up showed the desired, proper screw placement, with continued maintained cervical alignment. Conclusions: CPI screw placement may be alternative hybrid screw that achieves a advantageous safety profile while also avoiding an open midline exposure. |
| Databáze: | OpenAIRE |
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