TRANSPEDICULAR SCREW FIXATION FOR TRAUMATIC LESIONS OF THE MIDDLE AND LOWER CERVICAL-SPINE - DESCRIPTION OF THE TECHNIQUES AND PRELIMINARY-REPORT

被引：343

作者：

ABUMI, K ^{[1
]}

ITOH, H ^{[1
]}

TANEICHI, H ^{[1
]}

KANEDA, K ^{[1
]}

机构：

[1] HOKKAIDO UNIV,SCH MED,DEPT ORTHOPAED SURG,N-15 W-6,KITA KU,SAPPORO,HOKKAIDO 060,JAPAN

来源：

JOURNAL OF SPINAL DISORDERS | 1994年 / 7卷 / 01期

关键词：

TRANSPEDICULAR SCREW FIXATION; CERVICAL SPINE; SPINAL INJURY;

D O I：

10.1097/00002517-199407010-00003

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Thirteen patients with fractures and/or dislocations of the middle and lower cervical spine were treated by transpedicular screw fixation using the Steffee variable screw placement system. Postoperative immobilization was either not used or simplified to short-term use of a soft neck collar. Recovery of nerve function and correction of kyphotic and/or translational deformities were satisfactory. All patients had solid fusion without loss of correction at the latest follow-up. There were no neurovascular complications. It was concluded that transpedicular screw fixation is as strong a fixation procedure for the cervical spine as it is for the thoracic and lumbar spine. This surgical procedure is associated with some risks of major neurovascular injuries; however, safety is adequate if the procedure is performed by experienced surgeons using meticulous surgical techniques.

引用

页码：19 / 28

页数：10

共 24 条

[1]

Abumi K., Panjabi M.M., Duranceau J., Biomechanical evaluation of spinal fixation devices: Part III. Stability provided by six spinal fixation devices and interbodv bone graft, Spine, 14, pp. 1249-1255, (1989)

[2]

Allen B.L., Ferguson R.L., Lehmann T.R., O'brien R.P., A mecha¬nistic classification of closed, indirect fractures and dislocations of the lower cervical spine, Spine, 7, pp. 1-27, (1982)

[3]

Bohlman H.H., Acute fractures and dislocations of the cervical spine, J Bone Joint Surg [Am], 61, pp. 1119-1142, (1979)

[4]

Coe J.D., Warden K.E., Sutterlin C., Mc Afee P.C., Biomechanical evaluation of cervical stabilization methods in a human cadaveric model, Spine, 14, pp. 1122-1131, (1989)

[5]

Cooper P.R., Cohen A., Rosiello A., Koslow M., Posterior stabilization of the cervical spine fractures and subluxations using plates and screws, Neurosurgery, 23, pp. 300-306, (1988)

[6]

Daniels D.L., Hyde J.S., Kneeland J.B., Et al., The cervical nerves and foramina: Local-coil MRI imaging, AJNR, 7, pp. 129-133, (1986)

[7]

Frankel H.L., Hancock D.O., Hyslop G., Et al., The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegi, Paraplegia, 7, pp. 179-192, (1969)

[8]

Gill K., Paschal S., Corin J., Ashman R., Bucholz R.W., Posterior plating of the cervical spine, Spine, 13, pp. 813-816, (1988)

[9]

Heller J.G., Carson G.D., Abitbol J.J., Garfin S.R., Anatomic comparison of the Roy-Camille and Magerl techniques for screw placement in the lower cervical spine, Spine, 16, pp. S552-S557, (1991)

[10]

Jonsson H., Rauschning W., Postoperative cervical spine specimens studied with the cryoplaning technique, J Orthop Trauma, 6, pp. 1-9, (1992)

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