Lateral mass screw fixation in children

Journal of Children's Orthopaedics - Tập 4 Số 3 - Trang 197-201 - 2010
Daniel Hedequist1, Mark R. Proctor1, Timothy Hresko1
1Department of Orthopedic Surgery, Children's Hospital Boston/Harvard Medical School, 300 Longwood Avenue, Hunnewell 2 Bldg., 02114, Boston, MA USA

Tóm tắt

Purpose The safety and feasibility of posterior screw fixation of the cervical spine in children has not been well documented in the orthopedic literature. We performed a retrospective review of our experience using posterior cervical screw fixation in children. Methods The medical records and radiologic records of 36 children at a mean age of 10 years (range 3–16 years) were reviewed. Diagnoses included: ten instability, 11 deformity, seven trauma, five tumor, and three congenital abnormalities. Operative reports and postoperative computed tomography (CT) scans were reviewed to determine the technical feasibility of screw placement, any screw-related complications, and to assess for correct screw position. In this series, there were no neurologic complications, no vertebral artery injuries, and no screw-related complications. Results Thirty patients (141 screws) had screws evaluated postoperatively and were shown to be completely contained on postoperative CT scans. There were no revisions due to screw failure or dislodgement. There were no vascular or neurologic complications. Conclusions Posterior screw fixation in the pediatric population may be done safely and greatly enhances fixation strength for a variety of disorders requiring instrumentation and fusion.

Từ khóa


Tài liệu tham khảo

10.1097/00007632-199210001-00017

10.1097/00007632-199910010-00016

10.1097/01.bsd.0000166640.23448.09

10.1097/00007632-199702010-00009

Deen HG, 2003, Spine J, 3, 489

Brockmeyer DL, 2000, J Neurosurg, 92, 7, 10.3171/jns.2000.92.1.0007

10.1097/BRS.0b013e318163f9cd

10.1097/00002517-199806000-00011

10.1097/00007632-200111150-00006

10.1097/00007632-199110001-00020

Thông tin
Thông tin xuất bản

Journal of Children's Orthopaedics

Tập 4 Số 3

197-201

Thông tin tác giả