Posterior cervical fusion in children

1976 ◽  
Vol 45 (2) ◽  
pp. 211-215 ◽  
Author(s):  
Joe M. McWhorter ◽  
Eben Alexander ◽  
Courtland H. Davis ◽  
David L. Kelly
Keyword(s):  
Cervical Spine ◽  
Neurological Deficit ◽  
The Other ◽  
Congenital Absence ◽  
Cervical Fusion ◽  
Content Type ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Posterior Cervical Fusion ◽  
Fine Print

✓ Six cases of posterior cervical fusion with rib grafts in children are reported. Four of the children had sustained cervical spine injuries in accidents, and two had congenital absence of the odontoid. Three-level fusions (C1–3) were done in four children, and four-level fusions (C1–4) in two. One child died of unrelated causes 3 months after the operation. The other five children have been followed for 5 to 13 years. All are doing well and each has a remarkably supple, stable neck and no neurological deficit.

Xeroradiography in evaluation of cervical spine injuries

1978 ◽  
Vol 49 (4) ◽  
pp. 620-621
Author(s):  
Norman D. Peters ◽  
George Ehni
Keyword(s):  
Cervical Spine ◽  
Lower Cervical Spine ◽  
Content Type ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Fine Print

✓ Xeroradiography is a useful tool in the evaluation of fractures and dislocation of the lower cervical spine. It affords clear visualization with minimal manipulation or risk.

Pediatric cervical spine injuries: report of 102 cases and review of the literature

2000 ◽  
Vol 92 (1) ◽  
pp. 12-17 ◽  
Author(s):  
Mohammed A. Eleraky ◽  
Nicholas Theodore ◽  
Mark Adams ◽  
Harold L. Rekate ◽  
Volker K. H. Sonntag
Keyword(s):  
Cervical Spine ◽  
Age Group ◽  
Content Type ◽  
Cervical Spine Injuries ◽  
Retrospective Clinical Study ◽  
Spine Injuries ◽  
Cervical Injuries ◽  
Group 2 ◽  
Fine Print ◽  
Group 1

Object. To evaluate and review their experience with pediatric cervical injuries and factors affecting outcome, the authors conducted a retrospective clinical study of 102 cases (65% boys, 35% girls) of pediatric cervical spine injuries treated in the last decade. This study is an extension of and comparison with their earlier experience. Methods. Patients were divided into two age groups—birth to 9 years (Group 1) and 10 to 16 years of age (Group 2)—and managed according to status at presentation and type of injury. Thirty patients were managed surgically and 72 nonsurgically (42 wore a halo brace and 30 wore hard collars or custom-molded braces). Motor vehicle accidents were the most common cause of injury, and 40% were associated with head injury. Patients in the younger-age group (Group 1) sustained more neurological injuries than the older patients in Group 2, and most injuries were in the upper cervical spine. Of the 38 children in Group 1, in 39% a subluxation was present and in 29% a fracture or fracture/subluxation was demonstrated. Of the patients in Group 2, 80% had sustained fractures or fracture/subluxations. Vertebral fractures were the most common radiological findings (32%). At late follow-up review (mean 5 years), solid fusions were demonstrated in all patients. Neurological deterioration did not occur in any patient. The mortality rate was 16%. Compared with the authors' earlier report, the incidence of cases with pediatric cervical injuries increased, as did the number managed surgically. Various fusion techniques were used, and neurological and fusion outcomes improved as compared with the previous report. Conclusions. The prognosis of neurological recovery from pediatric cervical spine injuries is related to the severity of the initial neurological injury. Management must be tailored to the patient's age, neurological status, and type and level of injury. Compared with our earlier experience, fusion and instrumentation procedures were used more frequently. Different types of fusion and instrumentation procedures can be performed safely in children and produce good outcomes.

Swan-neck deformity secondary to osteomyelitis of the posterior elements of the cervical spine

1979 ◽  
Vol 50 (3) ◽  
pp. 388-390 ◽  
Author(s):  
Ghaus M. Malik ◽  
Alvin H. Crawford ◽  
Robert Halter
Keyword(s):  
Cervical Spine ◽  
Cervical Vertebrae ◽  
Cervical Fusion ◽  
Content Type ◽  
Halo Traction ◽  
Posterior Cervical Fusion ◽  
Swan Neck Deformity ◽  
Fine Print ◽  
Posterior Elements ◽  
Excellent Stability

✓ A case of osteomyelitis is described, involving the posterior elements of the cervical vertebrae in a 7-year-old girl and resulting in swan-neck deformity. Treatment was initiated with antibiotics, and the patient was placed in halo traction. Eventually posterior cervical fusion was performed, which provided excellent stability and correction of the deformity.

Cervical spine injuries in infants

1975 ◽  
Vol 42 (2) ◽  
pp. 179-184 ◽  
Author(s):  
Lynn M. Gaufin ◽  
Stanley J. Goodman
Keyword(s):  
Cervical Spine ◽  
Fracture Dislocation ◽  
Hangman’S Fracture ◽  
Content Type ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Hangman's Fracture ◽  
Therapeutic Considerations ◽  
Fine Print ◽  
Posterior Elements

✓ The authors point out the unique anatomical and therapeutic considerations involved in injuries of the cervical spine and cord in infants. The special problems encountered in the treatment of such patients are illustrated by three cases, a “Hangman's” fracture, a C6–7 fracture-dislocation, and an acute quadriparesis associated with dysgenesis of the posterior elements of C1–3.

History of skeletal traction in the treatment of cervical spine injuries

1970 ◽  
Vol 33 (1) ◽  
pp. 54-59 ◽  
Author(s):  
John D. Loeser
Keyword(s):  
Cervical Spine ◽  
Cervical Vertebrae ◽  
Spine Fractures ◽  
Skeletal Traction ◽  
Content Type ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
History Of ◽  
Cervical Spine Fractures ◽  
Fine Print

✓ Therapy of cervical spine fractures is reviewed from the time of the Egyptians (4000 B.C.) to the present day. Immobilization has been practiced for slightly more than a century; devices for exerting traction upon the skull have been in use for 37 years. The Renaissance surgeon, Fabricus Hildanus, designed a tool for exerting traction upon the cervical vertebrae, but this method did not become popular. Until the 20th century, few physicians considered the therapy of this common injury.

Delayed intracranial migration of cervical sublaminar and interspinous wires and subsequent cerebellar abscess

2002 ◽  
Vol 97 (1) ◽  
pp. 113-117 ◽  
Author(s):  
Kevin L. Stevenson ◽  
Matthew Wetzel ◽  
Ian F. Pollack
Keyword(s):  
Cervical Spine ◽  
Neurological Injury ◽  
Cervical Fusion ◽  
Content Type ◽  
Cerebellar Abscess ◽  
Delayed Complication ◽  
History Of ◽  
Delayed Complications ◽  
The Wire ◽  
Fine Print

✓ Delayed complications associated with sublaminar and interspinous wiring in the pediatric cervical spine are rare. The authors present a case of delayed complication in which a cervical fusion wire migrated into the cerebellum, causing subsequent cerebellar abscess 2 years after posterior cervical arthrodesis. A craniotomy was required to remove the wire and drain the abscess. Despite their history of safety and successful fusion, procedures involving sublaminar and interspinous wiring carry a risk of neurological injury secondary to wire migration. A thorough neuroimaging evaluation is required in patients who have undergone fusion and who have neurological complaints to detect late instrumentation-related sequelae.

Discography and myelography in acute injuries of the cervical spine

1971 ◽  
Vol 35 (5) ◽  
pp. 529-535 ◽  
Author(s):  
Richard B. Raynor
Keyword(s):  
Cervical Spine ◽  
Neurological Deficit ◽  
Fracture Dislocation ◽  
Cervical Fracture ◽  
Content Type ◽  
Relative Safety ◽  
Acute Injuries ◽  
Fine Print

✓ Nineteen patients who suffered trauma to the cervical spine that resulted in moderate to severe neurological deficit were studied by discography. In 15 cases, myelography was also performed. When both tests were done there was good correlation of results. In the four cases where only discography was performed, the lesion was accurately localized. The danger of myelography in acute cervical fracture dislocation is emphasized and the relative safety, ease, and value of discography stressed.

scholarly journals Chronic Neck Pain Associated with an Old Odontoid Fracture: A Rare Presentation

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Mauricio Avila-Guerra
Keyword(s):  
Cervical Spine ◽  
Neurological Deficit ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Odontoid Fracture ◽  
Motor Vehicles ◽  
Rare Presentation ◽  
Cervical Spine Injuries ◽  
Wide Range ◽  
Spine Injuries

Cervical spine injuries represent a minority of injury cases in motor vehicles accidents but are a real threat to a patient’s life. In the wide range of cervical spine injuries, odontoid (dens) fractures represent the most common findings. These fractures are more usually found in the elderly population due to the changes associated with age. Neurological deficit is not frequently found in these injuries. The following is a case presentation of a chronic odontoid fracture with neurological deficit in a young man that was discovered 23 years after he sustained a motor vehicle accident.

Monitoring of blood parameters following anterior cervical fusion

2000 ◽  
Vol 92 (2) ◽  
pp. 169-174 ◽  
Author(s):  
Steffen K. Rosahl ◽  
Alireza Gharabaghi ◽  
Peter-Michael Zink ◽  
Madjid Samii
Keyword(s):  
Cervical Spine ◽  
Cell Count ◽  
Postoperative Period ◽  
White Cell Count ◽  
Anterior Cervical Fusion ◽  
Anterior Fusion ◽  
Cervical Fusion ◽  
Content Type ◽  
Cervical Spine Surgery ◽  
Fine Print

Object. Both C-reactive protein (CRP) level and erythrocyte sedimentation rate (ESR) were measured prospectively in 51 cases in which uncomplicated cervical anterior fusion was performed. The object of the authors was to quantify the differences in the responses of these parameters recorded in the immediate postoperative period and to determine factors influencing their course. Methods. Nineteen one-level, 23 two-level, and nine three-level procedures for disc herniation and degenerative disease of the cervical spine were performed in 22 female and 29 male patients (mean age 49.2 years). Blood samples were obtained 1 day before as well as on 10 consecutive days and 3 months following anterior cervical fusion. Serum CRP level was measured using a fluorescence polarization immunoassay and ESR was determined from the same samples. Operative time, the number of blood transfusions, and drugs administered in the postoperative period were recorded. In addition, hemoglobin, hematocrit, red blood cell count, platelet count, white cell count, and axillary body temperature were checked daily. Conclusions. Monitoring of CRP level is superior to that of ESR for early detection of infections after cervical spine surgery. Although CRP was not related to any of the factors that have been proposed to explain its peak value variance in previous studies, individual acute-phase protein metabolism response to tissue affection appears to be a more decisive element in this respect.

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