title: Segmental spinal instrumentation without sublaminar wires.
abstract: We have developed a method of segmental spinal instrumentation that precludes the passage of sublaminar wires, thus reducing the likelihood of neurological complications. The technique utilizes the base of the spinous process as the purchase site for segmental fixation and a newly developed button-wire implant. The technique and early experience with this method are described.
mesh_terms: D000293:Adolescent; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries; D008297:Male; D008722:Methods; D009984:Orthopedic Fixation Devices; D012600:Scoliosis / Q000601:surgery; D013124:Spinal Injuries / Q000601:surgery; D013904:Thoracic Vertebrae / Q000293:injuries