[Surgical reconstruction of the stability of lower cervical spine in children].
OBJECTIVE
To investigate surgical reconstruction of stability of lower cervical spine in children suffering trauma, tuberculosis and tumor.


METHODS
From January 1998 to September 2001, 8 cases of unstable lower cervical spine were treated by operations, of anterior decompression, massive iliac bone grafting, posterior fixation with spinous process tension band wiring, and fusion with heterogeneous iliac bone grafting.


RESULTS
With an average following up of 1 year and 9 months (6 months to 4 years and 3 months), 3 cases recovered excellently, 4 cases recovered well and 1 case died of pulmonary infection.


CONCLUSIONS
The above results indicate that anterior decompression, massive iliac bone grafting, posterior fixation with spinous process tension band wiring and fusion with heterogeneous iliac bone grafting can be used as one of the methods to reconstruct the stability of lower cervical spine in children.
Liu
Hao
H
Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu Sichuan, P. R. China 610041.
Song
Wen-kai
WK
Song
Yue-ming
YM
D002574:Cervical Vertebrae / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D019299:Decompression, Surgical; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D008297:Male; D019651:Plastic Surgery Procedures; D013117:Spinal Cord Compression / Q000209:etiology / Q000601:surgery*; D013124:Spinal Injuries / Q000601:surgery*