Posterior fusion of the subaxial cervical spine: indications and techniques.
The biomechanical stability of the subaxial cervical spine (C3-7) can be compromised by numerous pathological processes, and the restoration of stability may ultimately require fusion and placement of rigid internal fixation devices. A posterior fusion and stabilization procedure is often used to treat cervical instability secondary to traumatic injury, rheumatoid arthritis, ankylosing spondylitis, neoplastic disease, infections, and previous laminectomy. Numerous techniques and advances in spinal instrumentation have evolved over the last 30 years. The authors review the indications and the various methods for stabilizing and fusing the subaxial cervical spine via posterior approaches.
Liu
J K
JK
Department of Neurosurgery, Saint Vincent's Hospital, New York, New York 10011, USA.
Das
K
K
D002574:Cervical Vertebrae / Q000601:surgery*; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000601:surgery*; D007796:Laminectomy / Q000009:adverse effects; D008499:Medical Records; D013122:Spinal Diseases / Q000150:complications / Q000209:etiology / Q000601:surgery*; D013123:Spinal Fusion / Q000266:history / Q000379:methods*; D013124:Spinal Injuries / Q000150:complications