Skip to main content
Erschienen in: HSS Journal ® 2/2020

25.10.2019 | CURRENT CONCEPTS IN SPINAL FUSION / REVIEW ARTICLE

Posterior Fusion for the Subaxial Cervical Spine: A Review of the Major Techniques

verfasst von: Christopher M. Mikhail, MD, James E. Dowdell III, MD, Andrew C. Hecht, MD

Erschienen in: HSS Journal ® | Ausgabe 2/2020

Einloggen, um Zugang zu erhalten

Abstract

Posterior fusion is a powerful tool to address pathology of the cervical spine, but the decision to fuse at any level should be made with great care. Various methods and constructs for posterior cervical fusion exist, all of which aim to restore the posterior tension band’s ability to resist flexion forces. We identified articles regarding posterior fusion of the subaxial cervical spine in MEDLINE, Google Scholar, and PubMed. This article is a narrative review of earlier and current concepts regarding the posterior fusion of the subaxial cervical spine, including wiring, translaminar screws, lateral mass screws, and pedicle screws, weighing the strengths and weakness of the different modalities that the surgeon should bear in mind in creating operative plans individualized to patient pathology.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Abdu WA, Bohlman HH. Techniques of subaxial posterior cervical spine fusions: an overview. Orthopedics. 1992;15(3):287–295.PubMed Abdu WA, Bohlman HH. Techniques of subaxial posterior cervical spine fusions: an overview. Orthopedics. 1992;15(3):287–295.PubMed
2.
Zurück zum Zitat Abumi K, Kaneda K. Pedicle screw fixation for nontraumatic lesions of the cervical spine. Spine. 1997;22(16):1853–1863.CrossRefPubMed Abumi K, Kaneda K. Pedicle screw fixation for nontraumatic lesions of the cervical spine. Spine. 1997;22(16):1853–1863.CrossRefPubMed
4.
Zurück zum Zitat An HS, Gordin R, Renner K. Anatomic considerations for plate–screw fixation of the cervical spine. Spine (Phila Pa 1976). 1991;16(10 Suppl):S548–S551.CrossRef An HS, Gordin R, Renner K. Anatomic considerations for plate–screw fixation of the cervical spine. Spine (Phila Pa 1976). 1991;16(10 Suppl):S548–S551.CrossRef
5.
Zurück zum Zitat Anderson PA, Henley MB, Grady MS, Montesano PX, Winn HR. Posterior cervical arthrodesis with AO reconstruction plates and bone graft. Spine (Phila Pa 1976). 1991;16(3 Suppl):S72–S79.CrossRef Anderson PA, Henley MB, Grady MS, Montesano PX, Winn HR. Posterior cervical arthrodesis with AO reconstruction plates and bone graft. Spine (Phila Pa 1976). 1991;16(3 Suppl):S72–S79.CrossRef
7.
Zurück zum Zitat Cahill DW, Bellegarrigue R, Ducker TB. Bilateral facet to spinous process fusion: a new technique for posterior spinal fusion after trauma. Neurosurgery. 1983;13(1):1–4.CrossRefPubMed Cahill DW, Bellegarrigue R, Ducker TB. Bilateral facet to spinous process fusion: a new technique for posterior spinal fusion after trauma. Neurosurgery. 1983;13(1):1–4.CrossRefPubMed
8.
Zurück zum Zitat Callahan RA, Johnson RM, Margolis RN, Keggi KJ, Albright JA, Southwick WO. Cervical facet fusion for control of instability following laminectomy. J Bone Joint Surg Am. 1977;59(8):991–1002.CrossRefPubMed Callahan RA, Johnson RM, Margolis RN, Keggi KJ, Albright JA, Southwick WO. Cervical facet fusion for control of instability following laminectomy. J Bone Joint Surg Am. 1977;59(8):991–1002.CrossRefPubMed
11.
Zurück zum Zitat Denis F. Spinal instability as defined by the three-column spine concept in acute spinal trauma. Clin Orthop Relat Res. 1984(189):65–76. Denis F. Spinal instability as defined by the three-column spine concept in acute spinal trauma. Clin Orthop Relat Res. 1984(189):65–76.
12.
Zurück zum Zitat Devin CJ, Kang JD. Vertebral artery injury in cervical spine surgery. Instr Course Lect. 2009;58:717–28.PubMed Devin CJ, Kang JD. Vertebral artery injury in cervical spine surgery. Instr Course Lect. 2009;58:717–28.PubMed
13.
Zurück zum Zitat Errico T, Uhl R, Cooper P, Casar R, McHenry T. Pullout strength comparison of two methods of orienting screw insertion in the lateral masses of the bovine cervical spine. J Spinal Disord. 1992;5(4):459–463.CrossRefPubMed Errico T, Uhl R, Cooper P, Casar R, McHenry T. Pullout strength comparison of two methods of orienting screw insertion in the lateral masses of the bovine cervical spine. J Spinal Disord. 1992;5(4):459–463.CrossRefPubMed
15.
Zurück zum Zitat Garfin SR, Moore MR, Marshall LF. A modified technique for cervical facet fusions. Clin Orthop Relat Res. 1988(230):149–153. Garfin SR, Moore MR, Marshall LF. A modified technique for cervical facet fusions. Clin Orthop Relat Res. 1988(230):149–153.
17.
Zurück zum Zitat Gill K, Paschal S, Corin J, Ashman R, Bucholz RW. Posterior plating of the cervical spine. A biomechanical comparison of different posterior fusion techniques. Spine (Phila Pa 1976). 1988;13(7):813–816.CrossRef Gill K, Paschal S, Corin J, Ashman R, Bucholz RW. Posterior plating of the cervical spine. A biomechanical comparison of different posterior fusion techniques. Spine (Phila Pa 1976). 1988;13(7):813–816.CrossRef
21.
Zurück zum Zitat Heller JG, Carlson GD, Abitbol JJ, Garfin SR. Anatomic comparison of the Roy-Camille and Magerl techniques for screw placement in the lower cervical spine. Spine (Phila Pa 1976).. 1991;16(10 Suppl):S552–S557.CrossRef Heller JG, Carlson GD, Abitbol JJ, Garfin SR. Anatomic comparison of the Roy-Camille and Magerl techniques for screw placement in the lower cervical spine. Spine (Phila Pa 1976).. 1991;16(10 Suppl):S552–S557.CrossRef
22.
Zurück zum Zitat Heller JG, Silcox DH 3rd, Sutterlin CE 3rd. Complications of posterior cervical plating. Spine (Phila Pa 1976). 1995;20(22):2442–2448.CrossRef Heller JG, Silcox DH 3rd, Sutterlin CE 3rd. Complications of posterior cervical plating. Spine (Phila Pa 1976). 1995;20(22):2442–2448.CrossRef
25.
Zurück zum Zitat Horgan MA, Kellogg JX, Chesnut RM. Posterior cervical arthrodesis and stabilization: an early report using a novel lateral mass screw and rod technique. Neurosurgery. 1999;44(6):1267–1271; discussion 71–72.PubMed Horgan MA, Kellogg JX, Chesnut RM. Posterior cervical arthrodesis and stabilization: an early report using a novel lateral mass screw and rod technique. Neurosurgery. 1999;44(6):1267–1271; discussion 71–72.PubMed
27.
Zurück zum Zitat Jeanneret B, Magerl F, Ward EH, Ward JC. Posterior stabilization of the cervical spine with hook plates. Spine (Phila Pa 1976). 1991;16(3 Suppl):S56-S63.CrossRef Jeanneret B, Magerl F, Ward EH, Ward JC. Posterior stabilization of the cervical spine with hook plates. Spine (Phila Pa 1976). 1991;16(3 Suppl):S56-S63.CrossRef
28.
Zurück zum Zitat Jones EL, Heller JG, Silcox DH, Hutton WC. Cervical pedicle screws versus lateral mass screws. Anatomic feasibility and biomechanical comparison. Spine (Phila Pa 1976). 1997;22(9):977–982.CrossRef Jones EL, Heller JG, Silcox DH, Hutton WC. Cervical pedicle screws versus lateral mass screws. Anatomic feasibility and biomechanical comparison. Spine (Phila Pa 1976). 1997;22(9):977–982.CrossRef
31.
Zurück zum Zitat Kotani Y, Cunningham BW, Abumi K, McAfee PC. Biomechanical analysis of cervical stabilization systems. An assessment of transpedicular screw fixation in the cervical spine. Spine (Phila Pa 1976). 1994;19(22):2529–2539.CrossRef Kotani Y, Cunningham BW, Abumi K, McAfee PC. Biomechanical analysis of cervical stabilization systems. An assessment of transpedicular screw fixation in the cervical spine. Spine (Phila Pa 1976). 1994;19(22):2529–2539.CrossRef
32.
Zurück zum Zitat Liu JK, Das K. Posterior fusion of the subaxial cervical spine: indications and techniques. Neurosurg Focus. 2001;10(4):E7.CrossRefPubMed Liu JK, Das K. Posterior fusion of the subaxial cervical spine: indications and techniques. Neurosurg Focus. 2001;10(4):E7.CrossRefPubMed
38.
Zurück zum Zitat Maurer PK, Ellenbogen RG, Ecklund J, Simonds GR, van Dam B, Ondra SL. Cervical spondylotic myelopathy: treatment with posterior decompression and Luque rectangle bone fusion. Neurosurgery. 1991;28(5):680–683; discussion 3–4.CrossRefPubMed Maurer PK, Ellenbogen RG, Ecklund J, Simonds GR, van Dam B, Ondra SL. Cervical spondylotic myelopathy: treatment with posterior decompression and Luque rectangle bone fusion. Neurosurgery. 1991;28(5):680–683; discussion 3–4.CrossRefPubMed
40.
Zurück zum Zitat Nazarian SM, Louis RP. Posterior internal fixation with screw plates in traumatic lesions of the cervical spine. Spine (Phila Pa 1976). 1991;16(3 Suppl):S64–S71.CrossRef Nazarian SM, Louis RP. Posterior internal fixation with screw plates in traumatic lesions of the cervical spine. Spine (Phila Pa 1976). 1991;16(3 Suppl):S64–S71.CrossRef
41.
Zurück zum Zitat Neo M, Sakamoto T, Fujibayashi S, Nakamura T. The clinical risk of vertebral artery injury from cervical pedicle screws inserted in degenerative vertebrae. Spine (Phila Pa 1976). 2005;30(24):2800–2805.CrossRef Neo M, Sakamoto T, Fujibayashi S, Nakamura T. The clinical risk of vertebral artery injury from cervical pedicle screws inserted in degenerative vertebrae. Spine (Phila Pa 1976). 2005;30(24):2800–2805.CrossRef
44.
Zurück zum Zitat Rogers WA. Fractures and dislocations of the cervical spine; an end-result study. J Bone Joint Surg Am. 1957;39-A(2):341–376.CrossRefPubMed Rogers WA. Fractures and dislocations of the cervical spine; an end-result study. J Bone Joint Surg Am. 1957;39-A(2):341–376.CrossRefPubMed
45.
Zurück zum Zitat Roy-Camille R, Saillant G, Mazel C. Internal fixation of the unstable cervical spine by a posterior osteosynthesis with plates and screws. In: Sherk HH, Dunn EJ, Eismont FJ, et al. eds. The Cervical Spine. 2nd ed. Philadelphia, PA: JB Lippincott; 1989:390–403. Roy-Camille R, Saillant G, Mazel C. Internal fixation of the unstable cervical spine by a posterior osteosynthesis with plates and screws. In: Sherk HH, Dunn EJ, Eismont FJ, et al. eds. The Cervical Spine. 2nd ed. Philadelphia, PA: JB Lippincott; 1989:390–403.
50.
Zurück zum Zitat Watts C, Smith H, Knoller N. Risks and cost-effectiveness of sublaminar wiring in posterior fusion of cervical spine trauma. Surg Neurol 1993;40(6):457–460.CrossRefPubMed Watts C, Smith H, Knoller N. Risks and cost-effectiveness of sublaminar wiring in posterior fusion of cervical spine trauma. Surg Neurol 1993;40(6):457–460.CrossRefPubMed
51.
Zurück zum Zitat White AA, Panjabi, MM. Clinical instability of the spine. In: Evarts CM, Burton RI, Cofield RH, et al. Surgery of the Musculoskeletal System. New York, NY: Churchill Livingstone. 1983. Vol. 4: pp. 219–244. White AA, Panjabi, MM. Clinical instability of the spine. In: Evarts CM, Burton RI, Cofield RH, et al. Surgery of the Musculoskeletal System. New York, NY: Churchill Livingstone. 1983. Vol. 4: pp. 219–244.
52.
Zurück zum Zitat Whitehill R, Stowers SF, Fechner RE, et al. Posterior cervical fusions using cerclage wires, methylmethacrylate cement and autogenous bone graft. An experimental study of a canine model. Spine (Phila Pa 1976). 1987;12(1):12–22.CrossRef Whitehill R, Stowers SF, Fechner RE, et al. Posterior cervical fusions using cerclage wires, methylmethacrylate cement and autogenous bone graft. An experimental study of a canine model. Spine (Phila Pa 1976). 1987;12(1):12–22.CrossRef
53.
Zurück zum Zitat Xu R, Haman SP, Ebraheim NA, Yeasting RA. The anatomic relation of lateral mass screws to the spinal nerves. A comparison of the Magerl, Anderson, and An techniques. Spine (Phila Pa 1976). 1999;24(19):2057–2061.CrossRef Xu R, Haman SP, Ebraheim NA, Yeasting RA. The anatomic relation of lateral mass screws to the spinal nerves. A comparison of the Magerl, Anderson, and An techniques. Spine (Phila Pa 1976). 1999;24(19):2057–2061.CrossRef
54.
Zurück zum Zitat Yoshimoto H, Sato S, Hyakumachi T, Yanagibashi Y, Masuda T. Spinal reconstruction using a cervical pedicle screw system. Clin Orthop Relat Res 2005(431):111–119.CrossRef Yoshimoto H, Sato S, Hyakumachi T, Yanagibashi Y, Masuda T. Spinal reconstruction using a cervical pedicle screw system. Clin Orthop Relat Res 2005(431):111–119.CrossRef
Metadaten
Titel
Posterior Fusion for the Subaxial Cervical Spine: A Review of the Major Techniques
verfasst von
Christopher M. Mikhail, MD
James E. Dowdell III, MD
Andrew C. Hecht, MD
Publikationsdatum
25.10.2019
Verlag
Springer US
Erschienen in
HSS Journal ® / Ausgabe 2/2020
Print ISSN: 1556-3316
Elektronische ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-019-09722-x

Weitere Artikel der Ausgabe 2/2020

HSS Journal ® 2/2020 Zur Ausgabe

Current Concepts in Spinal Fusion/Review Article

Advances in Spinal Fusion Strategies in Adult Deformity Surgery

Current Concepts in Spinal Fusion / Review Article

History of Spinal Fusion: Where We Came from and Where We Are Going

CURRENT CONCEPTS IN SPINAL FUSION/Review Article

Interbody Fusions in the Lumbar Spine: A Review

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Klinikreform soll zehntausende Menschenleben retten

15.05.2024 Klinik aktuell Nachrichten

Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

TEP mit Roboterhilfe führt nicht zu größerer Zufriedenheit

15.05.2024 Knie-TEP Nachrichten

Der Einsatz von Operationsrobotern für den Einbau von Totalendoprothesen des Kniegelenks hat die Präzision der Eingriffe erhöht. Für die postoperative Zufriedenheit der Patienten scheint das aber unerheblich zu sein, wie eine Studie zeigt.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.