Document Detail


Modern cervical spine instrumentation in children.
MedLine Citation:
PMID:  18277868     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: A retrospective case series. OBJECTIVE: To determine the safety, efficacy, and feasibility of using modern segmental cervical spine instrumentation in children. SUMMARY OF BACKGROUND DATA: With the exception of transarticular screws, there are currently no series in the literature looking at the use of modern cervical spine implants in children. In the adult population, these implants have been shown to be biomechanically superior to traditional wiring methods. These constructs may also decrease the need for postoperative halo immobilization, while at the same time improving arthrodesis rates. METHODS: A retrospective review of 25 pediatric patients greater than 6 years of age treated at our institution with modern segmental instrumentation of the cervical spine. Computed tomography scans were evaluated to determine containment of screws. Radiographic and chart review was done to determine the clinical outcome with respect to fusion and any complications related to surgery. RESULTS: There were no implant related complications in this series. All screws (n = 112) evaluated by computed tomography scan were fully contained. All patients obtained union and there were no reoperations related to the spinal implants. Complications included: 1 deep infection, 1 superficial infection, and 1 transient radiculopathy. CONCLUSION: Modern cervical spine instrumentation is safe and feasible to use in children older than 6 years of age. The clinical union rate in our series was 100% with no implant related complications.
Authors:
Daniel Hedequist; Timothy Hresko; Mark Proctor
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Spine     Volume:  33     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-18     Completed Date:  2008-05-14     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  379-83     Citation Subset:  IM    
Affiliation:
Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA. daniel.hedequist@childrens.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Bone Screws*
Cervical Vertebrae / radiography,  surgery*
Child
Female
Follow-Up Studies
Humans
Male
Postoperative Complications
Retrospective Studies
Spinal Fusion / instrumentation*
Spinal Injuries / radiography,  surgery*
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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