Document Detail


Posterior cervical fusion with triple-wire strut graft technique: one hundred consecutive patients.
MedLine Citation:
PMID:  1807526     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One hundred consecutive patients were treated by the triple-wire stabilization and fusion technique for acute cervical trauma (36 patients), rheumatoid arthritis (27 patients), degenerative osteoarthritis (20 patients), congenital deformities (13 patients), or neoplasms (11 patients). The triple wire technique developed by Bohlman is versatile enough to be used at any level of the cervical spine, with 60 patients undergoing subaxial fusions, 20 with atlantoaxial fusions, and 20 with stabilization to the occiput. The immediate stability is evidenced by the fact that only two of 60 subaxial triple-wire stabilizations required the use of a Halovest, 58 being managed postoperatively in two-poster orthosis. The fusion rate was 100% for subaxial fusions. The only pseudarthrosis occurred in an occiput to C2 triple wire fixation procedure, which was managed nonoperatively. There were no iatrogenic neurologic complications, unlike the use of techniques utilizing sublaminar wires, and there were no cervical infections.
Authors:
D J Weiland; P C McAfee
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of spinal disorders     Volume:  4     ISSN:  0895-0385     ISO Abbreviation:  J Spinal Disord     Publication Date:  1991 Mar 
Date Detail:
Created Date:  1992-05-15     Completed Date:  1992-05-15     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8904842     Medline TA:  J Spinal Disord     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  15-21     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
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MeSH Terms
Descriptor/Qualifier:
Arthritis, Rheumatoid / surgery
Biomechanics
Bone Wires
Cervical Vertebrae / abnormalities,  surgery*
Evaluation Studies as Topic
Humans
Internal Fixators
Neck Injuries
Occipital Bone / surgery
Osteoarthritis / surgery
Retrospective Studies
Spinal Fusion / methods*
Spinal Neoplasms / surgery
Grant Support
ID/Acronym/Agency:
AR 38489/AR/NIAMS NIH HHS

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


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