Posterior Fixation of the Upper Cervical Spine: Contemporary Techniques

被引：23

作者：

Bransford, Richard J. ^{[1
]}

Lee, Michael J. ^{[1
]}

Reis, Abilio ^{[1
]}

机构：

[1] Univ Washington, Med Ctr, Dept Sports Med & Orthopaed Surg, Seattle, WA 98195 USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS | 2011年 / 19卷 / 02期

关键词：

TRANSARTICULAR SCREW FIXATION; VERTEBRAL ARTERY INJURY; INTERNAL CAROTID-ARTERY; BIOMECHANICAL EVALUATION; OCCIPITOCERVICAL FUSION; POLYAXIAL SCREW; C1; PLATE; INSTRUMENTATION; STABILIZATION;

D O I：

10.5435/00124635-201102000-00001

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Instrumentation in the upper cervical spine has changed considerably in the past two decades. Previous stand-alone wiring techniques have been made largely obsolete with the development of occipital segmental plating, transarticular screws, and C1 lateral mass screws, as well as a myriad of C2 fixation options, including pedicle, pars, and translaminar screws. Polyaxial screws and segmental fixation are more user-friendly than stand-alone wiring and provide a stronger construct. Awareness of the risks and benefits associated with the use of modern instrumentation and thorough familiarity with the anatomy of the upper cervical spine are essential to avoid complications and optimize outcomes.

引用

页码：63 / 71

页数：9

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