scholarly journals Sprengel’s Deformity With Congenital Scoliosis Successfully Treated With Combined Posterior Spinal Instrumented Fusion and Modified Woodward’s Procedure in a 14-Year-Old Patient With MURCS Association

Cureus ◽  
2021 ◽  
Author(s):  
Ozair Bin Majid ◽  
Zayed S Al-Zayed ◽  
Mohamed Alsehly ◽  
Shahd H Almonaie
Keyword(s):  
Congenital Scoliosis ◽  
Instrumented Fusion ◽  
Sprengel’S Deformity

scholarly journals Short anterior instrumented fusion and posterior convex non-instrumented fusion of hemivertebra for congenital scoliosis in very young children

2008 ◽  
Vol 17 (11) ◽  
pp. 1507-1514 ◽  
Author(s):  
E. Garrido ◽  
F. Tome-Bermejo ◽  
S. K. Tucker ◽  
H. N. N. Noordeen ◽  
T. R. Morley
Keyword(s):  
Young Children ◽  
Congenital Scoliosis ◽  
Instrumented Fusion ◽  
Very Young Children

Hybrid Spinal Constructs Using Sublaminar Polyester Bands in Posterior Instrumented Fusions in Children

Neurosurgery ◽  
2010 ◽  
Vol 66 (5) ◽  
pp. 862-867 ◽  
Author(s):  
Ashwin Viswanathan ◽  
Keyne K. Johnson ◽  
William E. Whitehead ◽  
Daniel J. Curry ◽  
Thomas G. Luerssen ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Pedicle Screws ◽  
Congenital Scoliosis ◽  
Transverse Process ◽  
The United States ◽  
The Novel ◽  
Instrumented Fusion ◽  
Thoracic And Lumbar Spine ◽  
Posterior Instrumented Fusion ◽  
Metal Wires

Abstract OBJECTIVE The authors report the novel use of sublaminar polyester bands in posterior instrumented spinal fusions of the thoracic and lumbar spine and sacrum in 5 children. This is the first reported use of polyester bands in spinal surgery in the United States. METHODS The authors retrospectively reviewed the demographics and procedural data for children who underwent posterior instrumented fusion using sublaminar polyester bands. RESULTS Five children, ranging in age from 9 months to 18 years, underwent posterior instrumented fusion for posttrauma kyphotic deformity (1 patient), congenital scoliosis from hemivertebra anomaly (3 patients), and neuromuscular scoliosis associated with spina bifida (1 patient). There were 1 instance of lamina fracture with application and tensioning of the polyester band and 1 instance of transient worsening of proprioception with sublaminar passage of the polyester band. CONCLUSION Pedicle screws, laminar/pedicle/transverse process hooks, and sublaminar metal wires have been incorporated into posterior spinal constructs and widely reported and used in the thoracic and lumbar spine and sacrum with varying success. This report demonstrates the successful results of hybrid posterior spinal constructs that include sublaminar polyester bands that promise the technical ease of passing sublaminar instrumentation with the immediate biomechanical rigidity of pedicle screws and hooks.

Cervical 1-2 Posterior Instrumented Fusion Utilizing Computer-Assisted Navigation With Harvest of Rib Strut Autograft: 2-Dimensional Operative Video

2021 ◽  
Author(s):  
Timothy J Yee ◽  
Michael J Strong ◽  
Matthew S Willsey ◽  
Mark E Oppenlander
Keyword(s):  
Surface Area ◽  
Odontoid Process ◽  
Odontoid Fracture ◽  
Patient Specific ◽  
Computer Assisted ◽  
Type Ii ◽  
Instrumented Fusion ◽  
Assisted Navigation ◽  
Patient Consent ◽  
Posterior Instrumented Fusion

Abstract Nonunion of a type II odontoid fracture after the placement of an anterior odontoid screw can occur despite careful patient selection. Countervailing factors to successful fusion include the vascular watershed zone between the odontoid process and body of C2 as well as the relatively low surface area available for fusion. Patient-specific factors include osteoporosis, advanced age, and poor fracture fragment apposition. Cervical 1-2 posterior instrumented fusion is indicated for symptomatic nonunion. The technique leverages the larger posterolateral surface area for fusion and does not rely on bony growth in a watershed zone. Although loss of up to half of cervical rotation is expected after C1-2 arthrodesis, this may be better tolerated in the elderly, who may have lower physical demands than younger patients. In this video, we discuss the case of a 75-yr-old woman presenting with intractable mechanical cervicalgia 7 mo after sustaining a type II odontoid fracture and undergoing anterior odontoid screw placement at an outside institution. Cervical radiography and computed tomography exhibited haloing around the screw and nonunion across the fracture. We demonstrate C1-2 posterior instrumented fusion with Goel-Harms technique (C1 lateral mass and C2 pedicle screws), utilizing computer-assisted navigation, and modified Sonntag technique with rib strut autograft.  Posterior C1-2-instrumented fusion with rib strut autograft is an essential technique in the spine surgeon's armamentarium for the management of C1-2 instability, which can be a sequela of type II dens fracture. Detailed video demonstration has not been published to date.  Appropriate patient consent was obtained.

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