Cervical Instrumentation and Fusion in Children Under 10 Years Old
Abstract
Objective:To assess the postoperative results of cervical instrumented fusion in children under 10 years old, description of the surgical technique and complications.Introduction: The pediatric cervical spine implants and construction designs had rapidly evolved in the last decade. Anatomic and biomechanical differences between pediatric and adult cervical spine required a thorough preoperative planning because this implants were originally designed for adults.Methods:Retrospective descriptive study. Level of Evidence: IV. We evaluated 28 children with different cervical pathology treated with instrumented fusion. We performed Roy-Camille’s technique and Magerl’s technique for lateral masses and Goel-Harms’ for C1-C2 fusion, and occipital-cervical fusion with occipital plates or screws. Inclusion criteria were: children under 10 years, cervical spine deformity or instability, no prior history of spine surgery, minimum follow-up of 2 years.Results:We reported 17 girls and 11 boys with a mean age of 6yr 1mo (1yr 6mo to 10yr). Mean follow-up was 3yr 8mo (2yr to 10yr). The overall complications rate was 32.1%. The highest complication rates were associated to: genetic syndrome, 6 cases (21.4%); skeletal dysplasia, 3 cases (10.7%). Thirteen patients were younger than 6 years, 7 of them had complications (53.8%).Conclusion:Cervical instrumented fusion in patients younger than 10 years old proved to be a feasible and safe surgical procedure. Vertebral dysplasia, congenital, syndromic anomalies, and being younger than 6 years old are the main factors associated with high complication rates.Downloads
References
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- Artrodesis cervical pedriatrica (Español (España))
- Figura 9. Imágenes Intraoperatorias: Decompresión posterior más fusión posterior instrumentada occipito torácica (Español (España))
- Figura 10. Imágenes Postoperatorio inmediata: fusión occipito torácica más halo chaleco (Español (España))
- Figura 11. Imágenes Radiográficas 2 años postoperatoria (Español (España))
- Figura 12. Tomografía reconstrucción 3 D. 2 años postoperatorio (Español (España))
- manuscrito final 15 julio (Español (España))
- Figura 8. Radiografías cervical AP y Lateral (Español (España))
- Figura 13. Cifosis cervical asociada a compresión medular (Español (España))
- caso clinico 2 (Español (España))
- Figura 8 A. Resonancia Magnetica. Compresión medular severa y mielomalacia asociada. (Español (España))
- Figura 14. 4 meses postoperatorio. Fusión posterior instrumentada occipito - torácico (Español (España))
- Figura 15. 11 meses postoperatorio. Pseudoartrosis occipito -C1. sin deterioro del status neurológico (Español (España))
- Figura 2. Tomografia Axial. Inestabilidad Atlanto - Axial (Español (España))
- Figura 3. Resonancia Magnética sin evidencia de lesión medular (Español (España))
- Figura 4. Tomografía reconstrucción 2D. Muesta inestabilidad C1-C2. Hipoplasia de Odontoides (Español (España))
- Figura 5. Radiografias post. caída, muestra full out de tornillos occipitales (Español (España))
- Figura 6. Tomografia reconstrucción 2 D. Full out de tornillos occipitales (Español (España))
- Figura 7. Radiografías Post revisión AP y Lateral (Español (España))
- resumen en ingles (Español (España))
- Figura 1. Radiografias preoperatorias AP y Laterales (Español (España))
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