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Posterior cervical spine stabilization under local anesthesia.

S Rao1, A Yadav, R Galvan

  • 1Department of Orthopaedics, University of Southern California School of Medicine, Los Angeles 90033.

Journal of Spinal Disorders
|September 1, 1990
PubMed
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Posterior cervical stabilization using local anesthesia and allograft offers a safe and effective alternative to general anesthesia and autograft. This technique allows for patient interaction and immediate neurological monitoring during surgery.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Fusion Techniques

Background:

  • Posterior cervical stabilization is crucial for managing unstable cervical spines.
  • Traditional methods often involve general anesthesia and autograft, posing potential risks.
  • A novel technique using local anesthesia and allograft for posterior cervical fusion is explored.

Purpose of the Study:

  • To document the feasibility and advantages of posterior cervical stabilization with local anesthesia and demineralized bone matrix allograft.
  • To compare this technique with traditional general anesthesia and autograft procedures.
  • To highlight its suitability for neurologically intact patients with cervical spine trauma.

Main Methods:

  • Posterior cervical stabilization with spinous process wiring and fusion was performed.

Related Experiment Videos

  • Local anesthesia was utilized, allowing patient interaction.
  • Corticocancellous demineralized bone matrix allograft was used instead of autograft.

    • Main Results:

    • The technique was well-tolerated with no major complications in 19 patients.
    • Blood loss and operative times were favorable compared to general anesthesia with autograft.
    • All 19 patients achieved Frankel grade E at follow-up, indicating good neurological recovery.

    Conclusions:

    • Local anesthesia and allograft facilitate safe and effective posterior cervical stabilization.
    • This technique offers advantages over traditional methods, including immediate neurological monitoring.
    • It is particularly indicated for neurologically intact patients with cervical spine trauma.