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Craniocervical instability treated by contoured loop fixation.

A O Ransford, H A Crockard, J L Pozo

    The Journal of Bone and Joint Surgery. British Volume
    |March 1, 1986
    PubMed
    Summary
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    Rigid posterior fixation using a steel loop stabilized the craniocervical junction in three patients. This surgical technique offers stable fixation, enabling early patient mobilization and potentially promoting bony fusion.

    Area of Science:

    • Neurosurgery
    • Orthopedic Surgery
    • Spinal Surgery

    Background:

    • Gross instability of the craniocervical junction poses significant surgical challenges.
    • Traditional methods like bone grafting may not provide sufficient rigid stabilization.
    • Early mobilization is crucial for patient recovery and long-term outcomes.

    Observation:

    • A novel technique involving rigid posterior fixation was applied to three patients.
    • Anatomically contoured steel loops were secured to the occiput and cervical vertebrae (C3-C5) using sublaminar wiring.
    • The fixation method utilized small burr holes for occipital attachment.

    Findings:

    • The steel loop technique achieved rigid stabilization of the craniocervical junction.
    • This method proved advantageous compared to bone grafting with or without cement.

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  • Patients undergoing this procedure were able to mobilize early post-operatively.

    • Implications:

    • This technique provides a robust solution for severe craniocervical instability.
    • Early mobilization facilitated by rigid fixation can improve patient rehabilitation.
    • The method may enhance the likelihood of successful bony fusion at the craniocervical junction.