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Double Sublaminal Band Passage Technique for Spinal Deformity Correction.

Blake K Montgomery1, Sreeharsha V Nandyala1, Craig M Birch1

  • 1Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, USA.

Cureus
|April 4, 2022
PubMed
Summary

This study introduces a novel double sublaminar band passage technique for spinal fusion. This method enhances safety by reducing the risk of neurologic injury during sublaminar band placement.

Keywords:
double passagespinespine deformity surgerysublaminal bandsurgical technique

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Area of Science:

  • Spinal Surgery
  • Orthopedic Surgery
  • Neurosurgery

Background:

  • Sublaminar band fixation is a crucial technique for spinal rod anchoring, particularly when pedicle screw placement is not feasible.
  • It enables effective spinal deformity correction and stabilization.
  • A significant drawback is the potential for neurologic injury due to band passage between the dura and lamina.

Purpose of the Study:

  • To introduce and describe a novel "double sublaminar band passage technique" for spinal fixation.
  • To present a case study demonstrating the application of this technique in a pediatric patient.

Main Methods:

  • Description of the "double sublaminar band passage technique" for passing sublaminar bands.
  • Application of the technique in a posterior spinal instrumented fusion using a hybrid construct in an 11-year-old female with neuromuscular scoliosis.

Main Results:

  • The double sublaminar band passage technique aims to minimize dural contact, thereby reducing the risk of neural injury.
  • Successful implementation of the hybrid construct in the presented case.

Conclusions:

  • The double sublaminar band passage technique offers a potentially safer alternative for sublaminar band fixation.
  • This technique may decrease the incidence of neurologic complications associated with spinal fusion procedures.