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Posterior cervical fusion with methylmethacrylate, wire, and bone: technical note
1Department of Neurosurgery, Louisiana State University Medical Center, New Orleans.
Surgical Neurology
|September 1, 1994
Summary
This study presents a safe and simple posterior cervical arthrodesis technique using wire and acrylic with lateral bony fusion. The method offers immediate and long-term spinal stability without requiring external immobilization.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Surgery
Background:
- Surgical stabilization of non-neoplastic spinal lesions using methylmethacrylate and wire is debated.
- Existing methods may lack sufficient stability or require extensive instrumentation.
Purpose of the Study:
- To describe a novel posterior cervical arthrodesis technique.
- To evaluate the stability and safety of this combined wire/acrylic and bony fusion method.
Main Methods:
- Posterior cervical arthrodesis combining midline wire and acrylic with lateral bony fusion.
- Technique is simple, safe, and requires no special instrumentation.
- Easily extended to include occipital bone fixation.
Main Results:
- The described construct provides both immediate and long-term spinal stability.
- The technique eliminates the need for rigid postoperative external immobilization.
- Demonstrated safety and simplicity in application.
Conclusions:
- This posterior cervical arthrodesis technique offers a reliable solution for spinal stabilization.
- The method achieves robust stability and simplifies postoperative management.
- It presents a viable alternative for managing non-neoplastic spinal lesions.