Management of subaxial cervical instability in very young or small-for-age children using a static single-screw anterior cervical plate: indications, results, and long-term follow-up

Journal of Neurosurgery. Spine
Sarah T Garber, Douglas L Brockmeyer

Abstract

OBJECTIVE Subaxial cervical instability in very young or small-for-age children is uncommon and typically arises from trauma or skeletal dysplasia. Various operative techniques have been used to achieve stabilization in pediatric patients with evidence of instability, including anterior, posterior, and combined approaches. In this study, the authors report their results with subaxial cervical instability in this patient population treated using a static single-screw anterior cervical plate (ACP) system and allograft fusion. METHODS In a retrospective chart review, the authors identified all patients 6 years of age or younger who underwent an anterior cervical fusion procedure using a static single-screw ACP system either as a stand-alone construct or as part of an anterior-posterior stabilization procedure. Reasons for fusion included trauma, tumor, and congenital anomalies. RESULTS Five patients 6 years of age or younger underwent anterior cervical fusion using a static single-screw system during the 19-year study period. Follow-up ranged from 12 to 51 months (mean 26.8 months). Two patients underwent repeat surgery, one 7 days after and the other 21 months after their initial procedure. At last follow-up, a mean vertical grow...Continue Reading

References

Jan 1, 1995·Pediatric Neurosurgery·D BrockmeyerL Carey
Jan 1, 2000·Journal of Neurosurgery·M A ElerakyV K Sonntag
Jun 3, 2009·Journal of Neurosurgery. Pediatrics·Atif HaqueDavid J Sacco
Sep 25, 2012·Journal of Neurosurgery. Spine·Steven W HwangAndrew Jea

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Citations

Feb 17, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Andrew J KobetsJohn K Houten
Aug 12, 2017·Journal of Neurosurgery. Pediatrics·Nobuhito MorotaGoichiro Tamura
Jan 6, 2019·Journal of Neurosurgery. Pediatrics·Stephen MendenhallAndrew Jea
Jan 13, 2019·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Diana FieldwickHelen Paterson
May 7, 2020·Neurosurgery·Nikita G AlexiadesRichard C E Anderson

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