Modern instrumentation of the pediatric occiput and upper cervical spine: review article

HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery
Daniel Hedequist

Abstract

Rigid screw rod techniques for cervical stabilization are widely used in adults. The benefits of rigid internal fixation include increased fusion rates, improvements in deformity correction, and diminished immobilization requirements. Applications of these techniques in children are challenging due to size constraints and the pathologic conditions encountered which require instrumented cervical fusions. Preparation as well as thorough understanding of the anatomy and surgical techniques is paramount to surgical safety in pediatric patients. This review article serves as an educational tool regarding the use of modern posterior instrumentation techniques for pediatric cervical deformity. Expert review based on clinical expertise and literature review. The use of rigid screw rod instrumentation for the pediatric occiput and upper cervical spine is discussed. Preoperative imaging requirements for pediatric patients undergoing cervical spine surgery are reviewed. Anatomy, morphologic studies, and surgical techniques are discussed for each area of instrumentation. Modern posterior cervical instrumentation techniques can be safely applied to the majority of pediatric patients who require an instrumented posterior cervical fusion. Pat...Continue Reading

References

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Citations

Nov 26, 2016·Neurosurgery Clinics of North America·Hannah E Goldstein, Richard C E Anderson
Apr 18, 2018·Journal of Pediatric Orthopedics·Brian W YangDaniel J Hedequist
Apr 18, 2020·Journal of Pediatric Orthopedics·Lara L CohenDaniel J Hedequist
Sep 30, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Javier Orduna MartínezBeatriz Curto Simón
Nov 3, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mehmet Zileli, Nevhis Akıntürk

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