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Alternative Means of Posterior Cervical Stabilization

  • Hsuan-Kan Chang
  • David McCarthy
  • Michael Y. Wang
Chapter

Abstract

The posterior approach is commonly performed in the treatment of multilevel degenerative cervical myelopathy (DCM) with spinal cord compression. Both posterior laminoplasty and laminectomy with fusion can achieve adequate decompression of the spinal cord and obtain satisfactory neurologic outcomes. Lateral mass screw (LMS) fixation is the prevalent fixation technique for the posterior cervical approach. LMS fixation achieves a high fusion rate and is associated with a low complication profile. Neurologic injury, vascular injury, and hardware failure rarely occur in LMS cases. LMS has become the standard technique for posterior fixation in the subaxial cervical spine for various pathologies. Nevertheless, LMS fixation has its own limitations and isn’t indicated under certain circumstances. In such circumstances, alternative techniques including cervical pedicle screw, translaminar screw, and transfacet screw can be very useful for posterior cervical fixation instead of LMS. In this chapter, we will give a comprehensive explanation of these common alternatives for posterior cervical fixation.

Keywords

Posterior cervical stabilization Cervical pedicle screws Translaminar screws Transfacet screws 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Hsuan-Kan Chang
    • 1
  • David McCarthy
    • 1
  • Michael Y. Wang
    • 1
  1. 1.Department of Neurological Surgery and Rehabilitation MedicineUniversity of Miami Miller School of MedicineMiamiUSA

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