Posterior Cervical Instrumentation and Fusion

  • Farbod AsgarzadieEmail author
  • Barón Zárate Kalfópulos
  • Vartan S. Tashjian
  • Larry T. Khoo

A variety of techniques have been developed for the internal fixation of the subaxial cervical spine through a posterior approach [1, 2]. These include interspinous wiring with bone graft, interlaminar clamps, hook plates, Daab plates, lateral mass metallic plates, and Harrington rod constructs.Before the advent of lateral mass screw fixation, interspinous wiring was commonly used for multilevel fixation.


Pedicle Screw Lateral Mass Screw Placement Hook Plate Lateral Mass Screw 
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  1. 1.
    Aebi M, et al. AO ASIF Principles in Spine Surgery. New York: Springer; 1998.Google Scholar
  2. 2.
    Chapman JR, et al. Posterior instrumentation of the unstable cervicothoracic spine. J Neurosurg. 1996;84:552–558.CrossRefPubMedGoogle Scholar
  3. 3.
    Bohlman HH.Acute fractures and dislocations of the cervical spine. An analysis of three hundred hospitalized patients and review of the literature. J Bone Joint Surg Am. 1979;61:1119–1142.PubMedGoogle Scholar
  4. 4.
    Cahill DW, et al. Bilateral facet to spinous process fusion: a new technique for posterior spinal fusion after trauma. Neurosurgery. 1983;13:1–4.CrossRefPubMedGoogle Scholar
  5. 5.
    Callahan RA, et al. Cervical facet fusion for control of instability following laminectomy. J Bone Joint Surg Am. 1977;59:991–1002.PubMedGoogle Scholar
  6. 6.
    McAfee PC, et al.Triple wire technique for stabilization of acute cervical fracture dislocation. Orthop Trans. 1986;10:455–456.Google Scholar
  7. 7.
    Perin NL, Cusick JF.Interspinous, lamina, and facet fusion.In: Benzel E, editor. Spine Surgery: Techniques, Complication Avoidance, and Management. Philadelphia: Churchill Livingstone; 1999. pp. 257–263.Google Scholar
  8. 8.
    Sutterlin CE, 3rd, et al. A biomechanical evaluation of cervical spinal stabilization methods in a bovine model. Static and cyclical loading. Spine. 1988;13:795–802.CrossRefPubMedGoogle Scholar
  9. 9.
    Coe JD, et al. Biomechanical evaluation of cervical spinal stabilization methods in a human cadaveric model. Spine. 1989;14:1122–1131.CrossRefPubMedGoogle Scholar
  10. 10.
    Maurer PK, et al. Cervical spondylotic myelopathy: treatment with posterior decompression and Luque rectangle bone fusion. Neurosurgery. 1991;28:680–683.CrossRefPubMedGoogle Scholar
  11. 11.
    Roy-Camille R, et al.Internal fixation of the unstable cervical spine by posterior osteosynthesis with plates and screws.In: The Cervical Spine Research Society Editorial Committee, editor. The Cervical Spine. 2nd ed.Philadelphia: Lippincott-Raven; 1989.pp. 390–404.Google Scholar
  12. 12.
    Benzel EC.Construct design.In: Benzel E, editor. Biomechanics of Spine Stabilization: Principles and Clinical Practice.New York: McGraw-Hill; 1995.pp. 163–172.Google Scholar
  13. 13.
    Cooper PR, et al. Posterior stabilization of cervical spine fractures and subluxations using plates and screws. Neurosurgery. 1988;23:300–306.CrossRefPubMedGoogle Scholar
  14. 14.
    Gill K, et al. Posterior plating of the cervical spine. A biomechanical comparison of different posterior fusion techniques. Spine. 1988;13:813–816.CrossRefPubMedGoogle Scholar
  15. 15.
    White AA, Panjabi MM.Biomechanical considerations in the surgical management of the spine.In: White A, Panjabi M, editors. Clinical Biomechanics of the Spine. 2nd ed.Philadelphia: Lippincott-Raven; 1990. pp. 511–639.Google Scholar
  16. 16.
    Ebraheim NA, et al.Internal fixation of the unstable cervical spine using posterior Roy-Camille plates: preliminary report. J Orthop Trauma. 1989;3:23–28.PubMedGoogle Scholar
  17. 17.
    Khoo L, et al.Biomechanical comparison of fixation techniques across the cervicothoracic junction. Presented at Annual Meeting of North American Spine Society. 2000. New Orleans.Google Scholar
  18. 18.
    An HS, et al. Spinal disorders at the cervicothoracic junction. Spine. 1994;19:2557–2564.PubMedGoogle Scholar
  19. 19.
    Dekutoski MB, et al. Comparison of in vivo and in vitro adjacent segment motion after lumbar fusion. Spine. 1994;19:1745–1751.CrossRefPubMedGoogle Scholar
  20. 20.
    Delamarter RB, et al.The C7-T1 junction: problems with diagnosis, visualization, instability and decompression. Orthop Trans. 1989;13:218.Google Scholar
  21. 21.
    Evans DK.Dislocations at the cervicothoracic junction. J Bone Joint Surg Br. 1983;65:124–127.PubMedGoogle Scholar
  22. 22.
    Kramer DL, et al. Placement of pedicle screws in the cervical spine: comparative accuracy of cervical pedicle screw placement using three techniques. Orthop Trans. 1997;21:496.Google Scholar
  23. 23.
    Panjabi MM, et al. Cervical human vertebrae. Quantitative three-dimensional anatomy of the middle and lower regions. Spine. 1991;16:861–869.PubMedCrossRefGoogle Scholar
  24. 24.
    Stanescu S, et al. Morphometric evaluation of the cervico-thoracic junction. Practical considerations for posterior fixation of the spine. Spine. 1994;19:2082–2088.CrossRefPubMedGoogle Scholar
  25. 25.
    Kotani Y, et al.Biomechanical analysis of cervical stabilization systems. An assessment of transpedicular screw fixation in the cervical spine. Spine. 1994;19:2529–2539.CrossRefPubMedGoogle Scholar
  26. 26.
    Henderson CM, et al. Posterior-lateral foraminotomy as an exclusive operative technique for cervical radiculopathy: a review of 846 consecutively operated cases. Neurosurgery. 1983;13:504–512.CrossRefPubMedGoogle Scholar
  27. 27.
    Krupp W, et al. Clinical results of the foraminotomy as described by Frykholm for the treatment of lateral cervical disc herniation. Acta Neurochir (Wien). 1990;107:22–29.CrossRefGoogle Scholar
  28. 28.
    Murphey F, et al. Surgical treatment of laterally ruptured cervical disc. Review of 648 cases, 1939 to 1972. J Neurosurg. 1973;38:679–683.CrossRefPubMedGoogle Scholar
  29. 29.
    Odom GL, et al.Cervical disk lesions. J Am Med Assoc. 1958;166:23–28.PubMedGoogle Scholar
  30. 30.
    Roh SW, et al. Endoscopic foraminotomy using MED system in cadaveric specimens. Spine. 2000;25:260–264.CrossRefPubMedGoogle Scholar
  31. 31.
    Fessler RG, Khoo LT.Minimally invasive cervical microendoscopic foraminotomy: an initial clinical experience. Neurosurgery. 2002;51:S37–S45.PubMedGoogle Scholar
  32. 32.
    Khoo L.Minimally-invasive posterior decompression and fixation of cervical jumped facets: an initial clinical experience in 11 patients. Presented at Annual Meeting of the AANS/CNS Section on Disorders of the Spine and Peripheral Nerves.2003.Tampa, FL.Google Scholar
  33. 33.
    Wang MY, et al. Minimally invasive lateral mass screws in the treatment of cervical facet dislocations: technical note. Neurosurgery. 2003;52:444–447.CrossRefPubMedGoogle Scholar
  34. 34.
    Grob D, Magerl F.Dorsal spondylodesis of the cervical spine using a hooked plate. Orthopade. 1987;16:55–61.PubMedGoogle Scholar
  35. 35.
    Haid RW, et al.Lateral mass plating for cervical instability. Presented at Congress of Neurological Surgeons.1990.Los Angeles.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Farbod Asgarzadie
    • 1
    Email author
  • Barón Zárate Kalfópulos
    • 2
  • Vartan S. Tashjian
    • 3
  • Larry T. Khoo
    • 4
  1. 1.Department of NeurosurgeryLoma Linda University Medical CenterLoma LindaUSA
  2. 2.Department of Spinal Surgery, National Rehabilitation CenterUniversidad Nacional Autónoma de MexicoMéxico Distrito FederalMexico
  3. 3.Department of NeurosurgeryUniversity of California-Los Angeles, Santa Monica Orthopedic and Neurosurgical Spine CenterLos AngelesUSA
  4. 4.UCLA Santa Monica Hospital, Assistant Professor of Neurological & Orthopedic SurgeryUniversity of California Los Angeles Comprehensive Spine CenterLos AngelesUSA

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