POSTERIOR CERVICAL SCREW FIXATION IN CHILDREN: THE TREATMENT EXPERIENCE
https://doi.org/10.14531/ss2017.4.27-31
Abstract
Objective. To prove the safety and technical and mechanical validity of posterior screw fixation of the cervical spine in children and to compare different types of the cervical spine fixation based on our own treatment experience and literature data.
Material and Methods. A retrospective analysis of 47 patients under the age of 18 years who underwent various types of posterior instrumental fixation of the cervical spine was performed. Level of Evidence – III.
Results. The duration of postoperative follow-up varied from 2 months to 6.6 years (mean, 2.1 ± 1.6 years). A total of 186 screws were placed, the number of screws inserted in one patient reached 10 (mean, 3.9 ± 2.4). Postoperative complications were observed in 5 (10.6 %) patients.
Conclusion. Posterior screw fixation of the cervical spine provides biomechanically reliable stabilization of the segment, helps to achieve good correction of deformity and reduction of dislocations, shortens the period of rehabilitation, and is a safe method of surgical treatment in children.
About the Authors
Olga M. Pavlova
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
Russian Federation
Russian Federation
neurosurgeon, orthopedist-traumatologist, junior researcher in the Laboratory of Axial Skeletal Pathology and Neurosurgery, Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
M. Ulyanovoy str., 6, Kurgan, 640014
Aleksandr V. Burtsev
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
Russian Federation
Russian Federation
MD, PhD, orthopedist-vertebrologist, researcher, Laboratory of Axial Skeletal Pathology and Neurosurgery, Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
M. Ulyanovoy str., 6, Kurgan, 640014
Alexandr V. Gubin
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
Russian Federation
Russian Federation
DMSc, orthopedist-traumatologist, Director, Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
M. Ulyanovoy str., 6, Kurgan, 640014
Sergey O. Ryabykh
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
Russian Federation
Russian Federation
DMSc, pediatric surgeon, orthopedist-traumatologist, vertebrologist, Head of the Clinic of Spine Pathology and Rare Diseases, Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
M. Ulyanovoy str., 6, Kurgan, 640014
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Review
For citations:
Pavlova O.M., Burtsev A.V., Gubin A.V., Ryabykh S.O. POSTERIOR CERVICAL SCREW FIXATION IN CHILDREN: THE TREATMENT EXPERIENCE. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2017;14(4):27-31. https://doi.org/10.14531/ss2017.4.27-31
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