Journal ArticleDOI
Use of occipital bone graft in pediatric posterior cervical fusion: an alternative paramedian technique and review of the literature
Joel A. Bauman,Douglas A. Hardesty,Gregory G. Heuer,Gregory G. Heuer,Phillip B. Storm,Phillip B. Storm +5 more
Reads0
Chats0
TLDR
An alternative method of bone grafting for pediatric posterior cervical and occipitocervical fixation is presented in detail and the technical differences from previously reported uses of calvarial autograft in spine fusion are reviewed.Abstract:
An alternative method of bone grafting for pediatric posterior cervical and occipitocervical fixation is presented in detail Full-thickness autografts from small craniectomies of the occipital bone are used to augment posterior segmental fusion in pediatric patients Twelve patients have been treated successfully without bone graft donor site complications The technical differences from previously reported uses of calvarial autograft in spine fusion are reviewedread more
Citations
More filters
Journal ArticleDOI
Occipitocervical fusion using a contoured rod and wire construct in children: a reappraisal of a vintage technique
Paul Klimo,Nelson Astur,Kyle S. Gabrick,William C. Warner,Michael S. Muhlbauer,Michael S. Muhlbauer +5 more
TL;DR: Despite the proliferation of screw-fixation techniques for craniocervical instability in children, the contoured rod-wire construct remains an effective, less expensive, and technically easier alternative that has been in use for almost 30 years.
Journal ArticleDOI
Allograft versus autograft for pediatric posterior cervical and occipito-cervical fusion: a systematic review of factors affecting fusion rates.
Stephen L. Reintjes,Ernest K. Amankwah,Luis F. Rodriguez,Carolyn C. Carey,Gerald F. Tuite,Gerald F. Tuite +5 more
TL;DR: Fusion rates for PCF are high, with higher rates of fusion seen when autograft is used as the bone substrate and when the occiput is included in the fusion construct, and limited data are available regarding the use of allograft in combination with more rigid internal fixation techniques and osteoinductive substances, both of which may enhance fusion rates with allografted.
Journal ArticleDOI
Postoperative Immobilization following Occipitocervical Fusion in the Pediatric Population: Outcome Evaluation and Review of Literature.
TL;DR: It is concluded that screw-and-rod constructions in occipitocervical fusion augment the rates of fusion, independently from which immobilization was used, even when none was used at all.
Journal ArticleDOI
Craniovertebral junction fixation in children less than 5 years
TL;DR: High fusion rates with good outcomes are achievable using semi-rigid fixation in the under 5-year-olds using full thickness, autologous calvarial bone graft secured with wire cables and halo external orthosis offers a safe and effective alternative technique when traditional screw instrumentation is not feasible.
Journal ArticleDOI
Instrumented fusion in a 12-month-old with atlanto-occipital dislocation: case report and literature review of infant occipitocervical fusion
Andrew T. Hale,Andrew T. Hale,Michael C. Dewan,Michael C. Dewan,Bhairav Patel,Matthew J. Geck,Luke Tomycz +6 more
TL;DR: Occipitocervical arthrodesis is obtainable in very young infants and children and the heterogeneity of pathologic etiology leading to OC fusion makes it difficult to make definitive recommendations for surgical management.
References
More filters
Journal ArticleDOI
Iliac crest bone graft donor site pain after anterior lumbar interbody fusion: a prospective patient satisfaction outcome assessment.
TL;DR: The objective of this work was to determine the incidence of acute and persistent pain as well as patient assessment of graft site appearance following iliac crest bone graft harvest for anterior lumbar interbody fusion (ALIF).
Journal ArticleDOI
A comparative analysis of fusion rates and donor-site morbidity for autogeneic rib and iliac crest bone grafts in posterior cervical fusions
TL;DR: The fusion rate and donor-site morbidity for rib autograft compare favorably with those for iliac crest when used in posterior cervical constructs, and the largest series to date in which the safety and efficacy of using autogeneic bone graft materials in spinal surgery are critically analyzed.
Journal ArticleDOI
Atlantoaxial transarticular screw fixation: a review of surgical indications, fusion rate, complications, and lessons learned in 191 adult patients.
TL;DR: The authors assessed the rate of fusion, surgery-related complications, and lessons learned after C1–2 transarticular screw fixation in an adult patient series and found fusion was achieved in 98% of cases followed to commencement of surgery.
Journal ArticleDOI
Prospective study of iliac crest bone graft harvest site pain and morbidity.
David H. Kim,Richard Rhim,Ling Li,Juli F. Martha,Bryan H. Swaim,Robert Banco,Louis G. Jenis,Scott G. Tromanhauser +7 more
TL;DR: There is a significant rate of persistent pain and morbidity from iliac crest bone graft harvest when associated with elective spine surgery and rates of functional limitation are higher than previously reported.
Journal ArticleDOI
Complications of posterior iliac crest bone grafting in spine surgery in children.
TL;DR: The perioperative rate of complications in iliac crest bone grafting in children is low and the complication of pain and pain that is severe enough to interfere with daily activity is significant at a mean follow-up of more than 4 years.