Cervical Spondyloptosis Successfully Treated with Only Posterior Short Segment Fusion Using Cervical Pedicle Screw Fixation

Neurol Med Chir (Tokyo), 2019 · DOI: 10.2176/nmc.tn.2018-0213 · Published: January 1, 2019

Simple Explanation

This paper discusses a surgical technique using cervical pedicle screws (CPS) via a posterior approach to treat cervical spondyloptosis. The surgeries resulted in near-complete reduction of the dislocation, improved patient mobility, and complete fusion bridges. The authors suggest that early surgery with open reduction and CPS fixation is a beneficial surgical method due to biomechanical superiority.

Study Duration

1 Year

Participants

2 patients with cervical spondyloptosis

Evidence Level

Technical Note

Key Findings

1
Cervical pedicle screw fixation through a posterior approach can successfully treat cervical spondyloptosis and improve patient outcomes.
2
Early surgical intervention and reduction are associated with better neurological outcomes in patients with SCI due to cervical spondyloptosis.
3
Short segment fusion can be sufficient for treating cervical spondyloptosis, preserving more mobile cervical segments.

Research Summary

The study presents two cases of cervical spondyloptosis treated with posterior short segment fusion using cervical pedicle screw fixation. Both patients experienced neurological improvement and successful fusion, suggesting the efficacy of this surgical approach. The authors advocate for early surgery and highlight the biomechanical advantages of CPS fixation in managing this unstable condition.

Practical Implications

Surgical Technique

Single-stage posterior approach with short segment fusion using CPS fixation is a viable surgical option for cervical spondyloptosis.

Early Intervention

Early surgical intervention and reduction are crucial for improved neurological outcomes in SCI patients with cervical spondyloptosis.

Biomechanical Stability

CPS fixation provides strong biomechanical stability, enabling preservation of mobile cervical segments.

Cervical Spondyloptosis Successfully Treated with Only Posterior Short Segment Fusion Using Cervical Pedicle Screw Fixation

Simple Explanation

Key Findings

Research Summary

Practical Implications

Surgical Technique

Early Intervention

Biomechanical Stability

Study Limitations

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Cervical Spondyloptosis Successfully Treated with Only Posterior Short Segment Fusion Using Cervical Pedicle Screw Fixation

Simple Explanation

Key Findings

Research Summary

Practical Implications

Surgical Technique

Early Intervention

Biomechanical Stability

Study Limitations

Your Feedback

Was this summary helpful?