Outlines and Outcomes of Instrumented Posterior Fusion in the Pediatric Cervical Spine: A Review Article

• Main Author: Kaveh Haddadi
• Format: Article
• Language: English
• Published: Mazandaran University of Medical Sciences 2016-01-01
• Series: Journal of Pediatrics Review
• Subjects: Pediatric; Arthrodesis; Instrumented Fusion; Cervical Spine; Occipitocervical
• Online Access: http://jpr.mazums.ac.ir/browse.php?a_code=A-10-30-42&slc_lang=en&sid=1

Context: The most common source of cervical spine arthrodesis in the pediatric populace is the instability related to congenital or traumatic damage. Surgery of cervical spine can be challenging given slighter anatomical constructions, fewer hardened bone, and upcoming growth potential and growth. Evidence Acquisition: Trainings in adult patients recommended that consuming screw constructs results in enhanced consequences with inferior amounts of instrumentation catastrophe. But, the pediatric literature is inadequate for minor retrospective series. Authors reviewed the existing pediatric cervical spine arthrodesis literature. They studied 184 abstracts from January 1976 to December 2014. An entire of 883 patients in 82 articles were involved in the evaluation. Patients were characterized as taking either posterior cervical fusion with wiring or posterior cervical fusion with screws or occipitocervical fusion. Results: The etiologies faced most frequently were inherited abnormalities (54%) shadowed by trauma (28%), Down syndrome (8%), and infectious, oncological, iatrogenic, or mixed causes (10%). The mean duration of follow-up was 32.5 months. Conclusions: The consequences of this training are restricted by deviations in construct policy, usage of orthoses, follow-up period and fresher adjuvant produces stimulating fusions. But, a literature review recommend that instrumentation of the cervical spine in children may be harmless and more effective than using screw concepts rather than wiring methods.