TY - JOUR
T1 - Cervical fixation in the elderly
AU - Lee, Sang Hun
AU - Prasad, Niyathi
AU - Jain, Amit
N1 - Publisher Copyright:
© 2020
PY - 2020/12
Y1 - 2020/12
N2 - Posterior fixation of the cervical spine is a common procedure performed for many conditions including trauma, degenerative conditions, deformities, infection, neoplasms, and congenital malformations. Unlike thoracolumbar spine fixation, cervical fixation should consider the risk of vertebral artery injury in addition to the stability of the fixation and spinal cord/nerve root injury. Although lateral mass screw fixation is the most common type of cervical fixation, other options including pedicle screws and translaminar screws could be utilized. Each technique comes with its own advantages and risk of complications to the neural structures, vertebral artery, and fixation failure. However, these risks can be elevated in the elderly population with 1) decreased bone density 2) degenerative changes to the spine and 3) tortuosity of vertebral artery.
AB - Posterior fixation of the cervical spine is a common procedure performed for many conditions including trauma, degenerative conditions, deformities, infection, neoplasms, and congenital malformations. Unlike thoracolumbar spine fixation, cervical fixation should consider the risk of vertebral artery injury in addition to the stability of the fixation and spinal cord/nerve root injury. Although lateral mass screw fixation is the most common type of cervical fixation, other options including pedicle screws and translaminar screws could be utilized. Each technique comes with its own advantages and risk of complications to the neural structures, vertebral artery, and fixation failure. However, these risks can be elevated in the elderly population with 1) decreased bone density 2) degenerative changes to the spine and 3) tortuosity of vertebral artery.
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U2 - 10.1016/j.semss.2020.100829
DO - 10.1016/j.semss.2020.100829
M3 - Article
AN - SCOPUS:85094123563
SN - 1040-7383
VL - 32
JO - Seminars in Spine Surgery
JF - Seminars in Spine Surgery
IS - 4
M1 - 100829
ER -