Translaminar screw fixation in the subaxial pediatric cervical spine.

摘要: The use of spinal instrumentation to stabilize the occipitocervical junction in pediatric patients has increased and evolved recent years. Wiring techniques have now given way screw-rod or screw-plate with without postoperative external immobilization. Although C-2 translaminar screws been used these constructs, subaxial not, date, described either adult patient populations. authors describe feasibility screw placement C-3 lamina. Rigid fixation offers an alternative lateral mass screws, allowing for formation biomechanically sound constructs minimizing potential neurovascular morbidity. Their requires careful analysis preoperative imaging studies, intact posterior elements, avoidance violation inner laminar wall.