Posterior cervical interspinous compression wiring and fusion for mid to low cervical spinal injuries

摘要: A technique of posterior cervical interspinous compression wiring and fusion, which offers significant immediate stability, is presented. Its efficacy in 50 consecutive cases illustrates its utility. The involves the passage an cerclage wire. Rather than placement onlay laminar facet grafts, a split-thickness tricortical iliac-crest graft compressed against involved medial laminae spinous processes bilaterally. These grafts are held place by wire, encircles thus sandwiches between them. This virtually ensures subsequent bone fusion substantial acute stability. wire added advantage encircling pulling it dorsally. significantly diminishes translational mobility at unstable segment. It also minimizes hyperextension segment via into space. minimal number spinal segments emphasized. substantially chance flexible kyphosis degenerative changes, both above below site. three- or four-level was performed only 11 patients. remaining 39 patients underwent two-level fusion. solid achieved all cases, with follow-up period least 6 months. In one patient, process fractured, necessitating anterior procedure. presented here appears to acutely offer very stable construct and, addition, simple straightforward procedure for treatment spine.