Abstract

Fusion Rates with Autologous Bone Grafts in Pediatric Patients Undergoing Posterior Cervical Spine Fusion

Highlights

  • The quality of bone fusion is one of the most critical outcomes in the surgical management of cervical instability

  • The different subset of etiologies resulting in instability of the pediatric cervical spine comprise acquired, and congenital, syndromic and developmental disorders, which differ from adult pathologies which are characterized by

  • We describe our experience with posterior cervical spine fusion techniques in children and re-visit the role of autologous bone grafting

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Summary

Introduction

The quality of bone fusion is one of the most critical outcomes in the surgical management of cervical instability. In children the surgical management of cervical instability and achieving solid fusion is technically challenging due to the age-dependent variation of anatomy and the lack of pediatric-adapted instrumentation hardware and tools [3,4]. Journal of Head Neck & Spine Surgery mostly degenerative and traumatic origins. Different instrumentation techniques of the pediatric cervical spine have been described, including non-rigid techniques such as external fixation (HALOvest immobilization), variable techniques of internal fixation and onlay bone grafting only [2,7,8,9]

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