Cady-McCrea Clarke I, Galgano Michael A
Department of Neurosurgery, Upstate Medical University, Syracuse, New York, United States.
Surg Neurol Int. 2021 Feb 3;12:40. doi: 10.25259/SNI_870_2020. eCollection 2021.
Cervical spine deformity is a potentially devitalizing problem. Contemporary techniques for repair and reconstruction include fusion using rods of tapered diameter alone, or quadruple-rod constructs in which primary rods are joined to floating accessory rods by connectors. Here, we present how we utilized a quadruple-rod construct to perform five C2 to thoracic spine fusions.
Our hospital electronic medical record revealed five patients who underwent the four rod C2-thoracic spine fixation. Patients ranged in age from 14-years-old to 78-years-old. The mean operative time was 715.8 min (range 549-987 min), and average estimated blood loss was 878 cc (range 40-1800 cc).
None of the five patients sustained any intraoperative complications, and none demonstrated progressive kyphotic deformity over the average follow-up interval of 8 months.
We successfully treated five patients with degenerative or oncologic cervical pathology requiring fixation across the cervicothoracic junction utilizing a 4-rod C2-cervicothoracic fusion technique.
颈椎畸形是一个可能导致机体功能丧失的问题。当代的修复与重建技术包括仅使用直径逐渐变细的棒进行融合，或使用四棒结构，其中主棒通过连接器与浮动副棒相连。在此，我们介绍我们如何使用四棒结构进行了5例C2至胸椎的融合手术。
我们医院的电子病历显示有5例患者接受了四棒C2 - 胸椎固定术。患者年龄从14岁至78岁不等。平均手术时间为715.8分钟（范围549 - 987分钟），平均估计失血量为878毫升（范围40 - 1800毫升）。
5例患者均未出现任何术中并发症，且在平均8个月的随访期内均未出现进行性后凸畸形。
我们成功地使用四棒C2 - 颈胸融合技术治疗了5例患有退行性或肿瘤性颈椎病变且需要跨越颈胸交界进行固定的患者。
