Garfin S R, Moore M R, Marshall L F
Division of Orthopaedics and Rehabilitation, University of California, San Diego.
Clin Orthop Relat Res. 1988 May(230):149-53.
Posterior facet fusion of the cervical spine has been described in the literature as a method of obtaining fusion when posterior elements are deficient because of previous laminectomy or trauma. The technique, as originally described, includes anchoring autologeneic struts of corticocancellous bone to the cervical spine with wires passed through drill holes in the inferior articular facets around the struts of bone graft. When long facet fusions are required, however, it may be impossible to obtain adequate length and shape of the grafts to bridge the desired fusion area. A technique is described that eliminates this problem by substituting thin Harrington compression rods for the autologeneic corticocancellous struts, and using cancellous and corticocancellous bone graft to achieve fusion.
颈椎后路小关节融合术在文献中被描述为一种在因既往椎板切除术或创伤导致后部结构缺损时实现融合的方法。最初描述的技术包括通过穿过骨移植支柱周围下关节面钻孔的钢丝，将皮质松质骨的自体支柱固定到颈椎上。然而，当需要进行长节段小关节融合时，可能无法获得足够长度和形状的移植物来跨越所需的融合区域。本文描述了一种技术，该技术通过用细的哈灵顿加压棒替代自体皮质松质支柱，并使用松质骨和皮质松质骨移植来实现融合，从而消除了这一问题。
