Montgomery Blake K, Nandyala Sreeharsha V, Birch Craig M, Hogue Grant
Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, USA.
Cureus. 2022 Feb 28;14(2):e22719. doi: 10.7759/cureus.22719. eCollection 2022 Feb.
Sublaminar band fixation is a reliable way to anchor spinal rods to the vertebral column. This technique is especially useful when the anatomy precludes safe pedicle screw placement. Sublaminar bands allow for deformity correction and stabilization of the spine. One of the disadvantages of using the sublaminar band technique is the risk for neurologic injury during the passage of the band between the dura and lamina. In this article, we describe a new technique for passing sublaminar bands, i.e., the double sublaminar band passage technique. This technique decreases the number of passes against the dura, thereby decreasing the opportunity for neural injury. In addition, we present an illustrative case of an 11-year-old female with neuromuscular scoliosis who underwent a posterior spinal instrumented fusion with a hybrid screw and sublaminar band construct.
椎板下带固定是将脊柱棒固定到脊柱的一种可靠方法。当解剖结构不允许安全置入椎弓根螺钉时，该技术特别有用。椎板下带可用于脊柱畸形的矫正和稳定。使用椎板下带技术的缺点之一是在带子穿过硬脑膜和椎板之间时存在神经损伤的风险。在本文中，我们描述了一种新的椎板下带穿过技术，即双椎板下带穿过技术。该技术减少了与硬脑膜的穿过次数，从而减少了神经损伤的机会。此外，我们还展示了一个11岁患有神经肌肉型脊柱侧凸的女性病例，她接受了后路脊柱器械融合术，采用了混合螺钉和椎板下带结构。
