Crabill George A, Derouen Kaleb, Shelvin Kierany B, Wilson John M, Tender Gabriel C
Department of Neurosurgery, LSUHSC New Orleans, 2021 Perdido Street, 8th Floor, New Orleans, LA 70112, United States.
J Surg Case Rep. 2024 Sep 15;2024(9):rjae559. doi: 10.1093/jscr/rjae559. eCollection 2024 Sep.
Standard posterior cervical fusion is a common surgical technique that utilizes lateral mass screws and rods for fixation. A relatively new, minimally invasive technique involving interfacet decortication and placement of spacers has shown promise in terms of outcomes. We sought to determine fusion rates and complications of this new technique at our institution to bolster current literature. We retrospectively reviewed all patients that underwent a 3-level or less minimally invasive posterior cervical fusions by a single surgeon. Patients were evaluated to determine fusion rates and postoperative complications. Twenty-eight patients underwent minimally invasive posterior cervical fusion. Twenty-seven demonstrated fusion (96%). One patient that underwent the procedure for juxta-fusional disease required additional surgery for pseudoarthrosis. The minimally invasive posterior cervical technique results in favorable fusion rates and has low complication rates. Our study strengthens current literature that this minimally invasive technique is a safe and effective alternative.
标准后路颈椎融合术是一种常见的外科技术，它利用侧块螺钉和棒进行固定。一种相对较新的微创技术，包括关节突去皮质和植入间隔物，在治疗效果方面已显示出前景。我们试图在本机构确定这种新技术的融合率和并发症，以充实当前的文献资料。我们回顾性分析了由一名外科医生实施的3节段及以下微创后路颈椎融合术的所有患者。对患者进行评估以确定融合率和术后并发症。28例患者接受了微创后路颈椎融合术。27例实现了融合（96%）。1例因临近融合节段疾病接受该手术的患者因假关节形成需要再次手术。微创后路颈椎技术融合率良好，并发症发生率低。我们的研究进一步证实了当前文献中该微创技术是一种安全有效的替代方法。
