Menu
Menu
19 Harley St, London, W1G 9QJ, UK

Instrumented arthrodesis for non-traumatic craniocervical instability in very younger kids.

Related Articles

Instrumented arthrodesis for non-traumatic craniocervical instability in very younger kids.

Childs Nerv Syst. 2018 Jun 29;:

Authors: Janjua MB, Hwang SW, Samdani AF, Pahys JM, Baaj AA, Härtl R, Greenfield JP

Summary
PURPOSE: Occipitocervical instrumentation is sometimes required for stabilization of the axial and subaxial cervical backbone in very younger kids. Nevertheless, when it’s obligatory, distinctive surgical concerns come up in kids in comparison with related procedures in adults.
METHODS: The authors reviewed literature describing fusion of the occipitocervical junction (OCJ) in toddlers and share their expertise with eight instances of younger kids (age lower than or equal to four years) receiving occiput to axial or subaxial backbone instrumentation and fixation. Diagnoses and indications included extreme or secondary Chiari malformation, skeletal dysplastic syndromes, Klippel-Feil syndrome, Pierre Robin syndrome, Gordon syndrome, hemivertebra and atlantal occipitalization, basilar impression, and iatrogenic causes.
RESULTS: All sufferers underwent occipital bone to cervical backbone instrumentation and fixation at totally different ranges. Constructs prolonged from the occiput to C2 and T1 using numerous permutations of titanium rods, autologous rib autografts, Mersilene sutures, and combos of autografts with bone matrix supplies. All sufferers had been positioned in inflexible cervical bracing or halo fixation postoperatively. No postoperative neurological deficits or intraoperative vascular accidents occurred.
CONCLUSION: Instrumented arthrodesis is usually a therapy possibility in very younger kids to handle the non-traumatic craniocervical instability whereas decreasing the necessity for extended exterior halo vest immobilization. Components affecting fusion are addressed with respect to preoperative, intraoperative, and postoperative decision-making that could be distinctive to the toddler inhabitants.

PMID: 29959504 [PubMed – as supplied by publisher]

Related Articles Instrumented arthrodesis for non-traumatic craniocervical instability in very young children. Childs Nerv Syst. 2018 Jun 29;: Authors: Janjua MB, Hwang SW, Samdani AF, Pahys JM, Baaj AA, Härtl R, G...

What our patients say ...

Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Anaesthetist

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

Laser Spine Surgery Articles

SHADES of grey – The challenge of ‘grumbling’ cauda equina symptoms in older adults with lumbar spinal stenosis.
Abstract Diagnosing cauda equina syndrome is challenging in older adults with lumbar spinal stenosis. Understanding these challenges is vital for
Read more.
The influence of preoperative mental health on clinical outcomes after laminectomy in patients with lumbar spinal stenosis.
Abstract OBJECTIVE: The influence of preoperative mental health on health-related quality of life (HRQOL) in patients with lumbar spinal stenosis
Read more.
MicroRNA transcriptome analysis on hypertrophy of ligamentum flavum in patients with lumbar spinal stenosis.
Abstract Introduction: Molecular pathways involved in ligamentum flavum (LF) hypertrophy are still unclarified. The purpose of this study was to
Read more.
Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note.
Abstract Introduction: Failed spinal fusion surgery sometimes requires salvage surgery when symptomatic, especially with postsurgical decrease in intervertebral disc height
Read more.
Integrated anatomy of the neuromuscular, visceral, vascular, and urinary tissues determined by MRI for a surgical approach to lateral lumbar
Abstract Introduction: To comprehensively investigate the anatomy of the neuromuscular, visceral, vascular, and urinary tissues and their general influence on
Read more.
Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement: A Systematic
Related Articles Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement:
Read more.

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810