2012 Volume 26 Issue 2 Pages 191-199
Objective : Posterior cervical fixation using pedicle screw technique and rod system is increasingly chosen a procedure for stabilization and reconstruction of the cervical spine ; however, it has inherent risks that are unique. We focused on the feasibility of posterior cervical fixation using pedicle screw technique, especially for cervical myelopathy associated with athetoid cerebral palsy, for rheumatoid arthritis, and for destructive spondyloarthropathy.
Methods : Consecutive 22 patients with cervical spine instability associated with athetoid cerebral palsy, with rheumatoid arthritis, or with destructive arthropathy treated with posterior cervical fixation using pedicle screw technique were retrospectively reviewed. All surgeries were performed with the help of fluoroscopy and neuronavigation system.
Results : In all cases, posterior fixation according to preoperative plan was accomplished, and the postoperative courses were good. No vascular or neurological complications such as nerve root problem occurred.
Conclusion : Long-term follow-up evaluation is essential, particularly for patients with athetoid cerebral palsy, rheumatoid arthritis, or destructive arthropathy because the natural course of these disorders is very progressive and more destructive than that of usual cervical spondylosis.
