CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(01): 222-224
DOI: 10.4103/ajns.AJNS_189_19
Case Report

Posterior cervical interbody fusion – Single-stage approach of anterior reconstruction and posterior stabilization: A case report and review of literature

Sandeep Sonone
Department of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra
,
Aditya Dahapute
Department of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra
,
Shubhanshu Bhaladhare
Department of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra
,
Nandan Marathe
Department of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra
,
Sai Balasubramanian
Department of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra
,
Prakash George
Department of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra
› Author Affiliations

The success and popularity of the transforaminal approach in the lumbar spine have been made possible by the routine use of pedicle screws in the lumbar spine. Transforaminal approach in the cervical spine can give access to the disc and the vertebral body anteriorly and avoid an additional anterior approach in certain clinical situations. A case of cervical spine trauma was managed by this approach. Technical details and difficulties faced were analyzed in this article. Transforaminal approach in the lower cervical spine, though has a learning curve, seems to be a feasible technique along with the use of cervical pedicle screws. The safety and reproducibility of the approach need to be substantiated with a larger study. Further, this procedure can avoid additional anterior surgery in certain situations in the cervical spine.

Financial support and sponsorship

Nil.




Publication History

Received: 23 June 2019

Accepted: 25 October 2019

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Harms J, Rolinger H. A one-stager procedure in operative treatment of spondylolistheses: Dorsal traction-reposition and anterior fusion (author's transl). Z Orthop Ihre Grenzgeb 1982;120:343-7.
  • 2 Reinhold M, Bach C, Audigé L, Bale R, Attal R, Blauth M, et al. Comparison of two novel fluoroscopy-based stereotactic methods for cervical pedicle screw placement and review of the literature. Eur Spine J 2008;17:564-75.
  • 3 Neo M, Sakamoto T, Fujibayashi S, Nakamura T. The clinical risk of vertebral artery injury from cervical pedicle screws inserted in degenerative vertebrae. Spine (Phila Pa 1976) 2005;30:2800-5.
  • 4 Abumi K, Shono Y, Ito M, Taneichi H, Kotani Y, Kaneda K. Complications of pedicle screw fixation in reconstructive surgery of the cervical spine. Spine (Phila Pa 1976) 2000;25:962-9.
  • 5 Uǧur HC, Attar A, Uz A, Tekdemir I, Egemen N, Caǧlar S, et al. Surgical anatomic evaluation of the cervical pedicle and adjacent neural structures. Neurosurgery 2000;47:1162-8.
  • 6 Abumi K, Itoh H, Taneichi H, Kaneda K. Transpedicular screw fixation for traumatic lesions of the middle and lower cervical spine: Description of the techniques and preliminary report. J Spinal Disord 1994;7:19-28.
  • 7 Abumi K, Kaneda K. Pedicle screw fixation for nontraumatic lesions of the cervical spine. Spine (Phila Pa 1976) 1997;22:1853-63.
  • 8 Karaikovic EE, Kunakornsawat S, Daubs MD, Madsen TW, Gaines RW Jr. Surgical anatomy of the cervical pedicles: Landmarks for posterior cervical pedicle entrance localization. J Spinal Disord 2000;13:63-72.
  • 9 Dunlap BJ, Karaikovic EE, Park HS, Sokolowski MJ, Zhang LQ. Load sharing properties of cervical pedicle screw-rod constructs versus lateral mass screw-rod constructs. Eur Spine J 2010;19:803-8.
  • 10 Nakashima H, Yukawa Y, Imagama S, Kanemura T, Kamiya M, Yanase M, et al. Complications of cervical pedicle screw fixation for nontraumatic lesions: A multicenter study of 84 patients. J Neurosurg Spine 2012;16:238-47.