Canadian journal of surgery. Journal canadien de chirurgie · 1994
Craniocervical fusion with contoured Luque rod and autogeneic bone graft.
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Ellis P M, Findlay J M
Аннотация
OBJECTIVE: To examine the efficacy of internal craniocervical fixation with a Luque rod and autogeneic bone graft for craniocervical instability.
DESIGN: A case series.
SETTING: A university-affiliated hospital.
PATIENTS: Six patients with craniocervical instability from diverse causes.
INTERVENTIONS: Craniocervical fusion with a custom-formed Luque rod wired to the occiput and a variable number of vertebrae overlaid with autogeneic bone graft, followed by bracing with either a halo vest or a removable, stiff, plastic cervical orthosis.
MAIN OUTCOME MEASURES: Craniocervical fusion and neurologic stability.
RESULTS: All patients maintained good craniocervical alignment. Radiologic bony fusion was achieved in five patients. Three patients remained neurologically stable and three had improved neurologic status.
CONCLUSION: Craniocervical fusion with the contoured Luque rod and autogeneic bone grafting, usually in combination with a temporary plastic cervical orthosis, is of value in managing craniocervical instability.
DESIGN: A case series.
SETTING: A university-affiliated hospital.
PATIENTS: Six patients with craniocervical instability from diverse causes.
INTERVENTIONS: Craniocervical fusion with a custom-formed Luque rod wired to the occiput and a variable number of vertebrae overlaid with autogeneic bone graft, followed by bracing with either a halo vest or a removable, stiff, plastic cervical orthosis.
MAIN OUTCOME MEASURES: Craniocervical fusion and neurologic stability.
RESULTS: All patients maintained good craniocervical alignment. Radiologic bony fusion was achieved in five patients. Three patients remained neurologically stable and three had improved neurologic status.
CONCLUSION: Craniocervical fusion with the contoured Luque rod and autogeneic bone grafting, usually in combination with a temporary plastic cervical orthosis, is of value in managing craniocervical instability.