Posterior Cervicothoracic Stabilization Using Tapered Rods

Background Data: The cervicothoracic spine is a junction area with complex biomechanics. A variety of disorders affect this region, rendering it unstable. Numerous posterior constructs have been evaluated. The clinical efficacy of a screwrod system utilizing tapered (dual-diameter) rods in cervicod...

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Autor principal:	Mohamed Elqazaz
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2015
Materias:	Cervicothoracic junction tapered rods lateral mass screws cervical pedicle screws Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/1155e3d4d1df4e299e70824f6b9adddc
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id	oai:doaj.org-article:1155e3d4d1df4e299e70824f6b9adddc
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spelling	oai:doaj.org-article:1155e3d4d1df4e299e70824f6b9adddc2021-12-02T00:09:06ZPosterior Cervicothoracic Stabilization Using Tapered RodsDOI:10.21608/ESJ.2015.39742314-89502314-8969https://doaj.org/article/1155e3d4d1df4e299e70824f6b9adddc2015-07-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3974.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: The cervicothoracic spine is a junction area with complex biomechanics. A variety of disorders affect this region, rendering it unstable. Numerous posterior constructs have been evaluated. The clinical efficacy of a screwrod system utilizing tapered (dual-diameter) rods in cervicodorsal stabilization is still not evident. Purpose: Our aim is to evaluate the clinical efficacy of dual diameter rods (5.5– 3.5mm taper), connecting 3.5-mm cervical lateral mass screws/pedicle screws and 5.5-mm thoracic pedicle screws used to instrument across the cervicothoracic junction for a variety of pathologies. Study Design: A retrospective descriptive clinical case study. Patients and Methods: The authors retrospectively reviewed their archive between February 2011 and February 2015, and ten patients who were operated upon due to cervicothoracic junction pathologies were included. All patients underwent surgical treatment by posterior instrumentation utilizing tapered rods. The cases were periodically followed up. Results: There were six men and four women included in the study, with a mean age of 40 years (range 21–62 years). There were five cases of trauma, two cases of tuberculosis and three cases of spine metastasis. Seven patients experienced marked improvement of their preoperative weakness according to Frankel grades of paraplegia. All patients showed stable cervicodorsal junction with fusion after one year. Three patients suffered postoperative wound infection. Conclusion: Tapered rods are an excellent and a viable option to connect screws to stabilize cervicothoracic junction. (2015ESJ089)Mohamed ElqazazEgyptian Spine AssociationarticleCervicothoracic junctiontapered rodslateral mass screwscervical pedicle screwsNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 15, Iss 1, Pp 45-52 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cervicothoracic junction tapered rods lateral mass screws cervical pedicle screws Neurology. Diseases of the nervous system RC346-429
spellingShingle	Cervicothoracic junction tapered rods lateral mass screws cervical pedicle screws Neurology. Diseases of the nervous system RC346-429 Mohamed Elqazaz Posterior Cervicothoracic Stabilization Using Tapered Rods
description	Background Data: The cervicothoracic spine is a junction area with complex biomechanics. A variety of disorders affect this region, rendering it unstable. Numerous posterior constructs have been evaluated. The clinical efficacy of a screwrod system utilizing tapered (dual-diameter) rods in cervicodorsal stabilization is still not evident. Purpose: Our aim is to evaluate the clinical efficacy of dual diameter rods (5.5– 3.5mm taper), connecting 3.5-mm cervical lateral mass screws/pedicle screws and 5.5-mm thoracic pedicle screws used to instrument across the cervicothoracic junction for a variety of pathologies. Study Design: A retrospective descriptive clinical case study. Patients and Methods: The authors retrospectively reviewed their archive between February 2011 and February 2015, and ten patients who were operated upon due to cervicothoracic junction pathologies were included. All patients underwent surgical treatment by posterior instrumentation utilizing tapered rods. The cases were periodically followed up. Results: There were six men and four women included in the study, with a mean age of 40 years (range 21–62 years). There were five cases of trauma, two cases of tuberculosis and three cases of spine metastasis. Seven patients experienced marked improvement of their preoperative weakness according to Frankel grades of paraplegia. All patients showed stable cervicodorsal junction with fusion after one year. Three patients suffered postoperative wound infection. Conclusion: Tapered rods are an excellent and a viable option to connect screws to stabilize cervicothoracic junction. (2015ESJ089)
format	article
author	Mohamed Elqazaz
author_facet	Mohamed Elqazaz
author_sort	Mohamed Elqazaz
title	Posterior Cervicothoracic Stabilization Using Tapered Rods
title_short	Posterior Cervicothoracic Stabilization Using Tapered Rods
title_full	Posterior Cervicothoracic Stabilization Using Tapered Rods
title_fullStr	Posterior Cervicothoracic Stabilization Using Tapered Rods
title_full_unstemmed	Posterior Cervicothoracic Stabilization Using Tapered Rods
title_sort	posterior cervicothoracic stabilization using tapered rods
publisher	Egyptian Spine Association
publishDate	2015
url	https://doaj.org/article/1155e3d4d1df4e299e70824f6b9adddc
work_keys_str_mv	AT mohamedelqazaz posteriorcervicothoracicstabilizationusingtaperedrods
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Posterior Cervicothoracic Stabilization Using Tapered Rods

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