Title

The use of sublaminar wiring in the sub-axial cervical spine as an adjuvant to lateral mass and pedicle screw fixation in a patient with metastatic carcinoma of the upper thoracic spine

Affiliations

Neurosurgery, Advocate Health Care

Neurosurgery, Advocate Health Care

Abstract

A 60-year-old male presented with kyphotic deformity caused by a non-small cell lung cancer metastasis in the cervical-thoracic junction. His pathology caused spinal cord compression and segmental instability. The patient underwent a posterior decompression to try and improve neurological function as well as posterior lateral mass and pedicle screw fixation crossing the cervical-thoracic junction to stabilize his instability. A novel technique incorporating sublaminar wiring across a cross-link was utilized to increase pull out strength of the superior lateral mass screws. Also included is a discussion regarding the safe use of sublaminar wires, the history of posterior cervical and thoracic fusion, and the prevalence of instrumentation failure.

Document Type

Article

PubMed ID

32104614

Link to Full Text

 

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