ABSTRACT
The principle of the treatment of cervical spine injury should be directed first toward relief of spinal cord compression and reduction of the deformity, then toward adequate immobilization. Until this time, posterior wire fusion, posterior bone graft with wire fixation, acrylic posterior fusion and external immobilization method have been used for the adequate immobilization. The authors experienced 3 cases of acrylic posterior cervical fusion. Two patients were the odontoid process fracture and one patient was a congenital occipito-atlantal assimilation. Authors thought this procedure is more simple and there is no problem of donor site pain and infection which can be possible in the posterior fixation with iliac bone and rib graft. The acrylic fusion offers certain advantage over other form of fixation or fusion because of its rapid and solid fixation, permitting immediate rehabilitation.
Subject(s)
Humans , Congenital Abnormalities , Immobilization , Methylmethacrylate , Odontoid Process , Rehabilitation , Ribs , Spinal Cord Compression , Spine , Tissue Donors , TransplantsABSTRACT
The principle of the treatment of cervical spine injury should be directed first toward relief of spinal cord compression and reduction of the deformity, then toward adequate immobilization. Until this time, posterior wire fusion, posterior bone graft with wire fixation, acrylic posterior fusion and external immobilization method have been used for the adequate immobilization. The authors experienced 3 cases of acrylic posterior cervical fusion. Two patients were the odontoid process fracture and one patient was a congenital occipito-atlantal assimilation. Authors thought this procedure is more simple and there is no problem of donor site pain and infection which can be possible in the posterior fixation with iliac bone and rib graft. The acrylic fusion offers certain advantage over other form of fixation or fusion because of its rapid and solid fixation, permitting immediate rehabilitation.