Procedures in San Francisco CA
Cervicothoracic Fusion for Cervicothoracic Deformity and Longer Constructs
Occasionally, it is necessary to fuse both part of the cervical spine as well as thoracic spine together. This is usually done through cervicothoracic fusion from the back (posterior approach). The cervical part is very similar to the posterior cervical laminectomy and fusion. After the posterior aspect of the spine is reached, bone screws are inserted in the neck. Normally, we utilize lateral mass screws in the cervical spine at C3, C4, C5, and C6, with pedicle screws at C7 and C2. Then, pedicle screws are inserted in the upper thoracic spine, and the screws both in the neck and the thoracic spine are connected by rods. Those are held in place with said screws.
Highly unstable fracture at cervico-thoracic junction in a patient with ankylosing spondylitis.
Surgery – posterior cervical fusion, lateral mass and pedicle screws.