Occipital-cervical fusion using the Locksley intersegmental tie bar technique

Long-term experience with 19 patients

John R Vender, Paul J. Houle, Steven Harrison, Dennis E. McDonnell

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background context: The management of lesions at the craniocervical junction presents unique difficulties for the spine surgeon. The complexity of this region creates a variety of mechanical forces that challenge any fusion construct. An understanding of the ligamentous, bone and vascular structures in this region is critical. Purpose: To describe a method of occipital-cervical fusion with long-term follow-up. Study design/setting: Retrospective case series. Patient sample: Twenty-one consecutive patients with craniocervical compression and/or instability who were treated using the Locksley intersegmental tie bar technique. Outcome measures: Neurologic function, fusion, postoperative complications. Methods: Patients with craniocervical instability underwent occipital-cervical fusion using the Locksley intersegmental tie bar technique. The pathologic processes causing compression and/or instability at the craniocervical junction, as well as the patients' pre- and postoperative neurologic status, are reported. Results: Solid fusion was attained in all 19 patients surviving at 2 years. Two patient deaths were reported in this series in the early postoperative period because of systemic disease. Conclusions: This approach allows for rigid, immediate stabilization of this region. An external orthosis is most often not required. This technique has unique applicability to patients where the normal ligamentous and bone structures are weakened because of underlying disease or injury.

Original languageEnglish (US)
Pages (from-to)134-141
Number of pages8
JournalSpine Journal
Volume2
Issue number2
DOIs
StatePublished - Mar 4 2002

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Nervous System
Bone and Bones
Orthotic Devices
Pathologic Processes
Postoperative Period
Blood Vessels
Spine
Outcome Assessment (Health Care)
Wounds and Injuries
Surgeons

Keywords

  • Craniocervical junction
  • Locksley intersegmental tie bar cervical fixation technique
  • Occipitocervical fusion

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

Occipital-cervical fusion using the Locksley intersegmental tie bar technique : Long-term experience with 19 patients. / Vender, John R; Houle, Paul J.; Harrison, Steven; McDonnell, Dennis E.

In: Spine Journal, Vol. 2, No. 2, 04.03.2002, p. 134-141.

Research output: Contribution to journalArticle

Vender, John R ; Houle, Paul J. ; Harrison, Steven ; McDonnell, Dennis E. / Occipital-cervical fusion using the Locksley intersegmental tie bar technique : Long-term experience with 19 patients. In: Spine Journal. 2002 ; Vol. 2, No. 2. pp. 134-141.
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