Technical Pearls In Posterior Paediatric Cervical Spine Surgery - Firoz Miyanji (Canada)

Description

In this detailed presentation, the speaker discusses techniques and considerations for posterior spinal fixation, specifically focusing on the subaxial spine and avoiding upper cervical complexities. The talk emphasizes the importance of safe screw placement and techniques derived from established methods such as Roy Camille's and Margaret's approaches. The speaker shares insights on the trajectory and angulation for screw insertion, particularly in pediatric patients, highlighting differences in anatomy and screw design suitable for children versus adults. He presents a feasibility study indicating that lateral mass screws can be effectively applied in older children but emphasizes caution for those younger than four years due to smaller dimensions. The presentation also touches on case studies, including a laminoplasty for a young athlete with congenital spinal stenosis and the implications of using different types of screws at C7, illustrating the decision-making process in complex surgical scenarios. Overall, safety and patient-specific considerations are underscored throughout the talk.

DOI: 10.1302/3114-261287

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