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Cervical Instrumentation and Fusion in Children Under 10 Years Old Objective


Academic year: 2023

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Cervical Instrumentation and Fusion in Children Under 10 Years Old


To assess the postoperative results of cervical instrumented fusion in children under 10 years old, description of the surgical technique and complications.


The pediatric cervical spine implants and construction designs had rapidly evolved in the last decade. Anatomic and biomechanical differences between pediatric and adult cervical spine required a thorough preoperative planning because this implants were originally designed for adults.


Retrospective descriptive study. Level of Evidence: IV. We evaluated 28 children with different cervical pathology treated with instrumented fusion. We performed Roy- Camille’s technique and Magerl’s technique for lateral masses and Goel-Harms’ for C1- C2 fusion, and occipital-cervical fusion with occipital plates or screws. Inclusion criteria were: children under 10 years, cervical spine deformity or instability, no prior history of spine surgery, minimum follow-up of 2 years.


We reported 17 girls and 11 boys with a mean age of 6yr 1mo (1yr 6mo to 10yr). Mean follow-up was 3yr 8mo (2yr to 10yr). The overall complications rate was 32.1%. The highest complication rates were associated to: genetic syndrome, 6 cases (21.4%);

skeletal dysplasia, 3 cases (10.7%). Thirteen patients were younger than 6 years, 7 of them had complications (53.8%).


Cervical instrumented fusion in patients younger than 10 years old proved to be a feasible and safe surgical procedure. Vertebral dysplasia, congenital, syndromic anomalies, and being younger than 6 years old are the main factors associated with high complication rates.


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