Posterior instrumentation of the unstable cervicothoracic spine.

@article{Chapman1996PosteriorIO,
  title={Posterior instrumentation of the unstable cervicothoracic spine.},
  author={Jens Robert Chapman and Paul A. Anderson and C. Pepin and Stephanie N. Toomey and David W. Newell and Michael Sean Grady},
  journal={Journal of neurosurgery},
  year={1996},
  volume={84 4},
  pages={
          552-8
        }
}
Fractures, tumors, and other causes of instability at the cervicothoracic junction pose diagnostic and treatment challenges. The authors report on 23 patients with instability of the cervicothoracic region, which was treated with posterior plate fixation and fusion between the lower cervical and upper thoracic spine. During operation AO reconstruction plates with 8- or 12-mm hole spacing were affixed to the spine using screws in the cervical lateral masses and the thoracic pedicles… 
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Spine surgery in neurological lesions of the cervicothoracic junction: multicentric experience on 33 consecutive cases
TLDR
Preliminary cervicothoracic fixation in T1 lesions with involvement of the vertebral body and subsequently replace the body with cage without anterior stabilization is preferred, to avoid disability due to back pain in trauma patients.
Posterior Cervicothoracic Instrumentation in Spine Tumors
TLDR
Posterior plate or rod and screw fixation is a good method of treatment for cervicothoracic instability in spine tumors and reflects attempts to improve accuracy in light of variable facet and pedicle interspaces.
Translaminar screw fixation in the upper thoracic spine.
TLDR
Rigid fixation with translaminar screws offers an attractive alternative to PS fixation, allowing the creation of sound spinal constructs and minimizing potential neurological morbidity.
Use of Cervicothoracic Junction Pedicle Screws for Reconstruction of Complex Cervical Spine Pathology
TLDR
Pedicle screws in C7 placed with laminoforaminotomy and palpation technique appears to be safe and efficacious, and excellent fixation can be achieved.
Neurological and functional outcome after unstable cervicothoracic junction injury treated by posterior reduction and synthesis.
Posterior compact Cotrel-Dubousset instrumentation for occipitocervical, cervical and cervicothoracic fusion
TLDR
The results of this study demonstrate that cervical CCD instrumentation applied in the region of the skull to the upper thoracic region for various disorders is a simple and safe instrumentation that restores lateral spine alignment, improves the potential for a solid fusion and offers sufficient functional results in the vast majority of the operated patients.
Cervicothoracic fixation using a tapered rod with posterior en bloc multilevel laminectomy for treatment of cervicothoracic pathology: a prospective case series
TLDR
Multilevel en bloc laminectomy is a safe technique that provides adequate decompression of the spinal cord and neurological improvement for patients suffering from cervicothoracic myelopathy due to various pathologies.
Cervicothoracic junction instrumentation: Single center retrospective clinical analysis
TLDR
In patients with cervicothoracic junctional pathologies, motor and sensory loss may occur below the relevant segment, and functional rehabilitation of these patients may be possible with early diagnosis, surgery, and post-rehabilitation applications.
Posterior Cervicothoracic Stabilization Using Tapered Rods
TLDR
Evaluating the clinical efficacy of dual diameter rods used to instrument across the cervicothoracic junction for a variety of pathologies concluded that tapered rods are an excellent and a viable option to connect screws to stabilize cervicodorsal junction.
Results and risk factors for anterior cervicothoracic junction surgery
TLDR
The authors assess the morbidity associated with the anterior approach to the CTJ and define risks that may lead to construct failure after anterior CTJ surgery.
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References

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TLDR
The efficacy of posterior arthrodesis of the cervical spine with AO reconstruction plates and autogenous bone graft was evaluated in a prospective study and this technique is particularly advantageous when spinous processes, laminas, and facets are injured or deficient, or when facet-type fusions are indicated.
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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