{"id":"50559997-8575-42c9-a041-ef8c4014273d","slug":"c2-quad-screws-facilitate-4-rod-fixation-across-the-cervico-thoracic-junction","title":"C2 quad-screws facilitate 4-rod fixation across the cervico-thoracic junction","authors":["Clarke I. Cady-McCrea","Michael A. Galgano"],"abstract":"Background: Cervical spine deformity is a potentially devitalizing problem. Contemporary techniques for repair and reconstruction include fusion using rods of tapered diameter alone, or quadruple-rod constructs in which primary rods are joined to floating accessory rods by connectors. Here, we present how we utilized a quadruple-rod construct to perform five C2 to thoracic spine fusions. Methods: Our hospital electronic medical record revealed five patients who underwent the four rod C2-thoracic spine fixation. Patients ranged in age from 14-years-old to 78-years-old. The mean operative time was 715.8 min (range 549–987 min), and average estimated blood loss was 878 cc (range 40–1800 cc). Results: None of the five patients sustained any intraoperative complications, and none demonstrated progressive kyphotic deformity over the average follow-up interval of 8 months. Conclusion: We successfully treated five patients with degenerative or oncologic cervical pathology requiring fixation across the cervicothoracic junction utilizing a 4-rod C2-cervicothoracic fusion technique.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/50559997-8575-42c9-a041-ef8c4014273d/featured/hero-1781562750926.png","publishDate":"2021-02-03T00:00:00.000Z","doi":"10.25259/SNI_870_2020","categories":["Spine","Technical Note"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/50559997-8575-42c9-a041-ef8c4014273d/pdf"}