Minimally invasive posterior cervical fixation

Larry T. Khoo*, Zachary A. Smith, Roya Gheissari

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter


Posterior fixation techniques continue to play a vital part in the treatment of cervical spine pathology. Evolving from semirigid techniques such as wiring to dynamic screw-plate constructs, modern techniques employing screw rod constructs now allow for far more robust stabilization after cervical decompression. Additionally, interfacet and transfacet techniques have further added to the armamentarium available to surgeons to achieve rigid arthrodesis and maintainance of correction. With the implementation of minimally invasive tissue-sparing techniques during posterior cervical instrumentation, significant improvements in soft tissue morbidity, blood loss, pain, recovery, return to work, infection, and reoperation rates have also been observed and documented. Contemporary three-dimensional intraoperative imaging techniques also provide enhanced accuracy and localization during instrumentation of the posterior cervical anatomy. When used with newer perioperative pharmaceutical and anesthetic protocols as well as with modern intraoperative neurmonitoring modalities such as motor evoked potentials, the combination of these surgical technologies has served to greatly enhance the efficacy, safety, accuracy, and outcomes of posterior surgical decompressive and instrumentation procedures.

Original languageEnglish (US)
Title of host publicationMinimally Invasive Spine Surgery
Subtitle of host publicationSurgical Techniques and Disease Management
PublisherSpringer International Publishing
Number of pages14
ISBN (Electronic)9783030190071
ISBN (Print)9783030190064
StatePublished - Jan 1 2020


  • Intraoperative posterior cervical imaging and guidance
  • Intraoperative posterior cervical neurophysiological monitoring
  • Minimally invasive rigid posterior cervical decompression
  • Posterior cervical instrumentation
  • Posterior cervical perioperative anesthetic protocols
  • Transfacet and intrafacet cervical instrumentation

ASJC Scopus subject areas

  • General Medicine


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