Internal Fixation of the Cervical Spine: the Hartshill System
The Hartshill system is a modification of the Luque system for posterior segmental wiring of the spine and has for five years been our routine means of posterior spinal fixation throughout the spine from skull to sacrum and for all varieties of spinal disorders. This paper presents our experience of the use of the Hartshill system in the cervical spine. There has been 34 cases with minimum two year follow up (trauma 11, rheumatoid 8, facet osteoarthritis 7, tumour 5, congenital 2 and myelopathy 1). There has been only one serious complication. The system is essentially simple and inexpensive but nonetheless attention to detail in technique is important. With proper attention to detail the Hartshill system provides a secure, adaptable, posterior fixation system that can be used throughout the cervical spine.
KeywordsCervical Spine Internal Fixation Interspinous Ligament Break Wire Sublaminar Wire
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