Kraus Back & Neck Institute Kraus Back & Neck Institute Kraus Back & Neck Institute: 281.446.3876 (281.44.NEURO)
Minimally Invasive Spine Surgery - Kraus Back & Neck Institute
MISS is the acronym for Minimally Invasive Spine Surgery. It has changed how neurosurgeons operate today. MISS techniques reduce the need for large incisions, muscle cutting, and a long period of recovery. Instead, your neurosurgeon uses highly refined instruments, tools, devices...
Read more

Surgical Procedures

Posterior Cervical Fusion

Posterior cervical fusion (PCF), a surgical procedure performed through the back of the neck, involves joining or fusing two or more damaged cervical vertebrae. The fusion of vertebrae is also known as arthrodesis. Sometimes metallic plates may be used for fixing the vertebrae, this is also known as instrumentation.

PCF may be employed for the management of cervical fractures, bone dislocations, and deformities due to abnormal curvature of the cervical vertebrae.

Procedure

The basic steps of posterior cervical fusion include:

  • The procedure is conducted in an operating room with the patient under general anesthesia
  • The patient lies face down, on the operation table
  • A small incision is made over the middle of the neck, at the back
  • The muscles and the soft tissues are then retracted to approach the spine
  • X-ray imaging is employed to identify the affected intervertebral disc
  • The surfaces of the lamina of the each vertebra to be fused are trimmed. This results in bleeding which aids in rapid healing of the fused bones
  • In addition, small strips of bone graft taken from the pelvis are placed over the spinal column, which aid in fusion of the bones
  • Confirmatory X-rays may be taken to confirm the proper placement of the bone graft
  • Finally, the retracted muscles and soft tissues are placed in their normal positions and the wound is sutured

Postoperative care

Patients may be discharged from the hospital within a week of the surgery. A neck brace is recommended for several months, however this restriction may not be required if the vertebrae are fixed with a metal plate during the PCF surgery. Patients are initiated on a liquid diet which is gradually changed to solid food, depending on their recovery.

Physical therapy is recommended after 4-6 weeks of the surgery. Physical therapists help patients perform their routine activities without exerting any extra stress on the neck. Rest is advised as it helps in healing of the bone graft.

Risk and complications

Every major surgery is associated with complications. Some of the complications associated with posterior cervical fusion include:

  • Complications related to anesthesia
  • Conditions such as thrombophlebitis
  • Non union or pseudarthrosis
  • Infection
  • Damage to the spinal nerves
  • Problem related to bone graft
  • Persistent pain
Spine Surgery - Kraus Back & Neck Institute Spine Surgery - Kraus Back & Neck Institute
Anterior Cervical Disectomy and Fusion (ACDF) - Kraus Back & Neck Institute
Spine Surgery - Kraus Back & Neck Institute
Minimally Invasive Spine Surgery - Kraus Back & Neck Institute
Minimally Invasive Spine Surgery Procedures - Kraus Back & Neck Institute
Is Minimally Invasive Spine Surgery Right for me? - Kraus Back & Neck Institute
Maps & Directgions - Kraus Back & Neck Institute
Meet Gary Karus, ML - Kraus Back & Neck Institute
Gary Kraus, MD, Neuro-
surgeon, is Board Certified...
Meet Gary Karus, ML - Kraus Back & Neck Institute
Meet Masaki Oishi, MD - Kraus Back & Neck Institute
Masaki Oishi, MD, Neurosurgeon...
Meet Masaki Oishi, MD - Kraus Back & Neck Institute
Spine Surgery & Spinal Condition Videos - Kraus Back & Neck Institute
Spine Surgery & Spinal Condition Videos - Kraus Back & Neck Institute
Facebook Twitter YouTube
Bookmark and Share
12121 Richmond Ave., Ste. 324 Houston, Texas 77082      MAP
3391 West Park
Houston, Texas 77005     MAP
Professional Building III, 915 Gessner,
Ste. 360
Houston, Texas 77024     MAP
8901 FM 1960 Bypass, Ste. 304
Humble, Texas 77338     MAP
1331 West Grand Parkway North
Suite 320, Katy, Texas 77493     MAP
Your Practice Online