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Spine Carpentry:

History & Principles of Rebuilding the Broken Spine

Chapter 15

Instrumented Repair of Cervical Spine Fracture
These X-rays show a major spinal repair involving four types of spinal reconstruction technology.  Several of the vertebral disks have been replaced with bone graft material.  A plate and screws have been  used to lock the vertebral bodies of C5, C6 and C7 tightly against the graft. From a posterior approach, lateral mass  screws at C4, C5 and C6 prevent rotation and lateral bending.  A thin titanium cable  and cable clamp has also been used to lash a strut of bone onto the spinous processes of C4 to C7 to resist flexion forward.