BACKGROUND AND OBJECTIVE: High cost of conventional spinal instrumentation and the need for intraoperative imaging have forced us to consider other methods of spinal stabilization especially suitable in low-income societies. In this article, we describe our technique of spinal fusion using spinous process wiring and rigid vertical strut. TECHNIQUE AND METHODOLOGY: Vertical strut which has been bent at one end is passed through loops of wire introduced into the base of the spinous processes to be instrumented. Another vertical strut is passed through the loose ends of the loops. We currently use Rush nail as the vertical strut. RESULTS: The loose ends of the loops of wire are pulled snugly and twisted. This results in immediate rigid stabilization of the spine. CONCLUSIONS: The technique seems safe and efficient in stabilizing the spine pending definitive bony fusion.
BACKGROUND AND OBJECTIVE: High cost of conventional spinal instrumentation and the need for intraoperative imaging have forced us to consider other methods of spinal stabilization especially suitable in low-income societies. In this article, we describe our technique of spinal fusion using spinous process wiring and rigid vertical strut. TECHNIQUE AND METHODOLOGY: Vertical strut which has been bent at one end is passed through loops of wire introduced into the base of the spinous processes to be instrumented. Another vertical strut is passed through the loose ends of the loops. We currently use Rush nail as the vertical strut. RESULTS: The loose ends of the loops of wire are pulled snugly and twisted. This results in immediate rigid stabilization of the spine. CONCLUSIONS: The technique seems safe and efficient in stabilizing the spine pending definitive bony fusion.