====== Circumferential fusion ====== Circumferential [[fusion]] is basically a bi-directional (anterior and posterior) approach, with circumferential [[arthrodesis]]. This technique is best used to provide solid internal stability together with bony fusion ((Cooper PR, Operative management of cervical spine injuries. Clin Neurosurg 1988; 34: 650-74.)) (( Capen DA, Garland DE, Waters RL. Surgical stabilization of the cervical spine: a comparative analysis of anterior and posterior spine fusions. Clin Orthop 1985; 196: 229-37.)) ((Mc Afee PC, Bohlman HH: One stage anterior cervical decompression and posterior stabilization with circumferential arthrodesis: A study of twenty-four patients who had a traumatic or neoplastic lesion. J Bone Joint Surg (Am) 1989; 71 A: 78-88)). ===== Circumferential lumbar spinal fusion ===== [[Circumferential lumbar spinal fusion]]