Advanced
Technical
facet wiring
Surgical stabilization technique using wire loops around facet joints for fusion.
Full Definition
Facet wiring is a traditional spinal stabilization technique that involves passing wire loops around the facet processes or through the spinous processes to provide posterior fixation during fusion procedures. This method was commonly used before the development of modern pedicle screw systems but is now primarily reserved for specific clinical situations or when other instrumentation options are not suitable. The technique requires careful placement to avoid neural injury and may be combined with bone grafting for arthrodesis.
Usage
Usage note: Clarify specific wiring technique when documenting.
In Context
- "The surgeon elected to perform facet wiring due to poor bone quality precluding screw fixation." — Surgical decision rationale
- "Historical records showed the patient had undergone facet wiring thirty years prior." — Medical history review
Also known as
sublaminar wiring
posterior wiring
Don't confuse with
pedicle screw fixation
hook instrumentation