What is the effect of sublaminar wires during surgical procedures?

Sublaminar wires are utilized in spinal surgeries, particularly in cases of deformity correction, by securing the rod to the vertebrae. However, their use carries a significant risk of causing trauma to the spinal cord. This is due to the placement and tension of the wires, which can compromise the surrounding neural structures, especially if there is improper placement or excessive tension applied during the procedure.

Trauma to the spinal cord can result from direct mechanical injury or through vascular compromise caused by the wires. It is critical for surgeons to be cautious and fully trained in the technique, as the risk of neurological damage must be weighed against the benefits of using these wires for spinal stabilization.

In contexts where spinal cord safety is of utmost importance, alternatives or different methods may be considered to mitigate these risks. Hence, the understanding that sublaminar wires are most likely to cause trauma emphasizes the need for careful consideration and expertise in their application during surgical procedures.