Technical Considerations in Surgical Fixation of Jefferson Fracture

Abstract Jefferson fracture is defined as the simultaneous disruption of continuity anterior and posterior arches atlas vertebra. It generally results from an axial impact to head. Most these fractures are amenable nonoperative management. Significant transverse atlantal ligament that main stabilizing atlantoaxial articulation contiguous spinal injuries often form indications for operative intervention in fractures. The outward caudal displacement C1 lateral masses observed requires significant deviation standard technique fixation when osseous elements intact. Accordingly, we have described surgical nuances relevant exposure instrumentation region setting fracture, through our experience two cases.