Treatment of Irreducible Atlantoaxial Dislocation with C1-2 Sublaminar Cable-Dragged Reduction and Screw Fixation

Atlantoaxial Stabilization Using C1 and C2 Laminar Screw Fixation

We describe the use of a C1 laminar screw in combination with a C2 laminar screw as a salvage technique to treat two patients, one with persistent first intersegmental artery and the other with vertebral artery occlusion after cervical spine fracture. The combined use of C1 and C2 laminar screws allows for good fixation of the atlantoaxial joint with a lower risk of vertebral artery injury; the...

Comparison of Acute Acromioclavicular Joint Dislocation Treatment by Screw Fixation with and without Ligament Reconstruction

Background & Aims: Acute acromioclavicular (AC) joint dislocation is common in shoulder injuries. Considering the biomechanics of this joint, the use of a treatment method, which can restore joint physiology and biomechanics to the extent possible, is important. This study aimed to compare the treatment of acute AC joint dislocation by screw fixation with and without ligament reconstruction. Me...

Management of Irreducible Atlantoaxial Dislocation with Horizontal Screw-Rod Construct and technical note

Surgical Management of Irreducible Atlantoaxial Dislocation

The classification and treatment of atlantoaxial dislocations (AAD) remains controversial. Despite existing debate among the literature, it is generally accepted that the treatment of symptomatic AAD should be surgical reduction and fixation. More recently, there has also been acknowledgement among treating surgeons that there are substantial differences between irreducible and reducible AAD, w...

Orientation of C1-2 Joints in Congenital Atlantoaxial Dislocation

Aim: To study the C1-2 facets in patients with congenital atlantoaxial dislocation and their bearing on the presentation and management. Materials and methods: Thirty-six patients of congenital AAD were studied in the last 2 years. Twenty-four patients had irreducible AAD (not reducing on traction) and remaining 12 had redu cible AAD. Computed tomography (CT) scans were obtained and the C1-2 jo...