Posterior Atalntoaxial Fusion with C1 Lateral Mass Screw and C2 Pedicle Screw Supplemented with Miniplate Fixation for Interlaminar Fusion : A Preliminary Report

نویسندگان

  • Sang-Mok Yoon
  • Jin-Wook Baek
  • Dae-Hyun Kim
چکیده

OBJECTIVE To investigate the feasibility of C1 lateral mass screw and C2 pedicle screw with polyaxial screw and rod system supplemented with miniplate for interlaminar fusion to treat various atlantoaxial instabilities. METHODS After posterior atlantoaxial fixation with lateral mass screw in the atlas and pedicle screw in the axis, we used 2 miniplates to fixate interlaminar iliac bone graft instead of sublaminar wiring. We performed this procedure in thirteen patients who had atlantoaxial instabilities and retrospectively evaluated the bone fusion rate and complications. RESULTS By using this method, we have achieved excellent bone fusion comparing with the result of other methods without any complications related to this procedure. CONCLUSION C1 lateral mass screw and C2 pedicle screw with polyaxial screw and rod system supplemented with miniplate for interlaminar fusion may be an efficient alternative method to treat various atlantoaxial instabilities.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Posterior atlantal lateral mass fixation technique with polyaxial screw and rod fixation system.

OBJECTIVE Atlantoaxial instability may result from various pathologic conditions and operative treatment may be required to correct the deformity, provide stability and prevent neurological deficits. We presented our clinic's experience using C1-C2 fusion with polyaxial screw and rod fixation for C1 and C2 instability for various reasons. METHODS AND MATERIAL Four patients with atlantoaxial i...

متن کامل

Biomechanical impact of C2 pedicle screw length in an atlantoaxial fusion construct

BACKGROUND Posterior, atlantoaxial (AA) fusions of the cervical spine may include either standard (26 mm) or short (16 mm) C2 pedicle screws. This manuscript focused on an in vitro biomechanical comparison of standard versus short C2 pedicle screws to perform posterior C1-C2 AA fusions. METHODS Twelve human cadaveric spines underwent C1 lateral mass screw and standard C2 pedicle screw (n = 6)...

متن کامل

Atlantoaxial fixation: overview of all techniques.

Over the past century, steady advances have been made in fixating an unstable atlantoaxial complex. Current options for fixation of the atlantoaxial complex include posterior clamps, posterior wiring techniques, C1-C2 transarticular screw fixation, posterior C1 lateral mass screw with C2 pars or pedicle screw fixation, and anterior transoral C1 lateral mass to C2 vertebral body fixation.

متن کامل

Screw Placement Accuracy and Outcomes Following O-Arm-Navigated Atlantoaxial Fusion: A Feasibility Study

Study Design Case series of seven patients. Objective C2 stabilization can be challenging due to the complex anatomy of the upper cervical vertebrae. We describe seven cases of C1-C2 fusion using intraoperative navigation to aid in the screw placement at the atlantoaxial (C1-C2) junction. Methods Between 2011 and 2014, seven patients underwent posterior atlantoaxial fusion using intraoperative ...

متن کامل

Biomechanical analysis comparing three C1-C2 transarticular screw salvaging fixation techniques.

STUDY DESIGN This is an in vitro biomechanical study. OBJECTIVE To compare the biomechanical stability of the 3 C1-C2 transarticular screw salvaging fixation techniques. SUMMARY AND BACKGROUND DATA Stabilization of the atlantoaxial complex is a challenging procedure because of its complicated anatomy. Many posterior stabilization techniques of the atlantoaxial complex have been developed wi...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 52  شماره 

صفحات  -

تاریخ انتشار 2012