Journal
JOURNAL OF NEUROSURGERY-SPINE
Volume 3, Issue 5, Pages 409-414Publisher
AMER ASSOC NEUROLOGICAL SURGEONS
DOI: 10.3171/spi.2005.3.5.0409
Keywords
atlantoaxial junction; axis; screw fixation; translaminar approach
Categories
Ask authors/readers for more resources
Rigid fixation of the axis with C1-2 transarticular screws or C-2 pedicle screws results in high fusion rates but remains technically demanding because of the risk of injury to the vertebral artery (VA) and the limitations imposed by anatomical variability. Translaminar fixation of the axis with crossing bilateral screws provides rigid fixation and is technically simple, is not affected by variations in individual anatomy, and does not place the VA at risk. The long-term results in 20 patients treated with translaminar fixation for craniocervical, atlantoaxial, and axial-subaxial instability are presented, with 100% fusion rates and no neurological or vascular complications. Translaminar screws may be a good option for rigid fixation of the axis for surgeons not proficient in the more technically demanding methods of stabilization.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available