| Autor: |
Coyne TJ; University of Toronto and Toronto Hospital, Toronto, Ontario, Canada; State University of New York, Syracuse, New York, USA., Fehlings MG, Martin RJ |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [J Clin Neurosci] 1996 Jul; Vol. 3 (3), pp. 243-6. |
| DOI: |
10.1016/s0967-5868(96)90058-2 |
| Abstrakt: |
C1-C2 instability has traditionally been treated by C1-C2 posterior wiring and bone grafting. However, this technique has an incidence of non-union which may exceed 10%. Transarticular screw fixation has developed as a technique of providing increased strength of fixation of C1-C2 arthrodesis, while at the same time avoiding the need for postoperative halo bracing and avoiding the risk of neurological injury associated with the passage of sublaminar wires. We present a retrospective review of 12 patients with C1-C2 instability treated by C1-C2 transarticular screw fixation. Eight patients underwent this procedure as primary treatment, and 4 after a failed Gallie fusion. Five patients had a cruciate ligament rupture, 5 had an odontoid process fracture, 1 had os odontoideum, and 1 had rheumatoid instability. There was no surgical morbidity or mortality and, at a mean follow up of 12.1 +/- 3 months (range 8-14 months), all patients had achieved solid fusion, and all neurological symptoms referable to the instability had resolved. C1-C2 transarticular screw fixation has been shown to be safe and effective and has a number of advantages when compared to traditional posterior wiring techniques. We recommend that this technique be considered as a primary treatment of C1-C2 instability. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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