| Autor: |
Orduna Martínez, Javier, López López, Laura B., Moles Herbera, Jesús A., Casado Pellejero, Juan, Fustero de Miguel, David, Curto Simón, Beatriz |
| Předmět: |
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| Zdroj: |
Child's Nervous System; 2021, Vol. 37 Issue 1, p291-294, 4p |
| Abstrakt: |
Purpose: The fusion of the upper cervical spine in children is demanding due to its reduced size, its anatomical complexity, or a severe pathology of the cranio-cervical junction. In some pediatric patients with today's more popular C1–C2 or, occipito-C2 techniques, it is impossible, or very risky to perform a short upper cervical fixation. Methods: We present the utility and good results of ipsilateral laminar C2 screws insertion technique in two pediatric cases with low C2 laminar profile. Case 1: a 5-year-old child with a C1–C2 unstable subluxation, and a condylar assimilation of C1, where we performed an occipito-C2 fixation using an occipital plate and this modified translaminar C2 screw technique. Case 2: a 8-year-old Down syndrome boy who suffered an unstable subluxation of C1–C2 upon whom we performed a C1–C2 screw fixation using the same technique. Results: Both cases have been followed up over a period of 7 and 2 years respectively, with good clinical results. Conclusions: We describe the technique and the feasibility of the ipsilateral insertion of translaminar C2 screws in children with low laminar profiles, as a good alternative to other techniques when the anatomy of the C2 does not permit its use or make them very risky. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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