C2 Superior Facetal Osteotomy: A Novel Technique in Complex Craniovertebral Junction Surgery for C1 Lateral Mass Screw Placement.

Autor: Singh, Deepak Kumar, Shankar, Diwakar, Chand, Vipin Kumar, Singh, Rakesh Kumar, Singh, Neha
Předmět:
Zdroj: Asian Spine Journal; Dec2023, Vol. 17 Issue 6, p1125-1131, 7p
Abstrakt: Complex craniovertebral junction (CVJ) defects account for a considerable proportion of CVJ diseases. Given the heavily assimilated C1, an unfavorable C1-C2 joint orientation, an overriding C2 superior facet, a low-hanging occiput, and an abnormal vertebral artery course with a high-riding vertebral artery, placement of C1 lateral mass screws might be difficult. To address this, a novel technique for placing C1 lateral mass screws that avoid vertebral artery injury, low-hanging occiput, and overriding C2 superior facet was developed in this study. This approach enables firm fixation of C1-C2 even in difficult situations where the placement of the C1 lateral mass is challenging. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index