Unstable C1 Fracture Managed with Internal Fixation Using Lateral Mass Screws: A Case Report
| Autor: | Thomas E Niemeier, Jonathan C Yu, Sakthivel Rajan Rajaram Manoharan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Orthodontics
Osteosynthesis Posterior fusion business.industry medicine.medical_treatment Lateral mass Bone Screws Occiput Middle Aged Sagittal plane Fracture Fixation Internal medicine.anatomical_structure Fracture fixation medicine Fracture (geology) Internal fixation Humans Spinal Fractures Orthopedics and Sports Medicine Surgery Female Cervical Atlas business |
| Zdroj: | JBJS case connector. 8(1) |
| ISSN: | 2160-3251 |
| Popis: | Case A 47-year-old woman presented with an unstable C1 fracture after falling down several stairs. She was found to have a sagittal split fracture of the right C1 lateral mass extending into the posterior arch. The fracture was treated with a direct posterior osteosynthesis of C1 using lateral mass screws. Conclusion Surgical management of unstable C1 fractures has traditionally involved posterior fusion of C1 to C2 or fusion from the occiput to C2. These fusion procedures can be quite functionally limiting. Recently, direct osteosynthesis of C1 has been shown to be an effective, motion-preserving alternative. |
| Databáze: | OpenAIRE |
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