Clinical and radiological outcomes of image guided posterior C1-C2 fixation for atlantoaxial osteoarthritis (AAOA)
| Autor: | Mitchell Fung, Leslie Barnsley, Timothy Steel, Joga Chaganti, Ellen Frydenberg |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty Neck pain business.industry Visual analogue scale Radiography Osteoarthritis medicine.disease Iliac crest Surgery 03 medical and health sciences 0302 clinical medicine Patient satisfaction medicine.anatomical_structure Radiological weapon Medicine Orthopedics and Sports Medicine Original Study medicine.symptom Range of motion business 030217 neurology & neurosurgery |
| Zdroj: | Journal of spine surgery (Hong Kong). 4(4) |
| ISSN: | 2414-469X |
| Popis: | Background: Atlantoaxial (C1-C2) osteoarthritis (AAOA) causes severe suboccipital pain exacerbated by lateral rotation. The pain is usually progressive and resistant to conservative therapy. Posterior fusion surgery is performed to stabilise the C1-C2 segment. This is the first Australian study reporting the outcome of posterior atlantoaxial fixation including hybrid fixations performed for AAOA. Methods: All patients who underwent posterior atlantoaxial fixation surgery for AAOA from 2005 to 2015 at our institutions were enrolled (N=23). Patient demographics and surgical technique were recorded. These techniques included transarticular screw (TAS) fixation using image guidance with iliac crest bone graft and supplemental posterior Sonntag wiring, or C1-C2 lateral mass fixation (Harms technique). Some patients required a combination of fixation due to anatomical variation. Primary outcome measures including patient satisfaction, pain, disability scores and range of motion were recorded for all patients pre- and post-operatively. Post-operative assessment was supplemented with CT and X-ray imaging. Results: Twenty-three patients (19 women, 4 males, mean age 71.8±6.3 years) underwent surgical fixation. Eight underwent TAS fixation, 8 had Harms fixation, and 7 had a hybrid fixation. All patients reported statistically significant improvement in pain scores [Visual Analogue Scale (VAS) 9.4 pre-op compared to 2.9 post-op, P |
| Databáze: | OpenAIRE |
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