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Related Concept Videos

Articulations of the Vertebral Column01:28

Articulations of the Vertebral Column

In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...

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Related Experiment Video

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C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
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Double insurance atlantoaxial fixation.

Atul Goel1

  • 1Department of Neurosurgery, King Edward VII Memorial Hospital, Mumbai-400012, India. atulgoel62@hotmail.com

Surgical Neurology
|January 27, 2007
PubMed
Summary

This study presents a novel atlantoaxial fixation technique combining two methods, achieving successful stabilization in all 18 patients without complications. This combined approach offers a safe alternative for treating atlantoaxial instability.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Describes an alternative atlantoaxial fixation technique.
  • Combines the Magerl trans-articular method (1982) and an interarticular technique (1988).

Purpose of the Study:

  • To evaluate the efficacy and safety of a combined atlantoaxial fixation technique.
  • To assess its potential as an alternative to current fixation methods.

Main Methods:

  • 18 patients underwent the combined fixation technique between 2001 and 2005.
  • Patients had congenital craniovertebral anomaly or posttraumatic atlantoaxial instability.
  • Follow-up averaged 22 months.

Main Results:

  • Successful atlantoaxial stabilization was achieved in all patients.

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  • Dynamic radiography confirmed stability.
  • No implant rejection, neurological, vascular, or infective complications occurred.

    • Conclusions:

    • The combined atlantoaxial fixation technique is a safe and effective alternative.
    • It incorporates advantages of existing lateral mass fixation techniques.
    • Offers a viable option for treating various forms of atlantoaxial instability.