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Updated: Jun 6, 2026

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
Published on: January 6, 2023
Transarticular screw fixation using neuronavigation: Technique
Srinivas Dwarakanath1, Ashish Suri, Bhavani Shankar Sharma
1Department of Neurosurgery, Neurosciences Center, All India Institute of Medical Sciences, New Delhi, India.
Background:
Transarticular screw placement needs highly accurate imaging. We assess the efficacy and accuracy of C1-C2 transarticular screw fixation using neuronavigation and also cast a technical note on the procedure.
Materials And Methods:
This study included a total of nine patients who underwent transarticular screw fixation using the neuronavigation system. A total of 15 screws were placed. All patients underwent postoperative CT scan with 3-Dimensional (3-D) reconstruction to check for the accuracy of implantation.
Results:
One patient had encroachment of the transverse foramen but there was no vertebral artery injury. There were no clinical complications or adverse sequelae.
Conclusion:
Neuronavigation is extremely helpful in C1-C2 transarticular screw fixation and gives excellent accuracy.

