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C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
Published on: September 16, 2022
Computer navigation assisted fixation in neglected C2-C3 dislocation in an adult
S Rajasekaran1, M Subbiah, Ajoy Prasad Shetty
1Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India.
Indian Journal of Orthopaedics
|September 3, 2011
Summary
This study details a rare C2-C3 fracture dislocation successfully managed with posterior-only reduction and Iso-C 3D computer navigation-assisted cervical pedicle screw fixation, restoring patient function.
Area of Science:
- Orthopedics
- Neurosurgery
- Spinal Surgery
Background:
- Cervical spine fracture dislocations are complex injuries.
- Management requires precise reduction and stable fixation.
- Industrial accidents can lead to severe spinal trauma.
Purpose of the Study:
- To report a rare case of C2-C3 fracture dislocation.
- To describe the successful surgical management using a specific technique.
- To highlight the utility of computer navigation in complex cervical spine surgery.
Main Methods:
- Posterior-only reduction, stabilization, and fusion.
- Iso-C 3D computer navigation-assisted cervical pedicle screw fixation.
- Transverse rod-screw construct at involved levels.
Main Results:
- Successful reduction of C2-C3 fracture dislocation.
- Complete relief of patient symptoms at 6-month follow-up.
- Return to previous occupation achieved.
Conclusions:
- Posterior-only approach with Iso-C 3D navigation is effective for C2-C3 fracture dislocations.
- Computer navigation enhances precision in complex cervical spine fixation.
- This technique offers a viable solution for severe cervical trauma without disc herniation.