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C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
Published on: September 16, 2022
C1-C2 posterior fixation: indications, technique, and results
Mark E Jacobson1, Safdar N Khan, Howard S An
1Department of Orthopaedics, The Ohio State University, 4110 Cramblett Hall, Columbus, OH 43210, USA.
The Orthopedic Clinics of North America
|November 16, 2011
Summary
Posterior spinal fixation effectively treats atlantoaxial (C1-C2) joint instability. Surgical techniques have advanced from wiring to pedicle screw constructs, yielding excellent outcomes for cervical spine stabilization.
Area of Science:
- Orthopedics
- Neurosurgery
- Spinal Anatomy
Background:
- The atlantoaxial (C1-C2) joint is crucial for cervical spine rotation.
- Instability in this complex junction can cause neurological issues.
- Posterior spinal fixation is a common treatment for C1-C2 instability.
Purpose of the Study:
- To review the evolution and success of posterior C1-C2 fixation techniques.
- To highlight the importance of indications and surgical methods.
Main Methods:
- Literature review of posterior spinal fixation methods for C1-C2 instability.
- Analysis of historical (wiring) and modern (pedicle screw/translaminar) constructs.
Main Results:
- Evolution from interspinous/interlaminar wiring to pedicle screw/translaminar constructs.
- Modern techniques demonstrate excellent results in stabilizing the C1-C2 articulation.
Conclusions:
- Appropriate patient selection and surgical technique are paramount for successful C1-C2 posterior fusion.
- Posterior fixation is a well-established and effective treatment for atlantoaxial instability.