Transcervical approach and screw fixation for upper cervical spine pathology

Area of Science:

• Orthopedic Surgery
• Neurosurgery
• Spinal Surgery

Background:

• Upper cervical spine pathologies require effective fixation methods.
• Traditional approaches may have limitations for certain fractures and instabilities.

Purpose of the Study:

• To describe a transcervical approach for upper cervical spine pathology.
• To detail screw fixation techniques for odontoid fractures and atlantoaxial fixation.

Main Methods:

• Direct osteosynthesis via a transcervical approach.
• Screw fixation of articular processes for atlantoaxial instability.
• Surgical technique description and analysis.

Main Results:

• The transcervical approach allows for direct osteosynthesis.
• Screw fixation provides a method for atlantoaxial fixation.
• The study discusses the technique's indications, advantages, and disadvantages.

Conclusions:

• The transcervical approach with screw fixation is a viable option for specific upper cervical spine conditions.
• Understanding the technique's indications and limitations is crucial for surgical planning.