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Floating C1 Lateral Mass Fracture Treated with C1-Ring Osteosynthesis: A Case Report with a Step-by-Step Surgical
Garrison P Bentz1, Ravi R Agrawal, Mark J Lambrechts
1Department of Orthopedic Surgery, Washington University in St. Louis, Saint Louis, Missouri.
C1-ring osteosynthesis effectively treats unstable C1 fractures, preserving motion and avoiding fusion. This technique offers excellent patient outcomes, including full range of motion and return to work.
Area of Science:
- Orthopedic Surgery
- Spinal Surgery
- Traumatology
Background:
- C1 lateral mass fractures can lead to instability.
- Traditional treatments may involve spinal fusion, limiting motion.
Purpose of the Study:
- To describe a surgical technique for C1 fracture fixation.
- To illustrate the effectiveness of C1-ring osteosynthesis for unstable C1 injuries.
Main Methods:
- A step-by-step approach to C1 fracture fixation using C1-ring osteosynthesis was performed.
- This motion-preserving technique avoids the need for spinal fusion.
Main Results:
- A 31-year-old male patient with a C1 lateral mass fracture underwent the procedure.
- At 1-year follow-up, the patient achieved full neck range of motion.
- The patient returned to work and reported satisfaction with surgical outcomes.
Conclusions:
- C1-ring osteosynthesis is a viable treatment for unstable C1 injuries.
- The technique facilitates motion preservation and positive patient outcomes.
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