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Low-cost Posterior C1-C2 Fusion Using Sublaminar Wiring in Neurologically Intact Young Patient with Type IIA Odontoid
Carlos Novondo1,2, César Alas-Pineda3, Anahi Gisselle Pacheco4
1Neurocirugía, Hospital Dr. Mario Catarino Rivas, San Pedro Sula, Cortés, Honduras.
Journal of Neurological Surgery Reports
|November 14, 2025
Summary
Sublaminar wiring provides a cost-effective posterior cervical fixation for comminuted odontoid fractures in young patients. This technique is a viable alternative in low-resource settings lacking advanced spinal instrumentation.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Spinal Surgery
Background:
- Comminuted odontoid fractures (Type IIA) pose management challenges, especially in resource-limited settings.
- Advanced instrumentation for cervical fixation may be inaccessible or unaffordable in certain environments.
