Julien Dimitriou1, Marta Garvayo2, Juan Barges Coll1. 1. Service de Chirurgie Spinale, Centre Hospitalier Universitaire Vaudois, CHUV, Rue du Bugnon 46, 1011, Lausanne, Switzerland. 2. Service de Chirurgie Spinale, Centre Hospitalier Universitaire Vaudois, CHUV, Rue du Bugnon 46, 1011, Lausanne, Switzerland. garvayomarta@gmail.com.
Abstract
BACKGROUND: Transarticular C1-C2 screw fixation, first described by Magerl, is a widely accepted used technique for C1-C2 instability with a good biomechanical stability and fusion rate. METHOD: We present a 69-year-old woman, who was diagnosed with a C2 Odontoid fracture type III and primarily treated with conservative treatment and collar. During first 2 weeks of follow-up, the patient developed cervical pain associated with C1-C2 instability. A minimally invasive posterior C1-C2 transarticular screw instrumentation with a percutaneus approach was performed. RESULTS AND CONCLUSION: Minimally invasive approach with tubular transmuscular approach for C1-C2 transarticular screws instrumentation is safe and effective for C1-C2 instability.
BACKGROUND: Transarticular C1-C2 screw fixation, first described by Magerl, is a widely accepted used technique for C1-C2 instability with a good biomechanical stability and fusion rate. METHOD: We present a 69-year-old woman, who was diagnosed with a C2 Odontoid fracture type III and primarily treated with conservative treatment and collar. During first 2 weeks of follow-up, the patient developed cervical pain associated with C1-C2 instability. A minimally invasive posterior C1-C2 transarticular screw instrumentation with a percutaneus approach was performed. RESULTS AND CONCLUSION: Minimally invasive approach with tubular transmuscular approach for C1-C2 transarticular screws instrumentation is safe and effective for C1-C2 instability.
Authors: Ivan Lvov; Andrey Grin; Anton Kordonskiy; Aleksey Sytnik; Vladimir Smirnov; Ulugbek Khushnazarov; Vladimir Krylov Journal: World Neurosurg Date: 2019-05-10 Impact factor: 2.104