Araştırma Makalesi
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Yıl 2021, Cilt: 38 Sayı: 2, 94 - 98, 03.04.2021

Öz

Kaynakça

  • 1. Bahadur, R., Goyal, T., Dhatt, S.S., Tripathy, S.K., 2010. Transarticular screw fixation for atlantoaxial instability - modified Magerl's technique in 38 patients. Journal of Orthopaedic Surgery and Research. 5, 87-87.
  • 2. Brooks, A.L., Jenkins, E.B., 1978. Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg Am. 60, 279-84.
  • 3. Coyne, T.J., Fehlings, M.G., Wallace, M.C., Bernstein, M., Tator, C.H., 1995. C1-C2 posterior cervical fusion: long-term evaluation of results and efficacy. Neurosurgery. 37, 688-92; discussion 692-3.
  • 4. Dickman, C.A., Sonntag, V.K., 1998. Posterior C1-C2 transarticular screw fixation for atlantoaxial arthrodesis. Neurosurgery. 43, 275-80; discussion 280-1.
  • 5. Gallie, W.E., 1939. Fractures and dislocations of the cervical spine. The American Journal of Surgery. 46, 495-499.
  • 6. Goel, A., Laheri, V., 1994. Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir (Wien). 129, 47-53.
  • 7. Goel, A., Desai, K.I., Muzumdar, D.P., 2002. Atlantoaxial fixation using plate and screw method: a report of 160 treated patients. Neurosurgery. 51, 1351-6; discussion 1356-7.
  • 8. Grob, D., Jeanneret, B., Aebi, M., Markwalder, T.M., 1991. Atlanto-axial fusion with transarticular screw fixation. J Bone Joint Surg Br. 73, 972-6.
  • 9. Guo, X., Ni, B., Zhao, W., Wang, M., Zhou, F., Li, S., Ren, Z., 2009. Biomechanical assessment of bilateral C1 laminar hook and C1-2 transarticular screws and bone graft for atlantoaxial instability. J Spinal Disord Tech. 22, 578-85.
  • 10. Guo, X., Ni, B., Xie, N., Lu, X., Guo, Q., Lu, M., 2014. Bilateral C1–C2 Transarticular Screw and C1 Laminar Hook Fixation and Bone Graft Fusion for Reducible Atlantoaxial Dislocation: A Seven-Year Analysis of Outcome. PLOS ONE. 9, e87676.
  • 11. Huang, D.G., Hao, D.J., He, B.R., Wu, Q.N., Liu, T.J., Wang, X.D., Guo, H., Fang, X.Y., 2015. Posterior atlantoaxial fixation: a review of all techniques. Spine J. 15, 2271-81.
  • 12. Julien, T.D., Frankel, B., Traynelis, V.C., Ryken, T.C., 2000. Evidence-based analysis of odontoid fracture management. Neurosurg Focus. 8, e1.
  • 13. Magerl, F., Seemann, P.-S., 1987. Stable Posterior Fusion of the Atlas and Axis by Transarticular Screw Fixation. In Cervical Spine I: Strasbourg 1985. Vol., P. Kehr, A. Weidner, ed.^eds. Springer Vienna, Vienna, pp. 322-327.
  • 14. Ni, B., Zhu, Z., Zhou, F., Guo, Q., Yang, J., Liu, J., Wang, F., 2010. Bilateral C1 laminar hooks combined with C2 pedicle screws fixation for treatment of C1–C2 instability not suitable for placement of transarticular screws. European Spine Journal. 19, 1378-1382.
  • 15. Paramore, C.G., Dickman, C.A., Sonntag, V.K.H., 1996. The anatomical suitability of the C1–2 complex for transarticular screw fixation. Journal of Neurosurgery. 85, 221-224.
  • 16. Richter, M., Schmidt, R., Claes, L., Puhl, W., Wilke, H.J., 2002. Posterior atlantoaxial fixation: biomechanical in vitro comparison of six different techniques. Spine (Phila Pa 1976). 27, 1724-32.
  • 17. Suchomel, P., Stulik, J., Klezl, Z., Chrobok, J., Lukas, R., Krbec, M., Magerl, F., 2004. [Transarticular fixation of C1-C2: a multicenter retrospective study]. Acta Chir Orthop Traumatol Cech. 71, 6-12.
  • 18. Wright, N.M., Lauryssen, C., 1998. Vertebral artery injury in C1-2 transarticular screw fixation: results of a survey of the AANS/CNS section on disorders of the spine and peripheral nerves. American Association of Neurological Surgeons/Congress of Neurological Surgeons. J Neurosurg. 88, 634-40.
  • 19. Xiao, Z.M., Zhan, X.L., Gong, D.F., Chen, Q.F., Luo, G.B., Jiang, H., 2008. C2 pedicle screw and plate combined with C1 titanium cable fixation for the treatment of atlantoaxial instability not suitable for placement of C1 screw. J Spinal Disord Tech. 21, 514-7.

The Application of C2 Transpedicular Screw, C1 Laminar Hook Fixation and Bone Graft In The Atlantoaxial Instability

Yıl 2021, Cilt: 38 Sayı: 2, 94 - 98, 03.04.2021

Öz

Aim/Background
Traumatic atlantoaxial instability usually results from a motor vehicle accident, falls and motorcycle accidents. Atlantoaxial instability can lead to spinal cord compression and neck pain, but, spasticity and radicular symptoms as well. The purpose of surgery is to remove the compression and stabilize the joint permanently. To date, several surgical techniques have been described to remedy C1-C2 instability. In this study, the clinical and radiological outcomes of patients who operated with the C1 (Atlas bone) laminar hooks fixation and bilateral C2 (Axis bone) trans-pedicular screw technique were shown. Also, the advantages and disadvantages of this technique are discussed.
Methods
From March 2010 to December 2017, 12 patients who have atlantoaxial instability were surgically treated by modified fixation technique which consists C1 laminar hooks fixation and bilateral C2 transpedicular screw.
Results
Twelve patients were operated with this procedure from March 2010 to December 2017. All the patients were checked with flexion-extension x-rays at the end of the twelfth week. The posterior bony fusion formation was observed on imaging in all patients.
Conclusion
C2 bilateral pedicle screw combined with C1 laminar hook system is a good method for atlantoaxial instability in the conditions which is not convenient for insertion of C1 lateral mass and C2 trans-articular screw. However, this method may not be available in some cases such as traumatic, infection, neoplastic or degenerative pathologies in which the posterior arch of the atlas is damaged.

Kaynakça

  • 1. Bahadur, R., Goyal, T., Dhatt, S.S., Tripathy, S.K., 2010. Transarticular screw fixation for atlantoaxial instability - modified Magerl's technique in 38 patients. Journal of Orthopaedic Surgery and Research. 5, 87-87.
  • 2. Brooks, A.L., Jenkins, E.B., 1978. Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg Am. 60, 279-84.
  • 3. Coyne, T.J., Fehlings, M.G., Wallace, M.C., Bernstein, M., Tator, C.H., 1995. C1-C2 posterior cervical fusion: long-term evaluation of results and efficacy. Neurosurgery. 37, 688-92; discussion 692-3.
  • 4. Dickman, C.A., Sonntag, V.K., 1998. Posterior C1-C2 transarticular screw fixation for atlantoaxial arthrodesis. Neurosurgery. 43, 275-80; discussion 280-1.
  • 5. Gallie, W.E., 1939. Fractures and dislocations of the cervical spine. The American Journal of Surgery. 46, 495-499.
  • 6. Goel, A., Laheri, V., 1994. Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir (Wien). 129, 47-53.
  • 7. Goel, A., Desai, K.I., Muzumdar, D.P., 2002. Atlantoaxial fixation using plate and screw method: a report of 160 treated patients. Neurosurgery. 51, 1351-6; discussion 1356-7.
  • 8. Grob, D., Jeanneret, B., Aebi, M., Markwalder, T.M., 1991. Atlanto-axial fusion with transarticular screw fixation. J Bone Joint Surg Br. 73, 972-6.
  • 9. Guo, X., Ni, B., Zhao, W., Wang, M., Zhou, F., Li, S., Ren, Z., 2009. Biomechanical assessment of bilateral C1 laminar hook and C1-2 transarticular screws and bone graft for atlantoaxial instability. J Spinal Disord Tech. 22, 578-85.
  • 10. Guo, X., Ni, B., Xie, N., Lu, X., Guo, Q., Lu, M., 2014. Bilateral C1–C2 Transarticular Screw and C1 Laminar Hook Fixation and Bone Graft Fusion for Reducible Atlantoaxial Dislocation: A Seven-Year Analysis of Outcome. PLOS ONE. 9, e87676.
  • 11. Huang, D.G., Hao, D.J., He, B.R., Wu, Q.N., Liu, T.J., Wang, X.D., Guo, H., Fang, X.Y., 2015. Posterior atlantoaxial fixation: a review of all techniques. Spine J. 15, 2271-81.
  • 12. Julien, T.D., Frankel, B., Traynelis, V.C., Ryken, T.C., 2000. Evidence-based analysis of odontoid fracture management. Neurosurg Focus. 8, e1.
  • 13. Magerl, F., Seemann, P.-S., 1987. Stable Posterior Fusion of the Atlas and Axis by Transarticular Screw Fixation. In Cervical Spine I: Strasbourg 1985. Vol., P. Kehr, A. Weidner, ed.^eds. Springer Vienna, Vienna, pp. 322-327.
  • 14. Ni, B., Zhu, Z., Zhou, F., Guo, Q., Yang, J., Liu, J., Wang, F., 2010. Bilateral C1 laminar hooks combined with C2 pedicle screws fixation for treatment of C1–C2 instability not suitable for placement of transarticular screws. European Spine Journal. 19, 1378-1382.
  • 15. Paramore, C.G., Dickman, C.A., Sonntag, V.K.H., 1996. The anatomical suitability of the C1–2 complex for transarticular screw fixation. Journal of Neurosurgery. 85, 221-224.
  • 16. Richter, M., Schmidt, R., Claes, L., Puhl, W., Wilke, H.J., 2002. Posterior atlantoaxial fixation: biomechanical in vitro comparison of six different techniques. Spine (Phila Pa 1976). 27, 1724-32.
  • 17. Suchomel, P., Stulik, J., Klezl, Z., Chrobok, J., Lukas, R., Krbec, M., Magerl, F., 2004. [Transarticular fixation of C1-C2: a multicenter retrospective study]. Acta Chir Orthop Traumatol Cech. 71, 6-12.
  • 18. Wright, N.M., Lauryssen, C., 1998. Vertebral artery injury in C1-2 transarticular screw fixation: results of a survey of the AANS/CNS section on disorders of the spine and peripheral nerves. American Association of Neurological Surgeons/Congress of Neurological Surgeons. J Neurosurg. 88, 634-40.
  • 19. Xiao, Z.M., Zhan, X.L., Gong, D.F., Chen, Q.F., Luo, G.B., Jiang, H., 2008. C2 pedicle screw and plate combined with C1 titanium cable fixation for the treatment of atlantoaxial instability not suitable for placement of C1 screw. J Spinal Disord Tech. 21, 514-7.
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Clinical Research
Yazarlar

Şükrü Oral 0000-0003-4328-0690

Yayımlanma Tarihi 3 Nisan 2021
Gönderilme Tarihi 30 Eylül 2020
Kabul Tarihi 29 Ekim 2020
Yayımlandığı Sayı Yıl 2021 Cilt: 38 Sayı: 2

Kaynak Göster

APA Oral, Ş. (2021). The Application of C2 Transpedicular Screw, C1 Laminar Hook Fixation and Bone Graft In The Atlantoaxial Instability. Journal of Experimental and Clinical Medicine, 38(2), 94-98.
AMA Oral Ş. The Application of C2 Transpedicular Screw, C1 Laminar Hook Fixation and Bone Graft In The Atlantoaxial Instability. J. Exp. Clin. Med. Nisan 2021;38(2):94-98.
Chicago Oral, Şükrü. “The Application of C2 Transpedicular Screw, C1 Laminar Hook Fixation and Bone Graft In The Atlantoaxial Instability”. Journal of Experimental and Clinical Medicine 38, sy. 2 (Nisan 2021): 94-98.
EndNote Oral Ş (01 Nisan 2021) The Application of C2 Transpedicular Screw, C1 Laminar Hook Fixation and Bone Graft In The Atlantoaxial Instability. Journal of Experimental and Clinical Medicine 38 2 94–98.
IEEE Ş. Oral, “The Application of C2 Transpedicular Screw, C1 Laminar Hook Fixation and Bone Graft In The Atlantoaxial Instability”, J. Exp. Clin. Med., c. 38, sy. 2, ss. 94–98, 2021.
ISNAD Oral, Şükrü. “The Application of C2 Transpedicular Screw, C1 Laminar Hook Fixation and Bone Graft In The Atlantoaxial Instability”. Journal of Experimental and Clinical Medicine 38/2 (Nisan 2021), 94-98.
JAMA Oral Ş. The Application of C2 Transpedicular Screw, C1 Laminar Hook Fixation and Bone Graft In The Atlantoaxial Instability. J. Exp. Clin. Med. 2021;38:94–98.
MLA Oral, Şükrü. “The Application of C2 Transpedicular Screw, C1 Laminar Hook Fixation and Bone Graft In The Atlantoaxial Instability”. Journal of Experimental and Clinical Medicine, c. 38, sy. 2, 2021, ss. 94-98.
Vancouver Oral Ş. The Application of C2 Transpedicular Screw, C1 Laminar Hook Fixation and Bone Graft In The Atlantoaxial Instability. J. Exp. Clin. Med. 2021;38(2):94-8.