Reduction and ring fixation of instable C1 fractures with monoaxial pedicle screws.
Arch Orthop Trauma Surg
; 137(9): 1253-1259, 2017 Sep.
Article
in En
| MEDLINE
| ID: mdl-28653130
ABSTRACT
INTRODUCTION:
Ring fixation of C1 can be performed using pedicle screws and a rod in case of unstable Jefferson or lateral mass fractures of C1. MATERIALS ANDMETHODS:
In a case series of three patients, we stabilized C1 fractures surgically using a modified technique of C1 ring fixation by using monoaxial instead of polyaxial screws. Functional outcome and pain was recorded postoperatively.RESULTS:
In this very small case series, we observed good results concerning pain and functional outcome. All fractures were bony healed within 13 weeks. In one case, a screw penetrated the spinal canal and had to be repositioned. A mild irritation of C2 nerve root occurred in two cases postoperatively.CONCLUSION:
C1 Ring fusion with monoaxial screws provides a good ability to reduce the fracture indirectly by the screws and the rod itself.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Spinal Fusion
/
Cervical Vertebrae
/
Spinal Fractures
/
Pedicle Screws
Limits:
Humans
Language:
En
Journal:
Arch Orthop Trauma Surg
Year:
2017
Document type:
Article
Affiliation country:
Austria