Journals / Turkish Neurosurgery / 2009 / Cilt: 19 - Sayı: 4

Atlantoaksiyel instabilite için C1-C2 pençe uygulaması

Bilateral C1-C2 claw for atlantoaxial instability

Pages
345–348
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CONCLUSIONS: C1-C2 claw is a safe technique and adequate stabilization is achieved with the use of a transverse connector.

📌 3 Key Takeaways

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Objective & Hypothesis:OBJECTIVE: Atlantoaxial stability can be achieved by laminar hook systems via posterior approach.
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Key Findings & Data:We presented our experience with the C1-C2 claw procedure.
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Conclusion & Impact:CONCLUSIONS: C1-C2 claw is a safe technique and adequate stabilization is achieved with the use of a transverse connector.
🔬Design:Research Article
📍Scope:2005 Verileri
⚙️Variables:Domain Parameters

Abstract

OBJECTIVE: Atlantoaxial stability can be achieved by laminar hook systems via posterior approach. This technique is much more safer than using screws. We presented our experience with the C1-C2 claw procedure. METHODS and MATERIAL: Seven patients with atlantoaxial instability were operated by using C1 and C2 hooks, rods and transverse connector at Neurosurgery Clinic of Istanbul University Cerrahpasa Medical Faculty between the years 2005 and 2008. RESULTS: Satisfactory stabilization was achieved in all patients. Operative complication or instrumentation failure was not observed. CONCLUSIONS: C1-C2 claw is a safe technique and adequate stabilization is achieved with the use of a transverse connector.

Özet

AMAÇ: Atlantoaksiyel stabilite posteriordan kanca sistemlerinin kullanımı ile sağlanabilir. Bu teknik vida uygulamalarından çok daha güvenlidir. Biz, kliniğimizin, kancaların rodlar ve transvers bağlayıcılarla birleştirilmesiyle yapılan atlantoaksiyal füzyon deneyimlerini sunduk. YÖNTEM ve GEREÇ: 2005 – 2008 yılları arasında, Istanbul Üniversitesi Cerrahpaşa Tip Fakültesi Nöroşirürji Kliniği’nde yedi hastada C1 ve C2 kancalar, rodlar ve transvers bağlayıcı kullanılarak C1-C2 füzyon sağlanmıştır. BULGULAR: Tüm hastalarda yeterli stabilizaston sağlanmıştır. Cerrahi komplikasyon veya entrümantasyon problemi olmamıştır. SONUÇ: Atlantoaksiyal pence uygulaması güvenli bir tekniktir ve transvers konnektör kullanımı ile yeterli stabilizasyon sağlanmaktadır

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Cite This Article

HANIMOĞLU, H., HANCI, L., KAYNAR, M. Y., HANCI, M. (2009). Atlantoaksiyel instabilite için C1-C2 pençe uygulaması. Turkish Neurosurgery, Cilt: 19 - Sayı: 4, 345–348. https://ajindex.com/articles/405193

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References (1)

  1. Acosta FL Jr, Quinones-Hinojosa A, Gadkary CA, Schmidt MH, Chin CT, Ames CP, Rosenberg WS, Weinstein P: Frameless stereotactic image-guided C1-C2 transarticular screw fixation for atlantoaxial instability: Review of 20 patients. J Spinal Disord Tech 18:385-391, 2005 2. Fountas KN, Kapsalaki EZ,Karampelas I, Dimopoulos VG, Feltes CH, Kassam M A,Boev AN, Johnston K W, Smisson HF, Troup E C, Robinson JS: C1-C2 transarticular screw fixation for atlantoaxial instability. South Med J 97:1042-1048, 2004 3. Goel A: C1-C2 pedicle screw fixation with rigid cantilever beam construct: case report and technical note. Neurosurgery 51: 853–854, 2002 4. Goel A, Achawal S: The surgical treatment of Chiari malformation association with atlantoaxial dislocation. Br J Neurosurg 9: 67–72, 1995 5. Goel A, Laheri V: Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir (Wien) 129:47–53, 1994 6. Goel A, Laheri V, Harms J, Melcher P: Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine 27:1589-1590, 2002 7. Goel A, Muzumdar D, Dindorkar K, Desai K: Atlantoaxial dislocation associated with stenosis of canal at atlas. J Postgrad Med 43: 75–77 1997 8. Goel VK, Winterbottom JM, Schulte KR, Chang H, Gilberson LG, Pudgil AG, Gwon JK: Ligamentous laxity across C0-C1-C2 complex. Axial torque-rotation characteristics until failure. Spine 15:990–996, 1990 9. Grob D, Magerl F: Surgical stabilization of C1 and C2 fractures. Orthopade 16: 46–54, 1987 10. Harms J, Melcher RP: Posterior C1–C2 Fusion with polyaxial screw and rod fixation. Spine 27:1589-1590, 2002 11. Huang CI, Chen IH: Atlantoaxial arthrodesis using Halifax interlaminar clamps reinforced by halo vest immobilization: a long-term follow-up experience. Neurosurgery 38:1153-1156, 1996 12. Kelly BP, Glaser JA, DiAngelo DJ Biomechanical comparison of a novel C1 posterior locking plate with the harms technique in a C1-C2 fixation model. Spine 33:E920-925, 2008 13. Naderi S, Crawford NR, Song GS, Sontag VK, Dickman CA: Biomechanical comparison of C1-C2 posterior fixations. Cable, graft, and screw combinations. Spine 23:1946–1955, 1998 14. Pang D, Li V: Atlantoaxial rotatory fixation: part 1— biomechanics of normal rotation at the atlantoaxial joint in children. Neurosurgery 55: 614-625, 2004 15. Wright NM: Posterior C2 fixation using bilateral, crossing C2 laminar screws: case series and technical note. J Spinal Disord Tech 17:158–162, 2004