Journals / Journal of Neurological Sciences (Turkish) / 2014 / Cilt: 31 - Sayı: 1

Travmatik Atlantoaksiyel Instabilitede C1-C2 Posterior Segmental Fiksasyon

C1-C2 Posterior Segmental Fixation For Traumatic Atlantoaxial Instability

Pages
99–106
Publication Date
2022-10-19
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

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

But, further prospective clinicalstudies will be needed to determine the effectiveness of this technique.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Cervical spinal trauma is one of the most frequent causes of disability.
📊
Key Findings & Data:C1-C2 posterior fixation and posterolateral fusion was performed in 7 cases.The fusion and C1-C2 stability were achieved in all cases after 6 months.
💡
Conclusion & Impact:But, further prospective clinicalstudies will be needed to determine the effectiveness of this technique.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Cervical spinal trauma is one of the most frequent causes of disability. Upper cervical spinaltrauma, caused by more than one mechanism, is a complex injury which may show variousneurological statements. Atlantoaxial fractures are seen frequently after motor vehicleaccidents and falls from height. Various treatment modalities defined in the upper cervicalspine trauma and surgical treatment technique, so there is still unclear. Seven patients, sixmale and one female, were surgically treated for symptomatic atlantoaxial instability. Themajor cause of instability was; motor vehicle accident in six patients and falling from heightin one patient. C1-C2 posterior fixation and posterolateral fusion was performed in 7 cases.The fusion and C1-C2 stability were achieved in all cases after 6 months. C1-C2 posteriorfixation and fusion technique is a reliable and safe method to treat atlantoaxial instabilitywhen followed the given instruction by spinal surgeons. But, further prospective clinicalstudies will be needed to determine the effectiveness of this technique.

Özet

Servikal travmalar sakat kalmanın en sık nedenlerinden biridir. Birden fazla mekanizmaylaoluşan üst servikal travma değişik nörolojik bozukluklar gösterebilen kompleks biryaralanmadır. Atlantoaksiyal kırıklar sıklıkla trafik kazlarından ve yüksekten düşmelerdensonra görülür. Üst servikal travmalarda değişik tedavi modaliteleri ve cerrahi tedavi teknikleritanımlanmıştır fakat hala tedavi yöntemi karışıktır. Altı erkek bir bayan toplam 7 hastasemptomatik atlantoaksiyal instabilite nedeniyle cerrahi olarak tedavi edildi. Altı hastadaatlantoaksiyal instabilite nedeni trafik kazası, bir hastada ise yüksekten düşmeydi. 7 hastadaC1-C2 posterior fiksasyon ve posterolateral füzyon yapıldı. 6 ay sonra tüm hastalarda C1-C2stabilizasyon ve füzyon sağlandı. C1-C2 posterior fiksasyon ve füzyon tekniği, spinalcerrahların verdiği açıklamalara uyulduğu sürece atlantoaksiyal instabiliteleri tedavi etmekiçin emniyetli ve güvenli bir metottur. Bu tedavinin etkinliğini belirlemek için daha fazlaprospektif klinik çalışmalara ihtiyaç vardır.

🔖

Cite This Article

ESER, O., TÜRKOĞLU, M. E., KARAVELIOĞLU, E. (2022). Travmatik Atlantoaksiyel Instabilitede C1-C2 Posterior Segmental Fiksasyon. Journal of Neurological Sciences (Turkish), Cilt: 31 - Sayı: 1, 99–106. https://ajindex.com/articles/565009

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Brooks AL, Jenkins EB. Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg Am 1978;60(3):279–84 2. Calısaneller T, Yılmaz C, Özdemir Ö, Caner H. Posterior atlantal lateral mass f ixation technique with polyaxial screw and rod f ixation system. Turkish Neurosurgery 2008;18(2): 142- 148 3. Coric D, Branch CL Jr, Wilson JA, Robinson JC. Arteriovenous f istula as a complication of C1–2 transarticular screw f ixation: Case report and review of the literature. J Neurosurg 1996;85:340–3. 4. Coyne TJ, Fehlings MG, Wallace MC, Bernstein M, Tator CH. C1–C2 posterior cervical f usion: Long-term evaluation of results and eff icacy. Neurosurgery 1995;37:688–92; discussion 692 5. Dickman CA, Hadley MN, Browner C, Sonntag VK. Neurosurgical management of acute atlas- axis combination f ractures. A review of 25 cases. J Neurosurgery 1989;70:45-49. 6. Dickman CA, Crawf ord NR, Paramore CG. Biomechanical characteristics of C1-2 cable f ixations. J Neurosurg 1996;85:316–22. 7. Farey ID, Nadkarni S, Smith N. Modif ied Gallie technique versus transarticular screw f ixation in C1–C2 f usion. Clin Orthop 1999:359;126–35. 8. Glaser JA, Whitehill R, Stamp WG, Jane JA. Complications associated with the halo-vest. A review of 245 cases. J Neurosurg 1986;65:762–9. 9. Goel A, Laheri V. Plate and screw f ixation f or atlantoaxial subluxation. Acta Neurochir (Wien) 1994;129:47–53. 10. Goel A, Desai K, Mazumdar D. Atlantoaxial f ixation using plate and screw method: a report of 160 treated patients. Neurosurgery 2002;51:1351–6. 11. Haid Jr RW, Subach BR, McLaughlin MR, Rodts GE Jr, Wahliq Jb Jr. C1–C2 transarticular screw f ixation f or atlantoaxial instability: a 6-year experience. Neurosurgery 2001;4:65–8. 12. Haj ek PD, Lipka J, Hartline P, Saha S, Albright JA. Biomechanical study of C1–C2 posterior arthrodesis techniques. Spine (Phila Pa 1976) 1993;18:173–7. 13. Harms J, Melcher PR. Posterior C1-C2 f usion with polyaxial screw and rod f ixation. Spine 2001;26(22);2467-71. 14. Hott JS, Lynch JJ, Chamberlain RH, Sonntag VK, Crawf ord NR. Biomechanical comparison of C1–2 posterior f ixation techniques. J Neurosurg Spine 2005; 2:175–81. 15. Jacobson ME, Khan NS, An HS. C1-C2 Posterior Fixation: Indications, Technique, and Results. Orthop Clin N Am 2012; 43: 11–18. 16. Jeon SW, Jeong JH, Choi GH, Moon SM, Hwang HS, Choi SK. Clinical outcome of posterior f ixation of the C1 lateral mass and C2 pedicle by polyaxial screw and rod. Clin Neurol Neurosurg. 2012 Jul;11