Minimally Invasive Surgical Technique through a Natural Anatomical Corridor for C1-C2 Screw Fixation
Objective The atlantoaxial complex exhibits unique morphological and biomechanical characteristics. Trauma, tumors, and inflammatory or congenital diseases may compromise the stability of this joint. The purpose of this study was to describe a minimally invasive surgical (MIS) technique for C1-C2 fi...
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| Format: | Article |
| Language: | English |
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Korean Minimally Invasive Spine Surgery Society
2023-04-01
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| Series: | Journal of Minimally Invasive Spine Surgery and Technique |
| Subjects: | |
| Online Access: | http://www.jmisst.org/upload/pdf/jmisst-2023-00661.pdf |
| _version_ | 1797821965740802048 |
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| author | Andres Mendez-Gutierrez Mariana Agudelo-Arrieta Miguel Enrique Berbeo Roberto Diaz-Orduz |
| author_facet | Andres Mendez-Gutierrez Mariana Agudelo-Arrieta Miguel Enrique Berbeo Roberto Diaz-Orduz |
| author_sort | Andres Mendez-Gutierrez |
| collection | DOAJ |
| description | Objective The atlantoaxial complex exhibits unique morphological and biomechanical characteristics. Trauma, tumors, and inflammatory or congenital diseases may compromise the stability of this joint. The purpose of this study was to describe a minimally invasive surgical (MIS) technique for C1-C2 fixation through an anatomical corridor and to analyze the clinical, surgical, and fusion outcomes using this approach over a 15-year period. Methods We present a MIS technique utilizing a natural anatomical corridor for C1-C2 screw fixation, which has been used at our institution since 2007. We analyzed the demographic characteristics and clinical results of the patients who underwent this procedure. Results Forty-seven patients underwent C1-C2 MIS screw fixation during the study period, with 24 male patients and a median age of 66 years. The indication for surgery was atlantoaxial subluxation in 60% of cases and odontoid fracture in 23%. The median surgery duration was 130 minutes, with a median blood loss of 300 mL. There were no intraoperative complications, and only one patient presented with a superficial wound infection, which was successfully treated with antibiotics. Conclusion The minimally invasive approach through a natural anatomical corridor to fuse the atlantoaxial joint using C1 lateral masses and C2 pedicle screws bilaterally has been demonstrated to be safe and effective. Preserving the occipital-cervical tension band provides additional biomechanical stability to the construct. |
| first_indexed | 2024-03-13T10:01:51Z |
| format | Article |
| id | doaj.art-0e2a75d30977484d8bff21ecfd322249 |
| institution | Directory Open Access Journal |
| issn | 2508-2043 |
| language | English |
| last_indexed | 2024-03-13T10:01:51Z |
| publishDate | 2023-04-01 |
| publisher | Korean Minimally Invasive Spine Surgery Society |
| record_format | Article |
| series | Journal of Minimally Invasive Spine Surgery and Technique |
| spelling | doaj.art-0e2a75d30977484d8bff21ecfd3222492023-05-23T05:01:32ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432023-04-0181556310.21182/jmisst.2023.00661162Minimally Invasive Surgical Technique through a Natural Anatomical Corridor for C1-C2 Screw FixationAndres Mendez-Gutierrez0Mariana Agudelo-Arrieta1Miguel Enrique Berbeo2Roberto Diaz-Orduz3 Neurosurgery Department, Hospital Universitario San Ignacio, Bogotá, Colombia Neurosurgery Department, Hospital Universitario San Ignacio, Bogotá, Colombia Neurosurgery Department, Hospital Universitario San Ignacio, Bogotá, Colombia Neurosurgery Department, Hospital Universitario San Ignacio, Bogotá, ColombiaObjective The atlantoaxial complex exhibits unique morphological and biomechanical characteristics. Trauma, tumors, and inflammatory or congenital diseases may compromise the stability of this joint. The purpose of this study was to describe a minimally invasive surgical (MIS) technique for C1-C2 fixation through an anatomical corridor and to analyze the clinical, surgical, and fusion outcomes using this approach over a 15-year period. Methods We present a MIS technique utilizing a natural anatomical corridor for C1-C2 screw fixation, which has been used at our institution since 2007. We analyzed the demographic characteristics and clinical results of the patients who underwent this procedure. Results Forty-seven patients underwent C1-C2 MIS screw fixation during the study period, with 24 male patients and a median age of 66 years. The indication for surgery was atlantoaxial subluxation in 60% of cases and odontoid fracture in 23%. The median surgery duration was 130 minutes, with a median blood loss of 300 mL. There were no intraoperative complications, and only one patient presented with a superficial wound infection, which was successfully treated with antibiotics. Conclusion The minimally invasive approach through a natural anatomical corridor to fuse the atlantoaxial joint using C1 lateral masses and C2 pedicle screws bilaterally has been demonstrated to be safe and effective. Preserving the occipital-cervical tension band provides additional biomechanical stability to the construct.http://www.jmisst.org/upload/pdf/jmisst-2023-00661.pdfcervical spinecervical vertebraefracture fixation |
| spellingShingle | Andres Mendez-Gutierrez Mariana Agudelo-Arrieta Miguel Enrique Berbeo Roberto Diaz-Orduz Minimally Invasive Surgical Technique through a Natural Anatomical Corridor for C1-C2 Screw Fixation Journal of Minimally Invasive Spine Surgery and Technique cervical spine cervical vertebrae fracture fixation |
| title | Minimally Invasive Surgical Technique through a Natural Anatomical Corridor for C1-C2 Screw Fixation |
| title_full | Minimally Invasive Surgical Technique through a Natural Anatomical Corridor for C1-C2 Screw Fixation |
| title_fullStr | Minimally Invasive Surgical Technique through a Natural Anatomical Corridor for C1-C2 Screw Fixation |
| title_full_unstemmed | Minimally Invasive Surgical Technique through a Natural Anatomical Corridor for C1-C2 Screw Fixation |
| title_short | Minimally Invasive Surgical Technique through a Natural Anatomical Corridor for C1-C2 Screw Fixation |
| title_sort | minimally invasive surgical technique through a natural anatomical corridor for c1 c2 screw fixation |
| topic | cervical spine cervical vertebrae fracture fixation |
| url | http://www.jmisst.org/upload/pdf/jmisst-2023-00661.pdf |
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