Anterior transarticular screw fixation for atlantoaxial arthrodesis: A report of two cases
The sequelae of atlantoaxial instability (AAI) range from axial neck pain to life-threatening neurologic injury. Instrumentation and fusion of the C1-2 joint is often indicated in the setting of clinical or biomechanical instability. This is the first clinical report of anterior Smith-Robinson C1-2...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | Journal of Craniovertebral Junction and Spine |
| Subjects: | |
| Online Access: | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2013;volume=4;issue=2;spage=85;epage=89;aulast=Carrier |
| _version_ | 1819031831094231040 |
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| author | C S Carrier A A Sama F P Girardi D R Lebl |
| author_facet | C S Carrier A A Sama F P Girardi D R Lebl |
| author_sort | C S Carrier |
| collection | DOAJ |
| description | The sequelae of atlantoaxial instability (AAI) range from axial neck pain to life-threatening neurologic injury. Instrumentation and fusion of the C1-2 joint is often indicated in the setting of clinical or biomechanical instability. This is the first clinical report of anterior Smith-Robinson C1-2 transarticular screw (TAS) fixation for AAI. The first patient presented with ischemic brain tissue secondary to post-traumatic C1-2 segment instability from a MVC 7 years prior to presentation. The second patient presented with a 3 year history of persistent right-sided neck and upper scalp pain. Both were treated with transarticular C1-2 fusion through decortication of the atlantoaxial facet joints and TAS fixation via the anterior Smith-Robinson approach. At 16 months follow-up, the first patient maintained painless range of motion of the cervical spine and denied sensorimotor deficits. The second patient reported 90% improvement in her pre-operative symptoms of neck pain and paresthesia. Anterior Smith-Robinson C1-2 TAS fixation provides a useful alternative to the posterior Goel and Magerl techniques for C1-2 stabilization and fusion. |
| first_indexed | 2024-12-21T06:52:18Z |
| format | Article |
| id | doaj.art-fef0bde6b45340a39c1c18545a267504 |
| institution | Directory Open Access Journal |
| issn | 0974-8237 |
| language | English |
| last_indexed | 2024-12-21T06:52:18Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Craniovertebral Junction and Spine |
| spelling | doaj.art-fef0bde6b45340a39c1c18545a2675042022-12-21T19:12:27ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372013-01-0142858910.4103/0974-8237.128540Anterior transarticular screw fixation for atlantoaxial arthrodesis: A report of two casesC S CarrierA A SamaF P GirardiD R LeblThe sequelae of atlantoaxial instability (AAI) range from axial neck pain to life-threatening neurologic injury. Instrumentation and fusion of the C1-2 joint is often indicated in the setting of clinical or biomechanical instability. This is the first clinical report of anterior Smith-Robinson C1-2 transarticular screw (TAS) fixation for AAI. The first patient presented with ischemic brain tissue secondary to post-traumatic C1-2 segment instability from a MVC 7 years prior to presentation. The second patient presented with a 3 year history of persistent right-sided neck and upper scalp pain. Both were treated with transarticular C1-2 fusion through decortication of the atlantoaxial facet joints and TAS fixation via the anterior Smith-Robinson approach. At 16 months follow-up, the first patient maintained painless range of motion of the cervical spine and denied sensorimotor deficits. The second patient reported 90% improvement in her pre-operative symptoms of neck pain and paresthesia. Anterior Smith-Robinson C1-2 TAS fixation provides a useful alternative to the posterior Goel and Magerl techniques for C1-2 stabilization and fusion.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2013;volume=4;issue=2;spage=85;epage=89;aulast=CarrierAnterior approachatlantoaxial instabilityC1-C2 fixationtransarticular screw fixation |
| spellingShingle | C S Carrier A A Sama F P Girardi D R Lebl Anterior transarticular screw fixation for atlantoaxial arthrodesis: A report of two cases Journal of Craniovertebral Junction and Spine Anterior approach atlantoaxial instability C1-C2 fixation transarticular screw fixation |
| title | Anterior transarticular screw fixation for atlantoaxial arthrodesis: A report of two cases |
| title_full | Anterior transarticular screw fixation for atlantoaxial arthrodesis: A report of two cases |
| title_fullStr | Anterior transarticular screw fixation for atlantoaxial arthrodesis: A report of two cases |
| title_full_unstemmed | Anterior transarticular screw fixation for atlantoaxial arthrodesis: A report of two cases |
| title_short | Anterior transarticular screw fixation for atlantoaxial arthrodesis: A report of two cases |
| title_sort | anterior transarticular screw fixation for atlantoaxial arthrodesis a report of two cases |
| topic | Anterior approach atlantoaxial instability C1-C2 fixation transarticular screw fixation |
| url | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2013;volume=4;issue=2;spage=85;epage=89;aulast=Carrier |
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