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European Spine Journal

Published in:

01-02-2013 | Chinese section

C1–2 transarticular screws combined with C1 laminar hooks fixation: a modified posterior atlantoaxial fixation technique and outcome in 72 patients

Authors: Bin Ni, Xiang Guo, Ning Xie, Songkai Li, Fengjing Zhou, Feng Zhang, Qi Liu

Published in: European Spine Journal | Issue 2/2013

Abstract

Purpose

To retrospectively evaluate the outcome of C1–2 transarticular screws combined with C1 laminar hooks fixation.

Methods

All patients underwent atlantoaxial fixation during a 5-year period. The surgical technique and treatment procedures were intensively reviewed and clinical symptoms, neurological function and imaging appearance were retrospectively evaluated.

Results

The clinical and radiology follow-up indicated a stable arthrodesis and clinical relief from symptoms for all patients. All patients with neurological defects improved an average of 1.33 grade at their most recent clinical assessment, P < 0.05; their average admission ASIA motor score, pin prick score and light touch score improved to an average follow-up ASIA score of 99.80 (99.83 ± 0.38), 111.83 (111.83 ± 0.45), and 111.89 (111.89 ± 0.32), respectively. No neurovascular impairment and case of implant failure were observed.

Conclusions

The C1–2 transarticular screws combined with C1 laminar hooks fixation is a reliable technique for atlantoaxial instability.

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Title: C1–2 transarticular screws combined with C1 laminar hooks fixation: a modified posterior atlantoaxial fixation technique and outcome in 72 patients
Authors: Bin Ni
Xiang Guo
Ning Xie
Songkai Li
Fengjing Zhou
Feng Zhang
Qi Liu
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue 2/2013
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-012-2397-6

At a glance: The ONWARDS insulin icodec trials

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C1–2 transarticular screws combined with C1 laminar hooks fixation: a modified posterior atlantoaxial fixation technique and outcome in 72 patients

Abstract

Purpose

Methods

Results

Conclusions

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Abstract

Purpose

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