Published in:
01-09-2020 | How I Do it - Spine trauma
Minimally invasive posterior percutaneous transarticular C1–C2 screws: how I do it
Authors:
Julien Dimitriou, Marta Garvayo, Juan Barges Coll
Published in:
Acta Neurochirurgica
|
Issue 9/2020
Login to get access
Abstract
Background
Transarticular C1–C2 screw fixation, first described by Magerl, is a widely accepted used technique for C1–C2 instability with a good biomechanical stability and fusion rate.
Method
We present a 69-year-old woman, who was diagnosed with a C2 Odontoid fracture type III and primarily treated with conservative treatment and collar. During first 2 weeks of follow-up, the patient developed cervical pain associated with C1–C2 instability. A minimally invasive posterior C1–C2 transarticular screw instrumentation with a percutaneus approach was performed.
Results and conclusion
Minimally invasive approach with tubular transmuscular approach for C1–C2 transarticular screws instrumentation is safe and effective for C1–C2 instability.