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Published in: Acta Neurochirurgica 9/2020

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

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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.
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Literature
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go back to reference Yamazaki M, Okawa A, Furuya T, Sakuma T, Takahashi H, Kato K, Fujiyoshi T, Mannoji C, Takahashi K, Koda M (2012) Anomalous vertebral arteries in the extra- and intraosseous regions of the craniovertebral junction visualized by 3-dimensional computed tomographic angiography: analysis of 100 consecutive surgical cases and review of the literature. Spine (Phila Pa 1976) 37:E1389–E1397. https://doi.org/10.1097/BRS.0b013e31826a0c9f CrossRef Yamazaki M, Okawa A, Furuya T, Sakuma T, Takahashi H, Kato K, Fujiyoshi T, Mannoji C, Takahashi K, Koda M (2012) Anomalous vertebral arteries in the extra- and intraosseous regions of the craniovertebral junction visualized by 3-dimensional computed tomographic angiography: analysis of 100 consecutive surgical cases and review of the literature. Spine (Phila Pa 1976) 37:E1389–E1397. https://​doi.​org/​10.​1097/​BRS.​0b013e31826a0c9f​ CrossRef
Metadata
Title
Minimally invasive posterior percutaneous transarticular C1–C2 screws: how I do it
Authors
Julien Dimitriou
Marta Garvayo
Juan Barges Coll
Publication date
01-09-2020
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 9/2020
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-020-04478-4

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