Advertisement

C1 Translaminar Screw Fixation

  • Haydn Hoffman
  • Heiko Koller
  • Daniel C. Lu
Chapter

Abstract

In the treatment of atlantoaxial instability, C1 translaminar screws are an alternative to lateral mass screws for rigid fixation of the atlantoaxial joint. In addition, a C1 laminar screw can be used as adjunct to common C1 lateral mass screws to increase atlantoaxial construct stability in the treatment of advanced deformities of C0–C2. In this chapter, we describe the indications and technique for translaminar fixation of the atlas.

References

  1. 1.
    Floyd T, Grob D. Translaminar screws in the atlas. Spine. 2000;25:2913–5.CrossRefGoogle Scholar
  2. 2.
    Yew A, Lu D, Lu DC. CT-based morphometric analysis of C1 laminar dimensions: C1 translaminar screw fixation is a feasible technique for salvage of atlantoaxial fusions. Surg Neurol Int. 2015;6:S236–9.CrossRefGoogle Scholar
  3. 3.
    Mandel IM, Kambach BJ, Petersilge CA, Johnstone B, Yoo JU. Morphologic considerations of C2 isthmus dimensions for the placement of transarticular screws. Spine. 2000;25:1542–7.CrossRefGoogle Scholar
  4. 4.
    Pelton MA, Schwartz J, Singh K. Subaxial cervical and cervicothoracic fixation techniques–indications, techniques, and outcomes. Orthop Clin North Am. 2012;43:19–28, viiCrossRefGoogle Scholar
  5. 5.
    Baaj AA, Vrionis FD. Atlantoaxial stabilization utilizing atlas translaminar fixation. J Clin Neurosci. 2010;17:1578–80.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Haydn Hoffman
    • 1
  • Heiko Koller
    • 2
  • Daniel C. Lu
    • 1
  1. 1.Department of NeurosurgeryRonald Reagan UCLA Medical Center, UCLA Medical CenterSanta MonicaUSA
  2. 2.Department of Neurosurgery, Klinikum rechts der IsarTechnische Universität MünchenMunichGermany

Personalised recommendations