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Clinical Anatomy and Image Measurements of Atlas and Axis in the Chinese Population and the Design of a Novel Hook + Screw Internal Fixation System

  • Jian Wang
  • Fei Chen
Chapter
Part of the Translational Medicine Research book series (TRAMERE)

Abstract

This chapter aims to measure linear and angular parameters of the atlas and axis in the Chinese population and provide a morphological basis for the design of the novel posterior atlantoaxial fixator. Thirty-five sets of normal adult dry atlas and axis vertebral samples and 40 sets of normal adult CT images of the upper cervical spine were measured. The parameters include posterior atlantal arch width, height, length, inside semi-diameter, outside semi-diameter, the transarticular screw path length, and the transarticular screw path angle in the transverse plane and in the sagittal plane.

References

  1. 1.
    Ni B, Chen H, Guo X, et al. Bilateral C1–2 transarticular screws and atlas hooks fixation technique. Zhonghua Wai Ke Za Zhi. 2005;43:1358–9. (Chinese Language)Google Scholar
  2. 2.
    Cao Z, Zhong S, Xu D. Atlantaoaxial anatomic measurement and its clinical signification. Zhong Guo Linchuang Jie Pou Za Zhi. 2000;18(4):299–301. (Chinese Language)Google Scholar
  3. 3.
    Sha Y, Zhang S, Liu Z, et al. Atlantoaxial anatomic measurement of posterior C1–2 transarticular screws. Zhongguo Linchuang Jie Pou Za Zhi. 2002;20(3):172–5. (Chinese Language)Google Scholar
  4. 4.
    Qu D, Jin D, Zhu Z, et al. Chinese anatomic measurement of atlantoaxial transarticular screws. Zhongguo Linchuang Jie Pou Za Zhi. 2000;7(11):1117–9.Google Scholar
  5. 5.
    Magerl F, Seeman PS. Stable posterior fusion of the atlas and axis by transarticular screw fixatior. In: Kehr P, Weidner A, editors. Cervical spine. 4th ed. New York: Springer Verlag; 1985. p. 322–7.Google Scholar
  6. 6.
    Chen ZH, Lun-Hong YU, Huang JF, et al. Anatomic study of radiologic parameters about new location mark in the posterior atlanto-axial transarticular screw fixation. Chin J Clin Anat. 2005;23(5):463–6. (Chinese Language)Google Scholar
  7. 7.
    Chen Z, Cai X, Huang J, et al. Applied anatomic and clinical studies on posterior atlantoaxial facet screw fixation. Chin J Exp Surg. 2005;22:159–60. (Chinese Language)Google Scholar
  8. 8.
    Zhu H, Jia L, Sun Q, et al. Measurement of atlas and its clinical significance. Chin J Anat. 1997;20(6):517–20. (Chinese Language)Google Scholar
  9. 9.
    Li QH, Liu YB, Sheng DH, et al. Applied anatomical study of atlas. J Gannan Med Univ. 2003;23(4):363–7. (Chinese Language)Google Scholar
  10. 10.
    Kaplan EB. Surgical approaches to the neck. Cervical spine and upper extremity. London: Saunders; 1966. p. 246.Google Scholar
  11. 11.
    Paramore CG, Dickman CA, Sonntag VKH. The anatomical suitabilityof the C1-2 complex for transarticular screw fixatior. J Neurosurg. 1996;85:221–4.CrossRefPubMedGoogle Scholar
  12. 12.
    Madawi AA, Casey TH, Solanki GA, et al. Radiologieal and anatomical evaluation of the atlantoaxial transarticttlar screw fixation technique. J Neurosurg. 1997;86:961–8.CrossRefPubMedGoogle Scholar
  13. 13.
    Mareotte P, Dickman CA, So nntag VKH, et al. Posterior at1antoaxial facet screw fixation. Neurosurg. 1993;79:234–7.CrossRefGoogle Scholar
  14. 14.
    Ebraheim NA, Misson JR, Xu R, et al. The optimal transarticular C1-2 Screw length and the location of the hypoglossal nerve. Surg Neurol. 2000;53(3):208–10.CrossRefPubMedGoogle Scholar
  15. 15.
    Solanki GA, Crockard HA. Peroperative determination of safe superior transarticular screw trajectory through the lateral mass. Spine. 1999;24:1477–82.CrossRefPubMedGoogle Scholar
  16. 16.
    Gebhard JS, Schimmer RC, Jeannerel B. Safty and accuracy of transarticular screw fixation C1–C2 using an aiming device: an anatomic study. Spine. 1998;23:2185–9.CrossRefPubMedGoogle Scholar
  17. 17.
    Wright NW, Lauryssen C. Vertebral artery injury in C1-2 transarticular screw fixation: results of survey of the AANS/CNS section on disorders of the spine and peripheral nerves. J Neurosurg. 1998;88(4):634–40.CrossRefPubMedGoogle Scholar
  18. 18.
    Madawi A, Solanki G, Casey AT, et al. Variation of the groove in the axis vertebra for the vertebral artery: implications for instrumentation. J Bone Joint Surg Br. 1997;79:820–3.CrossRefPubMedGoogle Scholar
  19. 19.
    Kong QY, Jia-Shun LI, Jia LS. Anatomic measurements of the transarticular screw fixation of the atlantoaxial. Orthop J China. 2002;11(10):1328–30.Google Scholar
  20. 20.
    Igarashi T, Kikuchi S, Sato K, et al. Anatomic study of the axis for surgical planning of transarticular screw fixation. Clin Orthop Relat Res. 2003;408:162–6.CrossRefGoogle Scholar
  21. 21.
    Fuji T, Oda T, Kato Y, et al. Accuracy of atlantoaxial transarticular screw fixation. Spine. 2000;25(14):1760–4.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. and Shanghai Jiao Tong University Press 2018

Authors and Affiliations

  • Jian Wang
    • 1
  • Fei Chen
    • 2
  1. 1.Department of Orthopaedics, Pudong New Area People’s HospitalShanghaiChina
  2. 2.Department of OrthopedicsChangzheng HospitalShanghaiChina

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