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Minimally Invasive Posterior Trans-muscular C1–C2 Screw Fixation Through an Anatomical Corridor to Preserve Occipitocervical Tension Band: Surgical Anatomy and Clinical Experience

  • Roberto DíazEmail author
  • Miguel E. Berbeo
  • Luis M. Villalobos
  • Manuel F. Vergara
  • Enrique Osorio
Chapter
Part of the Advances and Technical Standards in Neurosurgery book series (NEUROSURGERY, volume 40)

Abstract

The C1–C2 joint is affected by multiple entities that may produce biomechanical instability. Optimal management for atlantoaxial instability has been searched by ways of different surgical techniques with different results, generating discussion between second effects of a particular treatment. Lateral dissections can place the axial neck musculature and ligaments at risk of neural denervations or vascular compromise. Either of these entities may result in significant postoperative atrophy, pain, and instability. Minimally invasive techniques for the treatment of spinal disorders allow to our patients less morbid procedures with equal or better results compared to conventional surgery. In the following paper, we review the anatomy of the atlantoaxial joint and propose a minimally invasive trans-muscular C1–C2 fusion technique using C1 lateral-mass screws and C2 pedicular screws. We describe cases with surgical, clinical, and radiographic follow-up.

Keywords

Atlantoaxial joint C1–C2 instability Minimally invasive Spinal fusion 

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Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Roberto Díaz
    • 1
    Email author
  • Miguel E. Berbeo
    • 1
  • Luis M. Villalobos
    • 2
  • Manuel F. Vergara
    • 2
  • Enrique Osorio
    • 3
  1. 1.Unidad de NeurocirugíaHospital Universitario San Ignacio, Pontificia Universidad JaverianaBogotáColombia
  2. 2.Neurosurgery Resident Unidad de NeurocirugíaHospital Universitario San Ignacio, Pontificia Universidad JaverianaBogotáColombia
  3. 3.Medicine School, Universidad el Bosque, Clínica Reina SofíaBogotáColombia

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