Stable Posterior Fusion of the Atlas and Axis by Transarticular Screw Fixation
Various methods have been described for the surgical treatment of acute or chronic atlanto-axial instability. Anterior techniques (Cloward , Fang and Ong , Estridge ) have well known disadvantages connected with the approach. Both the lateral (Barbour , du Toit , Simmons  and the combined techniques Boehler ) require two approaches. Posterior techniques (Gallie , Brooks ), while having the easier approach rely on the integrity of the posterior atlas arch and their stability is not at the best in treatment of dens pseudarthrosis (Boehler ).
KeywordsScrew Fixation Facet Joint Spinous Process Posterior Arch Posterior Fusion
Unable to display preview. Download preview PDF.
- 1.Barbour JR (1971) Screw fixation and fractures of the odontoid process. S Australian Clin 5: 20Google Scholar
- 2.Boehler J (1979) Nonunion of the Dens axis. In: Chapchal G (ed) Pseudarthroses and their treatment. Thieme, Stuttgart, p 196Google Scholar
- 3.Brooks AL, Jenkins EW (1978) Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg 60-A: 279Google Scholar
- 4.Cloward RB (1970) Air instrument surgery. Hall Publishing, Inc. Springer, Heidelberg Berlin New YorkGoogle Scholar
- 5.Du Toit G (1976) Lateral atlanto-axial arthrodesis, a screw fixation technique. S Afric J Surg 14: 9Google Scholar
- 7.Fang HSY, Ong GB (1962) Direct anterior approach to the upper cervial spine. J Bone Joint Surg 44-A: 1588Google Scholar
- 10.Magerl F (1982) Spondylodesen an der oberen Halswirbelsäule. Acta Chir Austriaca [Suppl] 43: 69Google Scholar