Advertisement

Stable Posterior Fusion of the Atlas and Axis by Transarticular Screw Fixation

  • F. Magerl
  • P.-S. Seemann

Abstract

Various methods have been described for the surgical treatment of acute or chronic atlanto-axial instability. Anterior techniques (Cloward [4], Fang and Ong [7], Estridge [6]) have well known disadvantages connected with the approach. Both the lateral (Barbour [1], du Toit [5], Simmons [11] and the combined techniques Boehler [2]) require two approaches. Posterior techniques (Gallie [9], Brooks [3]), 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 [2]).

Keywords

Screw Fixation Facet Joint Spinous Process Posterior Arch Posterior Fusion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Barbour JR (1971) Screw fixation and fractures of the odontoid process. S Australian Clin 5: 20Google Scholar
  2. 2.
    Boehler J (1979) Nonunion of the Dens axis. In: Chapchal G (ed) Pseudarthroses and their treatment. Thieme, Stuttgart, p 196Google Scholar
  3. 3.
    Brooks AL, Jenkins EW (1978) Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg 60-A: 279Google Scholar
  4. 4.
    Cloward RB (1970) Air instrument surgery. Hall Publishing, Inc. Springer, Heidelberg Berlin New YorkGoogle Scholar
  5. 5.
    Du Toit G (1976) Lateral atlanto-axial arthrodesis, a screw fixation technique. S Afric J Surg 14: 9Google Scholar
  6. 6.
    Estridge MN, Smith RA (1967) Transoral fusion of odontoid fracture: case report. J Neurosurg 27: 462PubMedCrossRefGoogle Scholar
  7. 7.
    Fang HSY, Ong GB (1962) Direct anterior approach to the upper cervial spine. J Bone Joint Surg 44-A: 1588Google Scholar
  8. 8.
    Frankel HL, Hancock DO, Hyslop G, Melzack J, Michaelis LS, Ungar GH, Vernon JDS, Walsh JJ (1969) The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia, part I. Paraplegia 7: 179PubMedCrossRefGoogle Scholar
  9. 9.
    Gallie WE (1939) Fractures and dislocations of the cervical spine. Am J Surg 46: 495CrossRefGoogle Scholar
  10. 10.
    Magerl F (1982) Spondylodesen an der oberen Halswirbelsäule. Acta Chir Austriaca [Suppl] 43: 69Google Scholar
  11. 11.
    Simmons EH, du Toit G (1978) Lateral atlanto-axial arthrodesis. Orthop Clin North Am 9: 1101PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • F. Magerl
    • 1
  • P.-S. Seemann
    • 1
  1. 1.St. GallenSwitzerland

Personalised recommendations