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Atlantoaxial Personalized Fixations Including Transarticular Screws + Atlas Hooks

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Atlantoaxial Fixation Techniques

Part of the book series: Translational Medicine Research ((TRAMERE))

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Abstract

Different fusion techniques are used to treat atlantoaxial instability, including posterior wiring, interlaminar clamps, C1–C2 TAS, the Harms technique, and crossing C2 ILS technique. However, variants of the VA is relatively common; therefore, there is an urgent need for personalized fixation combinations. Unilateral TAS and contralateral C2PS combined with bilateral C1 LMS and C2ILS and TAS combined with bilateral C1LH have been used as alternatives to traditional techniques. The biomechanics of these two fixation combinations have been confirmed. In addition, a combination of bilateral C1LH and C2ILS is considered a good choice in terms of biomechanics and VA safety.

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Abbreviations

C1LH:

C1 laminar hook

C1LMS:

C1 lateral mass screw

C2ILS:

C2 intralaminar screw

C2PS:

C2 pedicle screw

CVJ:

Craniovertebral junction

CT:

Computed tomography

ROM:

Range of motion

TAS:

Transarticular screw

VA:

Vertebral artery

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Authors and Affiliations

  1. Department of Orthopedics, Changzheng Hospital, Shanghai, China

    Peng Zhang

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  1. Peng Zhang
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Editors and Affiliations

  1. Department of Orthopedics, Changzheng Hospital, Shanghai, China

    Bin Ni

  2. Department of Orthopedics, Changzheng Hospital, Shanghai, China

    Xiang Guo

  3. Department of Orthopedics, Changzheng Hospital, Shanghai, China

    Qunfeng Guo

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Zhang, P. (2018). Atlantoaxial Personalized Fixations Including Transarticular Screws + Atlas Hooks. In: Ni, B., Guo, X., Guo, Q. (eds) Atlantoaxial Fixation Techniques. Translational Medicine Research. Springer, Singapore. https://doi.org/10.1007/978-981-10-7889-7_10

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