Reduction and ring fixation of instable C1 fractures with monoaxial pedicle screws.

Abstract:

INTRODUCTION:Ring fixation of C1 can be performed using pedicle screws and a rod in case of unstable Jefferson or lateral mass fractures of C1. MATERIALS AND METHODS:In a case series of three patients, we stabilized C1 fractures surgically using a modified technique of C1 ring fixation by using monoaxial instead of polyaxial screws. Functional outcome and pain was recorded postoperatively. RESULTS:In this very small case series, we observed good results concerning pain and functional outcome. All fractures were bony healed within 13 weeks. In one case, a screw penetrated the spinal canal and had to be repositioned. A mild irritation of C2 nerve root occurred in two cases postoperatively. CONCLUSION:C1 Ring fusion with monoaxial screws provides a good ability to reduce the fracture indirectly by the screws and the rod itself.

authors

Gumpert R,Poglitsch T,Krassnig R,Pranzl R,Puchwein P

doi

10.1007/s00402-017-2737-4

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

1253-1259

issue

9

eissn

0936-8051

issn

1434-3916

pii

10.1007/s00402-017-2737-4

journal_volume

137

pub_type

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