Abstract:
OBJECTIVE:We sought to describe a modified technique for the reduction and stabilization of unstable Jefferson fractures. CLINICAL PRESENTATION:We present the case of an isolated unstable Jefferson fracture in a 33-year-old woman. The patient was the victim of a motor vehicle accident. Her neurological examination was normal. A cervical computed tomographic scan revealed an isolated Jefferson fracture that we thought to be unstable when we applied the Spence criteria. TECHNIQUE:The fracture was treated by a technical variant of C1-C2 posterior fixation with compression on the rods by means of a crosslink connector, allowing the reduction of the atlantoaxial lateral mass overhanging. C1-C2 fusion with posterior iliac crest bone graft was added. CONCLUSION:The 1-year radiological follow-up evaluation showed a complete consolidation of the fracture lines and atlantoaxial stability. This technique could be an option for the reduction and stabilization of the unstable Jefferson fractures.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Tessitore E,Momjian A,Payer Mdoi
10.1227/01.neu.0000335022.91240.c9subject
Has Abstractpub_date
2008-07-01 00:00:00pages
ONSE100-1; discussion ONSE101issue
1 Suppl 1eissn
0148-396Xissn
1524-4040pii
00006123-200807001-00019journal_volume
63pub_type
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