Asian Spine Journal

Korean Society of Spine Surgery (대한척추외과학회)
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Atlantoaxial Stabilization Using C1 and C2 Laminar Screw Fixation

  • Tsuji, Takashi (Department of Orthopaedic Surgery, Kitasato University Kitasato Institute Hospital) ;
  • Chiba, Kazuhiro (Department of Orthopaedic Surgery, Kitasato University Kitasato Institute Hospital) ;
  • Horiuchi, Yosuke (Department of Orthopaedic Surgery, Kitasato University Kitasato Institute Hospital) ;
  • Urabe, Tadahisa (Department of Orthopaedic Surgery, Ashikaga Red Cross Hospital) ;
  • Fujita, Shota (Department of Orthopaedic Surgery, Ashikaga Red Cross Hospital) ;
  • Matsumoto, Morio (Department of Orthopaedic Surgery, School of Medicine, Keio University)
  • Received : 2016.08.16
  • Accepted : 2016.10.02
  • Published : 2017.04.30
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Abstract

We describe the use of a C1 laminar screw in combination with a C2 laminar screw as a salvage technique to treat two patients, one with persistent first intersegmental artery and the other with vertebral artery occlusion after cervical spine fracture. The combined use of C1 and C2 laminar screws allows for good fixation of the atlantoaxial joint with a lower risk of vertebral artery injury; therefore, it can be an alternative surgical procedure for patients with congenital or traumatic anomalous vertebral artery.

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Cited by

  1. Computed Tomographic Morphometric Analysis of C1 and C2 for Lamina Cross Screw Placement in Malay Ethnicity vol.15, pp.1, 2017, https://doi.org/10.31616/asj.2019.0242