Universität zu Köln

Harati, Ali and Oni, Paul (2020). Application of transarticular C1/2 screws connected with C1 lateral mass screws in a rod-screw system. Unfallchirurg, 123 (5). S. 408 - 412. NEW YORK: SPRINGER. ISSN 1433-044X

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Abstract

Fractures of the second cervical vertebra with involvement of the odontoid process can mostly be treated conservatively by immobilization. In the case of high-grade unstable fractures and pseudarthrosis dorsal C1/2 spondylodesis should be considered. Based on established atlantoaxial osteosynthesis techniques for dorsal C1/2 spondylodesis, a polyaxial screw-rod system with C1/2 transarticular screws connected with C1 lateral mass screws was carried out in a 56-year-old male patient with dislocated odontoid fracture. No intraoperative or postoperative complications occurred. During a follow-up of 36 months there was no screw loosening or dislocation. The presented alternative technique of dorsal C1/2 spondylodesis is a safe and effective method for stabilizing the atlantoaxial movement segment in cases of posttraumatic instability.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Harati, Ali UNSPECIFIED UNSPECIFIED UNSPECIFIED Oni, Paul UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-341562
DOI:	10.1007/s00113-020-00776-9
Journal or Publication Title:	Unfallchirurg
Volume:	123
Number:	5
Page Range:	S. 408 - 412
Date:	2020
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-044X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ODONTOID FRACTURES; FIXATION; FUSION Multiple languages Emergency Medicine; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34156