Long Term Follow up and Clinical Results of Posterior C1/2 Fixation.
- Author:
Do Heum YOON
1
;
Young Soo KIM
Author Information
1. Department of Neurosurgery, College of Medicine, Yonsei University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
C1/2 posterior fusion;
Odontoid process fracture;
Os odontoideum;
Halifax clamp;
Transarticular screw fixation
- MeSH:
Arthrodesis;
Follow-Up Studies*;
Humans;
Pathology;
Reoperation;
Retrospective Studies
- From:Journal of Korean Neurosurgical Society
1999;28(7):926-933
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To determine the efficacy of various posterior fusion techniques in managing C1/2 instability. PATIENTS AND METHODS: Retrospective review of patients undergoing C1/2 posterior fusioin was undertaken with the aim of determining the long-term outcome of the selected procedures. Forty-two patients requiring posterior atlantoaxial fusion for various pathologies were treated with various instruments for internal spinal fixation. Forty-two patients underwent 45 procedures from 1990 to 1997, with a mean follow-up of 2.7 years(range 8 months-7 years) RESULTS: The most common disease processes were odontoid fracture(12 patients), os odontoideum(13), and rheumatoid instability(7). Nineteen interspinous wirings, 17 transarticular screw fixations, 9 halifax clamp applications were performed. Three of Halifax fixation and 2 of wiring failed in long term follow up. Among of them, bony fusion was failed in 3 patients which consequently required reoperation. All transarticular screw procedures resulted in successful fusions. CONCLUSIONS: Transarticular screw fixatioin has several potential advantages compare to other procedures as a technique for C1/2 posterior arthrodesis.
