SURGICAL TREATMENT FOR UNSTABLE TRAUMATIC SPONDYLOLISTHESIS OF C2 VERTEBRA
Abstract
The treatment techniques of unstable C2 vertebra arch fracture are controversial. Some authors prefer conservative methods, other - posterior stabilization. In our practice we use a stabilization of ventral column by internal fixator, what allows to correct a deformation and to provide a solid fusion at C2-C3 levels. Out from 49 patients with axis arch fracture, in 25 patients the injury was unstable. To stabilize In 10 patients the spine was stabilized by ventral interbody arthrodesis with internal fixator and autograft. Postoperative halo-fixation was required in 4 of these patients. In 9 patient halo-apparatus was used as a monotherapy. Six patients with essential contraindication to surgical intervention were treated conservatively. Three patients with type III injury - C2 arch fracture-dislocation - underwent a closed reduction (by Richet - Hueter technique) followed by interbody arthrodesis with internal fixator and autograft. In one patient the closed reduction of C2-C3 joint dislocation has failed. She underwent a twostage surgical procedure. It was noted that surgical treatment provides better outcome as compared with conservative one.
About the Authors
Viktor Viktorovich Rerikh
Novisibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
Sergey Vladimirovich Zherebtsov
Novisibirsk Research Institute of Traumatology and Orthopaedics
Russian Federation
Russian Federation
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Review
For citations:
Rerikh V.V., Zherebtsov S.V. SURGICAL TREATMENT FOR UNSTABLE TRAUMATIC SPONDYLOLISTHESIS OF C2 VERTEBRA. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2004;(3):20-25. (In Russ.)
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