POSTERIOR SCREW FIXATION OF THE CRANIOCERVICAL JUNCTION
https://doi.org/10.14531/ss2014.2.42-48
Abstract
Objective. To analyze feasibility of posterior instrumented fixation of the craniocervical spine, and to describe technical aspects of screw insertion and instrumentation configuration depending on individual anatomical features and clinical settings.
Material and Methods. The paper presents the experience of surgical treatment of 29 patients who underwent different types of posterior screw fixation in the craniocervical spine from the occipital bone to the C2 vertebra. Technical aspects of screw insertion at different levels, possible complications and ways of their elimination and prevention were described.
Results. The follow-up period of patients varied from 6 months to 3 years. Good functional outcome was observed in all cases. There were no episodes of instability. The expected clinical picture included limited range of rotational motion, which became possible for the account of not fixed segments.
Conclusion. Posterior instrumented fixation using polyaxial screws and rods is a reliable stabilization method for various disorders of the occipitoatlantoaxial junction. Its use requires careful preoperative planning and knowledge of all technical aspects of screw insertion and possible complications.
About the Authors
Aleksandr Vadimovich Gubin
Russian Research Center of Reparative Traumatology and Orthopaedics n.a. acad. G.A. Ilizarov, Kurgan
Russian Federation
Russian Federation
Aleksandr Vladimirovich Burtsev
Russian Research Center of Reparative Traumatology and Orthopaedics n.a. acad. G.A. Ilizarov, Kurgan
Russian Federation
Russian Federation
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Review
For citations:
Gubin A.V., Burtsev A.V. POSTERIOR SCREW FIXATION OF THE CRANIOCERVICAL JUNCTION. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2014;(2):42-48. (In Russ.) https://doi.org/10.14531/ss2014.2.42-48
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