Seminars in Spine Surgery
Volume 19, Issue 4 , Pages 244-249 , December 2007

Current Concepts in Posterior C1-C2 Fixation

  • Ronald A. Lehman Jr., MD

      Affiliations

    • Department of Orthopaedics and Rehabilitation, Walter Reed Army Medical Center, Washington, DC.
    • Corresponding Author InformationAddress reprint requests to Ronald A. Lehman, Jr., MD, Department of Orthopaedics and Rehabilitation, Walter Reed Army Medical Center, 6900 Georgia Ave., Washington, DC 20307.
    • ,
  • Rick C. Sasso, MD

      Affiliations

    • Department of Orthopaedic Surgery, Indiana Spine Group, Indiana University School of Medicine, Indianapolis, IN.

References 

  1. Gallie WE. Fractures and dislocations of the cervical spine. Am J Surg. 1939;46:495–499
  2. Henriques T, Cunningham BW, Olerud C, et al. Biomechanical comparison of five different atlantoaxial posterior fixation techniques. Spine. 2000;25:2877–2883
  3. Dickman CA, Sonnag VK. Posterior C1-2 transarticular screw fixation for atlantoaxial arthrodesis. J Neurosurg. 1998;43:275–280
  4. Grob D, Magerl F. Surgical stabilization of C1 and C2 fractures. Orthopade. 1987;16:46–54
  5. Sasso RC, Jeanneret B, Fischer K, et al. Occipitocervical fusion with posterior plate and screw instrumentation (A long-term follow-up study). Spine. 1994;2364;1268
  6. Reilly TM, Sasso RC, Hall PV. Atlantoaxial stabilization: clinical comparison of posterior cervical wiring technique with transarticular screw fixation. J Spinal Disord. 2003;16:248–253
  7. Melcher RP, Puttlitz CM, Kleinstueck FS, et al. Biomechanical testing of posterior atlantoaxial fixation techniques. Spine. 2002;27:2435–2440
  8. Abou MA, Solanki G, Caset AT, et al. Variation of the groove in the axis vertebra for the vertebral artery: implication for instrumentation. J Bone Joint Surg Br. 1997;79:820–823
  9. Jun BY. Anatomic study for ideal and safe posterior C1-2 transarticular screw fixation. Spine. 1998;23:1703–1707
  10. Madawi AA, Casey AT, Solanki GA, et al. Radiologic and anatomical evaluation of the atlantoaxial transarticular screw fixation technique. J Neurosurg. 1997;86:961–968
  11. Paramore CG, Dickman CA, Sonntag VK. The anatomical suitability of the C1-2 complex for transarticular screw fixation. J Neurosurg. 1996;85:221–224
  12. Parent AD, Harkey HL, Touchstone DA, et al. Lateral cervical spine dislocation and vertebral artery injury. Neurosurgery. 1992;31:501–509
  13. Wright NM, Lauryssen C. Vertebral artery injury in C1-2 transarticular screw fixation: results of a survey of the AANS/CNS section on disorders of the spine and peripheral nerves (American Association of Neurological Surgeons/Congress of Neurological Surgeons). J Neurosurg. 1998;88:634–640
  14. Borne GM, Bedou GL, Pinaudeau M. Treatment of pedicular fractures of the axis (A clinical study and screw fixation technique). J Neurosurg. 1984;60:88–93
  15. Wright NM. Posterior C2 fixation using bilateral, crossing C2 laminar screws. J Spinal Disord Tech. 2004;17(2):158–162
  16. Ebraheim N, Rollins JR, Xu R, et al. Anatomic consideration of C2 pedicle screw placement. Spine. 1996;21:691–694
  17. Gorek J, Acaroglu E, Berven S, et al. Constructs incorporating intralaminar C2 screws provide rigid stability for atlantoaxial fixation. Spine. 2005;30(13):1513–1518

 The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the United States Army or the Department of Defense. One of the authors is employed by the United States government. This work was prepared as part of their official duties and as such there is no copyright to be transferred.

PII: S1040-7383(07)00105-0

doi: 10.1053/j.semss.2007.09.005

Seminars in Spine Surgery
Volume 19, Issue 4 , Pages 244-249 , December 2007

Article Tools

* Image Usage & Resolution