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Specific Reconstruction Techniques of Upper Cervical Spine and Craniovertebral Junction

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Reconstruction of Upper Cervical Spine and Craniovertebral Junction

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Abstract

A thorough knowledge of anatomy is necessary when instrumenting the upper cervical spine (UCS). Because of the frequency of anomalies of the bone and neurovascular structures in this region, multiple diagnostic studies are usually required for a comprehensive evaluation and surgical planning. The use of non-reconstructed CT is insufficient. In the majority of cases, using 3D CT reconstructions and MRI is essential. Generally, for a safe 3.5 mm screw purchase, the diameter of available bone surrounding the screw should exceed 5 mm if visual and/or fluoroscopic control is used. The specific techniques currently used in upper cervical spine reconstruction will be discussed together with their advantages and disadvantages.

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References

  1. Abumi, K., Takada, T., Shono, Y., et al.: Posterior occipitocervical reconstruction using cervical pedicle screws and plate-rod systems. Spine (Phila Pa 1976) 24, 1425–1434 (1999)

    CAS  Google Scholar 

  2. Aebi, M., Etter, C., Coscia, M.: Fractures of the odontoid process. Treatment with anterior screw fixation. Spine (Phila Pa 1976) 14, 1065–1070 (1989)

    CAS  Google Scholar 

  3. Ai, F., Yin, Q., Wang, Z., et al.: Applied anatomy of transoral atlantoaxial reduction plate internal fixation. Spine (Phila Pa 1976) 31, 128–132 (2006)

    Google Scholar 

  4. Aldrich, E.F., Weber, P.B., Crow, W.N.: Halifax interlaminar clamp for posterior cervical fusion: a long-term follow-up review. J Neurosurg 78, 702–708 (1993)

    Article  CAS  PubMed  Google Scholar 

  5. Alosh, H., Parker, S.L., McGirt, M.J., et al.: Preoperative radiographic factors and surgeon experience are associated with cortical breach of C2 pedicle screws. J Spinal Disord Tech 23, 9–14 (2010)

    Article  PubMed  Google Scholar 

  6. Ames, C.P., Crawford, N.R., Chamberlain, R.H., et al.: Biomechanical evaluation of a bioresorbable odontoid screw. J Neurosurg Spine 2, 182–187 (2005)

    Article  PubMed  Google Scholar 

  7. Anderson, P.A., Oza, A.L., Puschak, T.J., et al.: Biomechanics of occipitocervical fixation. Spine (Phila Pa 1976) 31, 755–761 (2006)

    Google Scholar 

  8. Aota, Y., Honda, A., Uesugi, M., et al.: Vertebral artery injury in C-1 lateral mass screw fixation. Case illustration. J Neurosurg Spine 5, 554 (2006)

    Article  PubMed  Google Scholar 

  9. Apfelbaum, R.I., Lonser, R.R., Veres, R., et al.: Direct anterior screw fixation for recent and remote odontoid fractures. J Neurosurg 93, 227–236 (2000)

    CAS  PubMed  Google Scholar 

  10. Apostolides, P.J., Dickman, C.A., Golfinos, J.G., et al.: Threaded steinmann pin fusion of the craniovertebral junction. Spine (Phila Pa 1976) 21, 1630–1637 (1996)

    CAS  Google Scholar 

  11. Apostolides, P.J., Theodore, N., Karahalios, D.G., et al.: Triple anterior screw fixation of an acute combination atlas-axis fracture. Case report. J Neurosurg 87, 96–99 (1997)

    Article  CAS  PubMed  Google Scholar 

  12. Arlet, V., Datta, J.C.: Upper cervical spine. In: Aebi, M., Arlet, V., Webb, J.K. (eds.) AO spine manual: principles and techniques, vol I, pp. 265–288. Thieme Verlag, Stuttgart, New York (2007)

    Google Scholar 

  13. Arnautovic, K.I., al-Mefty, O., Pait, T.G., et al.: The suboccipital cavernous sinus. J Neurosurg 86, 252–262 (1997)

    Article  CAS  PubMed  Google Scholar 

  14. Aryan, H.E., Newman, C.B., Nottmeier, E.W., et al.: Stabilization of the atlantoaxial complex via C-1 lateral mass and C-2 pedicle screw fixation in a multicenter clinical experience in 102 patients: modification of the Harms and Goel techniques. J Neurosurg Spine 8, 222–229 (2008)

    Article  PubMed  Google Scholar 

  15. Bagley, C.A., Witham, T.F., Pindrik, J.A., et al.: Assuring optimal physiologic craniocervical alignment and avoidance of swallowing-related complications after occipitocervical fusion by preoperative halo vest placement. J Spinal Disord Tech 22, 170–176 (2009)

    Article  PubMed  Google Scholar 

  16. Bambakidis, N.C., Feiz-Erfan, I., Horn, E.M., et al.: Biomechanical comparison of occipitoatlantal screw fixation techniques. J Neurosurg Spine 8, 143–152 (2008)

    Article  PubMed  Google Scholar 

  17. Barbour, J.R.: Screw fixation in fracture of the odontoid process. S Aust Clin 5, 20–24 (1971)

    Google Scholar 

  18. Blagg, S.E., Don, A.S., Robertson, P.A.: Anatomic determination of optimal entry point and direction for C1 lateral mass screw placement. J Spinal Disord Tech 22, 233–239 (2009)

    Article  PubMed  Google Scholar 

  19. Bloch, O., Holly, L.T., Park, J., et al.: Effect of frameless stereotaxy on the accuracy of C1-2 transarticular screw placement. J Neurosurg 95, 74–79 (2001)

    CAS  PubMed  Google Scholar 

  20. Bohler, J.: Anterior stabilization for acute fractures and non-unions of the dens. J Bone Joint Surg Am 64, 18–27 (1982)

    CAS  PubMed  Google Scholar 

  21. Bohm, H., Kayser, R., El Saghir, H., et al.: Direct osteosynthesis of instable Gehweiler Type III atlas fractures. Presentation of a dorsoventral osteosynthesis of instable atlas fractures while maintaining function. Unfallchirurg 109, 754–760 (2006)

    Article  CAS  PubMed  Google Scholar 

  22. Borne, G.M., Bedou, G.L., Pinaudeau, M.: Treatment of pedicular fractures of the axis. A clinical study and screw fixation technique. J Neurosurg 60, 88–93 (1984)

    Article  CAS  PubMed  Google Scholar 

  23. Brockmeyer, D.L., York, J.E., Apfelbaum, R.I.: Anatomical suitability of C1-2 transarticular screw placement in pediatric patients. J Neurosurg 92, 7–11 (2000)

    Article  CAS  PubMed  Google Scholar 

  24. Brooks, A.L., Jenkins, E.B.: Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg Am 60, 279–284 (1978)

    CAS  PubMed  Google Scholar 

  25. Bryan, W.J., Inglis, A.E., Sculco, T.P., et al.: Methylmethacrylate stabilization for enhancement of posterior cervical arthrodesis in rheumatoid arthritis. J Bone Joint Surg Am 64, 1045–1050 (1982)

    CAS  PubMed  Google Scholar 

  26. Cacciola, F., Phalke, U., Goel, A.: Vertebral artery in relationship to C1-C2 vertebrae: an anatomical study. Neurol India 52, 178–184 (2004)

    PubMed  Google Scholar 

  27. Cassinelli, E.H., Lee, M., Skalak, A., et al.: Anatomic considerations for the placement of C2 laminar screws. Spine (Phila Pa 1976) 31, 2767–2771 (2006)

    Google Scholar 

  28. Castillo, C., Vinas, F.C., Gutikhonda, M., et al.: Microsurgical anatomy of the suboccipital segment of the vertebral artery. Neurol Res 20, 201–208 (1998)

    CAS  PubMed  Google Scholar 

  29. Chamoun, R.B., Whitehead, W.E., Curry, D.J., et al.: Computed tomography morphometric analysis for C-1 lateral mass screw placement in children. Clinical article. J Neurosurg Pediatr 3, 20–23 (2009)

    Article  PubMed  Google Scholar 

  30. Chen, J.F., Wu, C.T., Lee, S.C., et al.: Posterior atlantoaxial transpedicular screw and plate fixation. Technical note. J Neurosurg Spine 2, 386–392 (2005)

    Article  PubMed  Google Scholar 

  31. Christensen, D.M., Eastlack, R.K., Lynch, J.J., et al.: C1 anatomy and dimensions relative to lateral mass screw placement. Spine (Phila Pa 1976) 32, 844–848 (2007)

    Google Scholar 

  32. Claybrooks, R., Kayanja, M., Milks, R., et al.: Atlantoaxial fusion: a biomechanical analysis of two C1-C2 fusion techniques. Spine J 7, 682–688 (2007)

    Article  PubMed  Google Scholar 

  33. Cone, W., Turner, W.G.: The treatment of fracture-dislocations of the cervical vertebrae by skeletal traction and fusion. J Bone Joint Surg Am 19, 584–602 (1937)

    Google Scholar 

  34. Cooper, D.F.: Bone erosion of the cervical vertebrae secondary to tortuosity of the vertebral artery: case report. J Neurosurg 53, 106–108 (1980)

    Article  CAS  PubMed  Google Scholar 

  35. Cornefjord, M., Henriques, T., Alemany, M., et al.: Posterior atlanto-axial fusion with the Olerud Cervical Fixation System for odontoid fractures and C1-C2 instability in rheumatoid arthritis. Eur Spine J 12, 91–96 (2003)

    CAS  PubMed  Google Scholar 

  36. Coyne, T.J., Fehlings, M.G., Wallace, M.C., et al.: C1-C2 posterior cervical fusion: long-term evaluation of results and efficacy. Neurosurgery 37, 688–692 (1995). discussion 692-683

    Article  CAS  PubMed  Google Scholar 

  37. Currier, B.L., Maus, T.P., Eck, J.C., et al.: Relationship of the internal carotid artery to the anterior aspect of the C1 vertebra: implications for C1-C2 transarticular and C1 lateral mass fixation. Spine (Phila Pa 1976) 33, 635–639 (2008)

    Google Scholar 

  38. Currier, B.L., Todd, L.T., Maus, T.P., et al.: Anatomic relationship of the internal carotid artery to the C1 vertebra: a case report of cervical reconstruction for chordoma and pilot study to assess the risk of screw fixation of the atlas. Spine (Phila Pa 1976) 28, E461–E467 (2003)

    Google Scholar 

  39. Cybulski, G.R., Stone, J.L., Crowell, R.M., et al.: Use of Halifax interlaminar clamps for posterior C1-C2 arthrodesis. Neurosurgery 22, 429–431 (1988)

    Article  CAS  PubMed  Google Scholar 

  40. Cyr, S.J., Currier, B.L., Eck, J.C., et al.: Fixation strength of unicortical versus bicortical C1-C2 transarticular screws. Spine J 8, 661–665 (2008)

    Article  PubMed  Google Scholar 

  41. De Iure, F., Donthineni, R., Boriani, S.: Outcomes of C1 and C2 posterior screw fixation for upper cervical spine fusion. Eur Spine J 18(Suppl 1), 2–6 (2009)

    Article  PubMed  Google Scholar 

  42. Dickman, C.A., Mariano, F.F.: Principles and techniques of screw fixation in the cervical spine. In: Menezes, A.H., Sonntag, V.K.H. (eds.) Principles of spinal surgery, pp. 123–139. McGraw-Hill, New York (1996)

    Google Scholar 

  43. Dickman, C.A., Papadopoulos, S.M., Crawford, N.R., et al.: Comparative mechanical properties of spinal cable and wire fixation systems. Spine (Phila Pa 1976) 22, 596–604 (1997)

    CAS  Google Scholar 

  44. Dickman, C.A., Sonntag, V.K.: Posterior C1-C2 transarticular screw fixation for atlantoaxial arthrodesis. Neurosurgery 43, 275–280 (1998). discussion 280–271

    Article  CAS  PubMed  Google Scholar 

  45. Dickman, C.A., Sonntag, V.K.H., Marcotte, P.J.: Techniques of screw fixation of the cervical spine. BNI Q 8, 9–26 (1992)

    Google Scholar 

  46. Dickman, C.A., Sonntag, V.K., Papadopoulos, S.M., et al.: The interspinous method of posterior atlantoaxial arthrodesis. J Neurosurg 74, 190–198 (1991)

    Article  CAS  PubMed  Google Scholar 

  47. Dmitriev, A.E., Lehman Jr., R.A., Helgeson, M.D., et al.: Acute and long-term stability of atlantoaxial fixation methods: a biomechanical comparison of pars, pedicle, and intralaminar fixation in an intact and odontoid fracture model. Spine (Phila Pa 1976) 34, 365–370 (2009)

    Google Scholar 

  48. Donnellan, M.B., Sergides, I.G., Sears, W.R.: Atlantoaxial stabilization using multiaxial C-1 posterior arch screws. J Neurosurg Spine 9, 522–527 (2008)

    Article  PubMed  Google Scholar 

  49. Du Toit, G.: Lateral atlanto-axial arthrodesis. A screw fixation technique. S Afr J Surg 14, 9–12 (1976)

    PubMed  Google Scholar 

  50. Duff, T.A., Khan, A., Corbett, J.E.: Surgical stabilization of cervical spinal fractures using methyl methacrylate. Technical considerations and long-term results in 52 patients. J Neurosurg 76, 440–443 (1992)

    Article  CAS  PubMed  Google Scholar 

  51. Dull, S.T., Toselli, R.M.: Preoperative oblique axial computed tomographic imaging for C1-C2 transarticular screw fixation: technical note. Neurosurgery 37, 150–151 (1995). discussion 151–152

    Article  CAS  PubMed  Google Scholar 

  52. Dvorak, M.F., Fisher, C., Boyd, M., et al.: Anterior occiput-to-axis screw fixation: part I: a case report, description of a new technique, and anatomical feasibility analysis. Spine (Phila Pa 1976) 28, E54–E60 (2003)

    Google Scholar 

  53. Dvorak, M.F., Sekeramayi, F., Zhu, Q., et al.: Anterior occiput to axis screw fixation: part II: a biomechanical comparison with posterior fixation techniques. Spine (Phila Pa 1976) 28, 239–245 (2003)

    Google Scholar 

  54. Ebraheim, N.A., Fow, J., Xu, R., et al.: The location of the pedicle and pars interarticularis in the axis. Spine (Phila Pa 1976) 26, E34–E37 (2001)

    CAS  Google Scholar 

  55. Ebraheim, N.A., Lu, J., Biyani, A., et al.: An anatomic study of the thickness of the occipital bone. Implications for occipitocervical instrumentation. Spine (Phila Pa 1976) 21, 1725–1729 (1996). discussion 1729-1730

    CAS  Google Scholar 

  56. Ebraheim, N.A., Misson, J.R., Xu, R., et al.: The optimal transarticular C1-2 screw length and the location of the hypoglossal nerve. Surg Neurol 53, 208–210 (2000)

    Article  CAS  PubMed  Google Scholar 

  57. Ebraheim, N.A., Xu, R., Ahmad, M., et al.: The quantitative anatomy of the vertebral artery groove of the atlas and its relation to the posterior atlantoaxial approach. Spine (Phila Pa 1976) 23, 320–323 (1998)

    CAS  Google Scholar 

  58. Eck, J.C., Walker, M.P., Currier, B.L., et al.: Biomechanical comparison of unicortical versus bicortical C1 lateral mass screw fixation. J Spinal Disord Tech 20, 505–508 (2007)

    Article  PubMed  Google Scholar 

  59. Fehlings, M.G., Errico, T., Cooper, P., et al.: Occipitocervical fusion with a five-millimeter malleable rod and segmental fixation. Neurosurgery 32, 198–207 (1993). discussion 207–198

    Article  CAS  PubMed  Google Scholar 

  60. Feiz-Erfan, I., Gonzalez, L.F., Dickman, C.A.: Atlantooccipital transarticular screw fixation for the treatment of traumatic occipitoatlantal dislocation. Technical note. J Neurosurg Spine 2, 381–385 (2005)

    Article  PubMed  Google Scholar 

  61. Finn, M.A., Apfelbaum, R.I.: Atlantoaxial transarticular screw fixation: update on technique and outcomes in 269 patients. Neurosurgery 66, A184–A192 (2010)

    Article  Google Scholar 

  62. Finn, M.A., Bishop, F.S., Dailey, A.T.: Surgical treatment of occipitocervical instability. Neurosurgery 63, 961–968 (2008). discussion 968–969

    Article  PubMed  Google Scholar 

  63. Floyd, T., Grob, D.: Translaminar screws in the atlas. Spine (Phila Pa 1976) 25, 2913–2915 (2000)

    CAS  Google Scholar 

  64. Foerster, O.: Leitungsbahnen des Schmerzgefuhls und die chirurgische Behandlung der Schmerzzustande. Urban & Schwarzenberg, Berlin (1927)

    Google Scholar 

  65. Foley, K.T., Silveri, C.P., Vaccaro, A.R., et al.: Atlantoaxial transarticular screw fixation: Risk assessment and bone morphology using an image guidance system. J Bone Joint Surg Br 80(Suppl), 245 (1998)

    Google Scholar 

  66. Fried, L.C.: Atlanto-axial fracture-dislocations. Failure of posterior C.1 to C.2 fusion. J Bone Joint Surg Br 55, 490–496 (1973)

    CAS  PubMed  Google Scholar 

  67. Gallie, W.E.: Fractures and dislocations of the cervical spine. Am J Surg 46, 495–499 (1939)

    Article  Google Scholar 

  68. Geisler, F.H., Cheng, C., Poka, A., et al.: Anterior screw fixation of posteriorly displaced type II odontoid fractures. Neurosurgery 25, 30–37 (1989). discussion 37–38

    Article  CAS  PubMed  Google Scholar 

  69. Gluf, W.M., Schmidt, M.H., Apfelbaum, R.I.: Atlantoaxial transarticular screw fixation: a review of surgical indications, fusion rate, complications, and lessons learned in 191 adult patients. J Neurosurg Spine 2, 155–163 (2005)

    Article  PubMed  Google Scholar 

  70. Goel, A., Desai, K.I., Muzumdar, D.P.: Atlantoaxial fixation using plate and screw method: a report of 160 treated patients. Neurosurgery 51, 1351–1356 (2002). discussion 1356–1357

    Article  PubMed  Google Scholar 

  71. Goel, A., Kulkarni, A.G., Sharma, P.: Reduction of fixed atlantoaxial dislocation in 24 cases: technical note. J Neurosurg Spine 2, 505–509 (2005)

    Article  PubMed  Google Scholar 

  72. Goel, A., Laheri, V.: Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir (Wien) 129, 47–53 (1994)

    Article  CAS  Google Scholar 

  73. Goel, A., Shah, A., Rajan, S.: Vertical mobile and reducible atlantoaxial dislocation. Clinical article. J Neurosurg Spine 11, 9–14 (2009)

    Article  PubMed  Google Scholar 

  74. Goffin, J., Van Brussel, K., Martens, K., et al.: Three-dimensional computed tomography-based, personalized drill guide for posterior cervical stabilization at C1-C2. Spine (Phila Pa 1976) 26, 1343–1347 (2001)

    CAS  Google Scholar 

  75. Gonzalez, L.F., Crawford, N.R., Chamberlain, R.H., et al.: Craniovertebral junction fixation with transarticular screws: biomechanical analysis of a novel technique. J Neurosurg 98, 202–209 (2003)

    PubMed  Google Scholar 

  76. Gonzalez, L.F., Klopfenstein, J.D., Crawford, N.R., et al.: Use of dual transarticular screws to fixate simultaneous occipitoatlantal and atlantoaxial dislocations. J Neurosurg Spine 3, 318–323 (2005)

    Article  PubMed  Google Scholar 

  77. Gorek, J., Acaroglu, E., Berven, S., et al.: Constructs incorporating intralaminar C2 screws provide rigid stability for atlantoaxial fixation. Spine (Phila Pa 1976) 30, 1513–1518 (2005)

    Google Scholar 

  78. Grantham, S.A., Dick, H.M., Thompson Jr., R.C., et al.: Occipitocervical arthrodesis. Indications, technic and results. Clin Orthop Relat Res 65, 118–129 (1969)

    Article  CAS  PubMed  Google Scholar 

  79. Graziano, G., Jaggers, C., Lee, M., et al.: A comparative study of fixation techniques for type II fractures of the odontoid process. Spine (Phila Pa 1976) 18, 2383–2387 (1993)

    CAS  Google Scholar 

  80. Griswold, D.M., Albright, J.A., Schiffman, E., et al.: Atlanto-axial fusion for instability. J Bone Joint Surg Am 60, 285–292 (1978)

    CAS  PubMed  Google Scholar 

  81. Grob, D.: Transarticular screw fixation for atlanto-occipital dislocation. Spine (Phila Pa 1976) 26, 703–707 (2001)

    CAS  Google Scholar 

  82. Grob, D., 3rd Crisco, J.J., Panjabi, M.M., et al.: Biomechanical evaluation of four different posterior atlantoaxial fixation techniques. Spine (Phila Pa 1976) 17, 480–490 (1992)

    CAS  Google Scholar 

  83. Grob, D., Bremerich, F.H., Dvorak, J., et al.: Transarticular screw fixation for osteoarthritis of the atlanto axial segment. Eur Spine J 15, 283–291 (2006)

    Article  PubMed  Google Scholar 

  84. Grob, D., Dvorak, J., Panjabi, M., et al.: Posterior occipitocervical fusion. A preliminary report of a new technique. Spine (Phila Pa 1976) 16, S17–S24 (1991)

    CAS  Google Scholar 

  85. Grob, D., Dvorak, J., Panjabi, M.M., et al.: The role of plate and screw fixation in occipitocervical fusion in rheumatoid arthritis. Spine (Phila Pa 1976) 19, 2545–2551 (1994)

    CAS  Google Scholar 

  86. Grob, D., Jeanneret, B., Aebi, M., et al.: Atlanto-axial fusion with transarticular screw fixation. J Bone Joint Surg Br 73, 972–976 (1991)

    CAS  PubMed  Google Scholar 

  87. Grob, D., Magerl, F.: Operative stabilisierung bei frakturen von C1 und C2. Orthopäde 16, 46–54 (1987)

    CAS  PubMed  Google Scholar 

  88. Gunnarsson, T., Massicotte, E.M., Govender, P.V., et al.: The use of C1 lateral mass screws in complex cervical spine surgery: indications, techniques, and outcome in a prospective consecutive series of 25 cases. J Spinal Disord Tech 20, 308–316 (2007)

    Article  PubMed  Google Scholar 

  89. Gupta, S., Goel, A.: Quantitative anatomy of the lateral masses of the atlas and axis vertebrae. Neurol India 48, 120–125 (2000)

    CAS  PubMed  Google Scholar 

  90. Haher, T.R., Yeung, A.W., Caruso, S.A., et al.: Occipital screw pullout strength. A biomechanical investigation of occipital morphology. Spine (Phila Pa 1976) 24, 5–9 (1999)

    CAS  Google Scholar 

  91. Haid Jr., R.W., Subach, B.R., McLaughlin, M.R., et al.: C1-C2 transarticular screw fixation for atlantoaxial instability: a 6-year experience. Neurosurgery 49, 65–68 (2001). discussion 69–70

    Article  PubMed  Google Scholar 

  92. Hamblen, D.L.: Occipito-cervical fusion. Indications, technique and results. J Bone Joint Surg Br 49, 33–45 (1967)

    CAS  PubMed  Google Scholar 

  93. Hanson, P.B., Montesano, P.X., Sharkey, N.A., et al.: Anatomic and biomechanical assessment of transarticular screw fixation for atlantoaxial instability. Spine (Phila Pa 1976) 16, 1141–1145 (1991)

    CAS  Google Scholar 

  94. Harms, J., Melcher, R.P.: Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine (Phila Pa 1976) 26, 2467–2471 (2001)

    CAS  Google Scholar 

  95. Harms, J., Schmelze, R., Stolze, D.: Osteosynthesen im occipito-cervikalen Übergang vom transoralen Zugang aus, XVII SICOT World Congress Abstracts. Demeter Verlag, Munich (1987)

    Google Scholar 

  96. Hashizume, H., Kawakami, M., Kawai, M., et al.: A clinical case of endoscopically assisted anterior screw fixation for the type II odontoid fracture. Spine (Phila Pa 1976) 28, E102–E105 (2003)

    Google Scholar 

  97. Hedequist, D., Proctor, M.: Screw fixation to C2 in children: a case series and technical report. J Pediatr Orthop 29, 21–25 (2009)

    PubMed  Google Scholar 

  98. Heuer, G.G., Hardesty, D.A., Bhowmick, D.A., et al.: Treatment of pediatric atlantoaxial instability with traditional and modified Goel-Harms fusion constructs. Eur Spine J 18, 884–892 (2009)

    Article  PubMed  Google Scholar 

  99. Holly, L.T., Foley, K.T.: Intraoperative spinal navigation. Spine (Phila Pa 1976) 28, S54–S61 (2003)

    Google Scholar 

  100. Holly, L.T., Foley, K.T.: Percutaneous placement of posterior cervical screws using three-dimensional fluoroscopy. Spine (Phila Pa 1976) 31, 536–540 (2006). discussion 541

    Google Scholar 

  101. Holness, R.O., Huestis, W.S., Howes, W.J., et al.: Posterior stabilization with an interlaminar clamp in cervical injuries: technical note and review of the long term experience with the method. Neurosurgery 14, 318–322 (1984)

    Article  CAS  PubMed  Google Scholar 

  102. Hong, X., Dong, Y., Yunbing, C., et al.: Posterior screw placement on the lateral mass of atlas: an anatomic study. Spine (Phila Pa 1976) 29, 500–503 (2004)

    Google Scholar 

  103. Hong, J.T., Lee, S.W., Son, B.C., et al.: Hypoglossal nerve palsy after posterior screw placement on the C-1 lateral mass. Case report. J Neurosurg Spine 5, 83–85 (2006)

    Article  PubMed  Google Scholar 

  104. Hong, J.T., Lee, S.W., Son, B.C., et al.: Analysis of anatomical variations of bone and vascular structures around the posterior atlantal arch using three-dimensional computed tomography angiography. J Neurosurg Spine 8, 230–236 (2008)

    Article  PubMed  Google Scholar 

  105. Hong, J.T., Yi, J.S., Kim, J.T., et al.: Clinical and radiologic outcome of laminar screw at C2 and C7 for posterior instrumentation-review of 25 cases and comparison of C2 and C7 intralaminar screw fixation. Surg Neurol 6, 6 (2009)

    Google Scholar 

  106. Hott, J.S., Lynch, J.J., Chamberlain, R.H., et al.: Biomechanical comparison of C1-2 posterior fixation techniques. J Neurosurg Spine 2, 175–181 (2005)

    Article  PubMed  Google Scholar 

  107. Howington, J.U., Kruse, J.J., Awasthi, D.: Surgical anatomy of the C-2 pedicle. J Neurosurg 95, 88–92 (2001)

    CAS  PubMed  Google Scholar 

  108. Hu, Y., Ma, W., Xu, R.: Transoral osteosynthesis C1 as a function-preserving option in the treatment of bipartite atlas deformity: a case report. Spine (Phila Pa 1976) 34, E418–E421 (2009)

    Google Scholar 

  109. Huang, C.I., Chen, I.H.: Atlantoaxial arthrodesis using Halifax interlaminar clamps reinforced by halo vest immobilization: a long-term follow-up experience. Neurosurgery 38, 1153–1156 (1996). discussion 1156-1157

    Article  CAS  PubMed  Google Scholar 

  110. Huhn, S.L., Wolf, A.L., Ecklund, J.: Posterior spinal osteosynthesis for cervical fracture/dislocation using a flexible multistrand cable system: technical note. Neurosurgery 29, 943–946 (1991)

    Article  CAS  PubMed  Google Scholar 

  111. Hurlbert, R.J., Crawford, N.R., Choi, W.G., et al.: A biomechanical evaluation of occipitocervical instrumentation: screw compared with wire fixation. J Neurosurg 90, 84–90 (1999)

    CAS  PubMed  Google Scholar 

  112. Igarashi, T., Kikuchi, S., Sato, K., et al.: Anatomic study of the axis for surgical planning of transarticular screw fixation. Clin Orthop Relat Res 408, 162–166 (2003)

    Article  PubMed  Google Scholar 

  113. Itoh, T., Tsuji, H., Katoh, Y., et al.: Occipito-cervical fusion reinforced by Luque’s segmental spinal instrumentation for rheumatoid diseases. Spine (Phila Pa 1976) 13, 1234–1238 (1988)

    CAS  Google Scholar 

  114. Jea, A., Sheth, R.N., Vanni, S., et al.: Modification of Wright’s technique for placement of bilateral crossing C2 translaminar screws: technical note. Spine J 8, 656–660 (2008)

    Article  PubMed  Google Scholar 

  115. Jeanneret, B.: Posterior rod system of the cervical spine: a new implant allowing optimal screw insertion. Eur Spine J 5, 350–356 (1996)

    Article  CAS  PubMed  Google Scholar 

  116. Jeanneret, B., Magerl, F.: Primary posterior fusion C1/2 in odontoid fractures: indications, technique, and results of transarticular screw fixation. J Spinal Disord 5, 464–475 (1992)

    Article  CAS  PubMed  Google Scholar 

  117. Jenkins, J.D., Coric, D., Branch Jr., C.L.: A clinical comparison of one- and two-screw odontoid fixation. J Neurosurg 89, 366–370 (1998)

    Article  CAS  PubMed  Google Scholar 

  118. Jeszenszky, D., Fekete, T.F., Melcher, R., et al.: C2 prosthesis: anterior upper cervical fixation device to reconstruct the second cervical vertebra. Eur Spine J 16, 1695–1700 (2007)

    Article  PubMed  Google Scholar 

  119. Jones, E.L., Heller, J.G., Silcox, D.H., et al.: Cervical pedicle screws versus lateral mass screws. Anatomic feasibility and biomechanical comparison. Spine (Phila Pa 1976) 22, 977–982 (1997)

    CAS  Google Scholar 

  120. Jun, B.Y.: Anatomic study for ideal and safe posterior C1-C2 transarticular screw fixation. Spine (Phila Pa 1976) 23, 1703–1707 (1998)

    CAS  Google Scholar 

  121. Kandziora, F., Kerschbaumer, F., Starker, M., et al.: Biomechanical assessment of transoral plate fixation for atlantoaxial instability. Spine (Phila Pa 1976) 25, 1555–1561 (2000)

    CAS  Google Scholar 

  122. Kandziora, F., Pflugmacher, R., Ludwig, K., et al.: Biomechanical comparison of four anterior atlantoaxial plate systems. J Neurosurg 96, 313–320 (2002)

    PubMed  Google Scholar 

  123. Kandziora, F., Schulze-Stahl, N., Khodadadyan-Klostermann, C., et al.: Screw placement in transoral atlantoaxial plate systems: an anatomical study. J Neurosurg 95, 80–87 (2001)

    CAS  PubMed  Google Scholar 

  124. Kelly Jr., D.L., Alexander Jr., E., Davis Jr., C.H., et al.: Acrylic fixation of atlanto-axial dislocations. Technical note. J Neurosurg 36, 366–371 (1972)

    Article  PubMed  Google Scholar 

  125. Kerschbaumer, F., Kandziora, F., Klein, C., et al.: Transoral decompression, anterior plate fixation, and posterior wire fusion for irreducible atlantoaxial kyphosis in rheumatoid arthritis. Spine (Phila Pa 1976) 25, 2708–2715 (2000)

    CAS  Google Scholar 

  126. Klekamp, J.W., Ugbo, J.L., Heller, J.G., et al.: Cervical transfacet versus lateral mass screws: a biomechanical comparison. J Spinal Disord 13, 515–518 (2000)

    Article  CAS  PubMed  Google Scholar 

  127. Knoller, S., Jeszenszky, D., Willms, R., et al.: Transaxial spongiosa-plasty and ventral, temporary atlanto-axial fixation for therapy of dens pseudarthrosis. Z Orthop Ihre Grenzgeb 137, 232–235 (1999)

    Article  CAS  PubMed  Google Scholar 

  128. Knopf, W., Vater, H., Meier, U., et al.: Axial osteosynthesis of dens axis fracture as a routine procedure in neurotraumatology. Diagnosis–Surgical-technique–Complications–Follow-up. Zentralbl Neurochir 51, 85–90 (1990)

    CAS  PubMed  Google Scholar 

  129. Knöringer, P.: Internal fixation of dens fractures by double-threaded screws. Orthop Traumatol 4, 231–245 (1992)

    Article  Google Scholar 

  130. Kocis, J., Wendsche, P., Visna, P., et al.: Traumatic spondylolisthesis of the axis. Acta Chir Orthop Traumatol Cech 70, 214–218 (2003)

    CAS  PubMed  Google Scholar 

  131. Koller, H., Kammermeier, V., Ulbricht, D., et al.: Anterior retropharyngeal fixation C1-2 for stabilization of atlantoaxial instabilities: study of feasibility, technical description and preliminary results. Eur Spine J 15, 1326–1338 (2006)

    Article  PubMed  Google Scholar 

  132. Kuroki, H., Rengachary, S.S., Goel, V.K., et al.: Biomechanical comparison of two stabilization techniques of the atlantoaxial joints: transarticular screw fixation versus screw and rod fixation. Neurosurgery 56, 151–159 (2005). discussion 151-159

    Article  PubMed  Google Scholar 

  133. La Marca, F., Zubay, G., Morrison, T., et al.: Cadaveric study for placement of occipital condyle screws: technique and effects on surrounding anatomic structures. J Neurosurg Spine 9, 347–353 (2008)

    PubMed  Google Scholar 

  134. Lang, J.: The cranio-cervical junction – Anatomy. In: Voth, D., Glees, P. (eds.) Diseases in the cranio-cervical junction. Anatomical and pathological aspects and detailed clinical accounts, pp. 27–61. Gruyter, Berlin, New York (1987)

    Google Scholar 

  135. Lapsiwala, S.B., Anderson, P.A., Oza, A., et al.: Biomechanical comparison of four C1 to C2 rigid fixative techniques: anterior transarticular, posterior transarticular, C1 to C2 pedicle, and C1 to C2 intralaminar screws. Neurosurgery 58, 516–521 (2006). discussion 516–521

    PubMed  Google Scholar 

  136. Latal, J., Lohnert, J.: Treatment of fractures of the upper cervical spine (C1 and C2). Bratisl Lek Listy 94, 483–488 (1993)

    CAS  PubMed  Google Scholar 

  137. Leconte, P.: Fracture et luxation des deux premieres vertebres cervicales. In: Judet, R. (ed.) Luxation Congenitale de la Hanche. Fractures du Cou-de-pied Rachis Cervical. Actualites de Chirurgie Orthopedique de l’Hospital Raymond-Poincare, vol. 3, pp. 147–166. Masson et Cie, Paris (1964)

    Google Scholar 

  138. Lee, M.J., Cassinelli, E., Riew, K.D.: The feasibility of inserting atlas lateral mass screws via the posterior arch. Spine (Phila Pa 1976) 31, 2798–2801 (2006)

    Google Scholar 

  139. Lee, J.H., Jahng, T.A., Chung, C.K.: C1-2 transarticular screw fixation in high-riding vertebral artery: suggestion of new trajectory. J Spinal Disord Tech 20, 499–504 (2007)

    Article  PubMed  Google Scholar 

  140. Lehman Jr., R.A., Sasso, R.C., Helgeson, M.D., et al.: Accuracy of intraoperative plain radiographs to detect violations of intralaminar screws placed into the C2 vertebrae: a reliability study. Spine (Phila Pa 1976) 32, 3036–3040 (2007)

    Google Scholar 

  141. Lesoin, F., Autricque, A., Franz, K., et al.: Transcervical approach and screw fixation for upper cervical spine pathology. Surg Neurol 27, 459–465 (1987)

    Article  CAS  PubMed  Google Scholar 

  142. Levine, A.M., Dacre, A.: Traumatic spondylolisthesis of the axis: hangman’s fracture. In: Clark, C.R., Benzel, E.C., Currier, B.L., et al. (eds.) The cervical spine, pp. 629–650. Lippincott, Philadelphia (2004)

    Google Scholar 

  143. Lieberman, I.H., Webb, J.K.: Occipito-cervical fusion using posterior titanium plates. Eur Spine J 7, 308–312 (1998)

    Article  CAS  PubMed  Google Scholar 

  144. Lohnert, J., Latal, J.: Fracture of the axis–surgical treatment. II. Axial isthmus. Acta Chir Orthop Traumatol Cech 60, 47–50 (1993)

    CAS  PubMed  Google Scholar 

  145. Lowry, D.W., Pollack, I.F., Clyde, B., et al.: Upper cervical spine fusion in the pediatric population. J Neurosurg 87, 671–676 (1997)

    Article  CAS  PubMed  Google Scholar 

  146. Lu, J., Ebraheim, N.A., Yang, H., et al.: Anatomic considerations of anterior transarticular screw fixation for atlantoaxial instability. Spine (Phila Pa 1976) 23, 1229–1235 (1998). discussion 1236

    CAS  Google Scholar 

  147. Lu, S., Xu, Y.Q., Zhang, Y.Z., et al.: A novel computer-assisted drill guide template for placement of C2 laminar screws. Eur Spine J 18, 1379–1385 (2009)

    Article  PubMed  Google Scholar 

  148. Ma, X.Y., Yin, Q.S., Wu, Z.H., et al.: C1 pedicle screws versus C1 lateral mass screws: comparisons of pullout strengths and biomechanical stabilities. Spine (Phila Pa 1976) 34, 371–377 (2009)

    Google Scholar 

  149. MacKenzie, A.I., Uttley, D., Marsh, H.T., et al.: Craniocervical stabilization using Luque/Hartshill rectangles. Neurosurgery 26, 32–36 (1990)

    Article  CAS  PubMed  Google Scholar 

  150. Madawi, A.A., Casey, A.T., Solanki, G.A., et al.: Radiological and anatomical evaluation of the atlantoaxial transarticular screw fixation technique. J Neurosurg 86, 961–968 (1997)

    Article  CAS  PubMed  Google Scholar 

  151. Madawi, A.A., Solanki, G., Casey, A.T., et al.: Variation of the groove in the axis vertebra for the vertebral artery. Implications for instrumentation. J Bone Joint Surg Br 79, 820–823 (1997)

    Article  PubMed  Google Scholar 

  152. Magerl, F., Seemann, P.S.: Stable posterior fusion of the atlas and axis by transarticular screw fixation. In: Kehr, P., Weidner, A. (eds.) Cervical spine, pp. 322–327. Springer, Wien (1987)

    Google Scholar 

  153. Mandel, I.M., Kambach, B.J., Petersilge, C.A., et al.: Morphologic considerations of C2 isthmus dimensions for the placement of transarticular screws. Spine (Phila Pa 1976) 25, 1542–1547 (2000)

    CAS  Google Scholar 

  154. Marcotte, P., Dickman, C.A., Sonntag, V.K., et al.: Posterior atlantoaxial facet screw fixation. J Neurosurg 79, 234–237 (1993)

    Article  CAS  PubMed  Google Scholar 

  155. Matsunaga, S., Onishi, T., Sakou, T.: Significance of occipitoaxial angle in subaxial lesion after occipitocervical fusion. Spine (Phila Pa 1976) 26, 161–165 (2001)

    CAS  Google Scholar 

  156. Maughan, P.H., Horn, E.M., Theodore, N., et al.: Avulsion fracture of the foramen magnum treated with occiput-to-c1 fusion: technical case report. Neurosurgery 57, E600 (2005). discussion E600

    Article  PubMed  Google Scholar 

  157. McAfee, P.C., Bohlman, H.H., Ducker, T., et al.: Failure of stabilization of the spine with methylmethacrylate. A retrospective analysis of twenty-four cases. J Bone Joint Surg Am 68, 1145–1157 (1986)

    CAS  PubMed  Google Scholar 

  158. McGraw, R.W., Rusch, R.M.: Atlanto-axial arthrodesis. J Bone Joint Surg Br 55, 482–489 (1973)

    CAS  PubMed  Google Scholar 

  159. Melcher, R.P., Puttlitz, C.M., Kleinstueck, F.S., et al.: Biomechanical testing of posterior atlantoaxial fixation techniques. Spine (Phila Pa 1976) 27, 2435–2440 (2002)

    Google Scholar 

  160. Menezes, A.H., VanGilder, J.C.: Transoral-transpharyngeal approach to the anterior craniocervical junction. Ten-year experience with 72 patients. J Neurosurg 69, 895–903 (1988)

    Article  CAS  PubMed  Google Scholar 

  161. Mixter, S.J., Osgood, R.B.: IV. Traumatic lesions of the atlas and axis. Ann Surg 51, 193–207 (1910)

    Article  CAS  PubMed  Google Scholar 

  162. Moftakhar, P., Gonzalez, N.R., Khoo, L.T., et al.: Osseous and vascular anatomical variations within the C1-C2 complex: a radiographical study using computed tomography angiography. Int J Med Robot 4, 158–164 (2008)

    PubMed  Google Scholar 

  163. Moskovich, R., Crockard, H.A.: Atlantoaxial arthrodesis using interlaminar clamps. An improved technique. Spine (Phila Pa 1976) 17, 261–267 (1992)

    CAS  Google Scholar 

  164. Naderi, S., Crawford, N.R., Song, G.S., et al.: Biomechanical comparison of C1-C2 posterior fixations. Cable, graft, and screw combinations. Spine (Phila Pa 1976) 23, 1946–1955 (1998). discussion 1955–1946

    CAS  Google Scholar 

  165. Naderi, S., Korman, E., Citak, G., et al.: Morphometric analysis of human occipital condyle. Clin Neurol Neurosurg 107, 191–199 (2005)

    Article  PubMed  Google Scholar 

  166. Nakanishi, K., Sasaki, T., Tokita, N., et al.: Internal fixation for the odontoid fracture. Orthop Trans 6, 176 (1982)

    Google Scholar 

  167. Nassos, J.T., Ghanayem, A.J., Sasso, R.C., et al.: Biomechanical evaluation of segmental occipitoatlantoaxial stabilization techniques. Spine (Phila Pa 1976) 34, 2740–2744 (2009)

    Google Scholar 

  168. Neo, M., Matsushita, M., Iwashita, Y., et al.: Atlantoaxial transarticular screw fixation for a high-riding vertebral artery. Spine (Phila Pa 1976) 28, 666–670 (2003)

    Google Scholar 

  169. Newman, P., Sweetnam, R.: Occipito-cervical fusion. An operative technique and its indications. J Bone Joint Surg Br 51, 423–431 (1969)

    CAS  PubMed  Google Scholar 

  170. Nockels, R.P., Shaffrey, C.I., Kanter, A.S., et al.: Occipitocervical fusion with rigid internal fixation: long-term follow-up data in 69 patients. J Neurosurg Spine 7, 117–123 (2007)

    Article  PubMed  Google Scholar 

  171. Nordt, J.C., Stauffer, E.S.: Sequelae of atlantoaxial stabilization in two patients with Down’s syndrome. Spine (Phila Pa 1976) 6, 437–440 (1981)

    CAS  Google Scholar 

  172. Nottmeier, E.W., Foy, A.B.: Placement of C2 laminar screws using three-dimensional fluoroscopy-based image guidance. Eur Spine J 17, 610–615 (2008)

    Article  PubMed  Google Scholar 

  173. Oda, I., Abumi, K., Sell, L.C., et al.: Biomechanical evaluation of five different occipito-atlanto-axial fixation techniques. Spine (Phila Pa 1976) 24, 2377–2382 (1999)

    CAS  Google Scholar 

  174. Olerud, S., Olerud, C.: The C1 claw device: a new instrument for C1-C2 fusion. Eur Spine J 10, 345–347 (2001)

    Article  CAS  PubMed  Google Scholar 

  175. Pait, T.G., Al-Mefty, O., Boop, F.A., et al.: Inside-outside technique for posterior occipitocervical spine instrumentation and stabilization: preliminary results. J Neurosurg 90, 1–7 (1999)

    Article  CAS  PubMed  Google Scholar 

  176. Panjabi, M.M.: The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord 5, 383–389 (1992). discussion 397

    Article  CAS  PubMed  Google Scholar 

  177. Papagelopoulos, P.J., Currier, B.L., Stone, J., et al.: Biomechanical evaluation of occipital fixation. J Spinal Disord 13, 336–344 (2000)

    Article  CAS  PubMed  Google Scholar 

  178. Paquis, P., Breuil, V., Lonjon, M., et al.: Occipitocervical fixation using hooks and screws for upper cervical instability. Neurosurgery 44, 324–330 (1999). discussion 330–321

    Article  CAS  PubMed  Google Scholar 

  179. Paramore, C.G., Dickman, C.A., Sonntag, V.K.: The anatomical suitability of the C1-2 complex for transarticular screw fixation. J Neurosurg 85, 221–224 (1996)

    Article  CAS  PubMed  Google Scholar 

  180. Parker, S.L., McGirt, M.J., Garces-Ambrossi, G.L., et al.: Translaminar versus pedicle screw fixation of C2: comparison of surgical morbidity and accuracy of 313 consecutive screws. Neurosurgery 64, 343–348 (2009). discussion 348-349

    Article  PubMed  Google Scholar 

  181. Payer, M., Luzi, M., Tessitore, E.: Posterior atlanto-axial fixation with polyaxial C1 lateral mass screws and C2 pars screws. Acta Neurochir (Wien) 151, 223–229 (2009). discussion 229

    Article  CAS  Google Scholar 

  182. Pointillart, V., Orta, A.L., Freitas, J., et al.: Odontoid fractures. Review of 150 cases and practical application for treatment. Eur Spine J 3, 282–285 (1994)

    Article  CAS  PubMed  Google Scholar 

  183. Ransford, A.O., Crockard, H.A., Pozo, J.L., et al.: Craniocervical instability treated by contoured loop fixation. J Bone Joint Surg Br 68, 173–177 (1986)

    CAS  PubMed  Google Scholar 

  184. Reindl, R., Sen, M., Aebi, M.: Anterior instrumentation for traumatic C1-C2 instability. Spine (Phila Pa 1976) 28, E329–E333 (2003)

    Google Scholar 

  185. Resnick, D.K., Benzel, E.C.: C1-C2 pedicle screw fixation with rigid cantilever beam construct: case report and technical note. Neurosurgery 50, 426–428 (2002)

    Article  PubMed  Google Scholar 

  186. Resnick, D.K., Lapsiwala, S., Trost, G.R.: Anatomic suitability of the C1-C2 complex for pedicle screw fixation. Spine (Phila Pa 1976) 27, 1494–1498 (2002)

    Google Scholar 

  187. Rhines, L.D., Fourney, D.R., Siadati, A., et al.: En bloc resection of multilevel cervical chordoma with C-2 involvement. Case report and description of operative technique. J Neurosurg Spine 2, 199–205 (2005)

    Article  PubMed  Google Scholar 

  188. Richter, M., Schmidt, R., Claes, L., et al.: Posterior atlantoaxial fixation: biomechanical in vitro comparison of six different techniques. Spine (Phila Pa 1976) 27, 1724–1732 (2002)

    Google Scholar 

  189. Roberts, D.A., Doherty, B.J., Heggeness, M.H.: Quantitative anatomy of the occiput and the biomechanics of occipital screw fixation. Spine (Phila Pa 1976) 23, 1100–1107 (1998). discussion 1107–1108

    CAS  Google Scholar 

  190. Robertson, S.C., Menezes, A.H.: Occipital calvarial bone graft in posterior occipitocervical fusion. Spine (Phila Pa 1976) 23, 249–254 (1998). discussion 254–245

    CAS  Google Scholar 

  191. Rocha, R., Safavi-Abbasi, S., Reis, C., et al.: Working area, safety zones, and angles of approach for posterior C-1 lateral mass screw placement: a quantitative anatomical and morphometric evaluation. J Neurosurg Spine 6, 247–254 (2007)

    Article  PubMed  Google Scholar 

  192. Roy-Camille, R.: Current trends in surgery of the spine. Int Orthop 13, 81–87 (1989)

    Article  CAS  PubMed  Google Scholar 

  193. Roy-Camille, R., Saillant, G.: Surgery of the cervical spine. 4. Osteosynthesis of the upper cervical spine. Nouv Presse Med 1, 2847–2849 (1972)

    CAS  PubMed  Google Scholar 

  194. Roy-Camille, R., Saillant, G., Laville, C., et al.: Treatment of lower cervical spinal injuries – C3 to C7. Spine (Phila Pa 1976) 17, S442–S446 (1992)

    CAS  Google Scholar 

  195. Ruf, M., Melcher, R., Harms, J.: Transoral reduction and osteosynthesis C1 as a function-preserving option in the treatment of unstable Jefferson fractures. Spine (Phila Pa 1976) 29, 823–827 (2004)

    Google Scholar 

  196. Sandhu, F.A., Pait, T.G., Benzel, E., et al.: Occipitocervical fusion for rheumatoid arthritis using the inside-outside stabilization technique. Spine (Phila Pa 1976) 28, 414–419 (2003)

    Google Scholar 

  197. Sar, C., Eralp, L.: Transoral resection and reconstruction for primary osteogenic sarcoma of the second cervical vertebra. Spine (Phila Pa 1976) 26, 1936–1941 (2001)

    CAS  Google Scholar 

  198. Sasso, R., Doherty, B.J., Crawford, M.J., et al.: Biomechanics of odontoid fracture fixation. Comparison of the one- and two-screw technique. Spine (Phila Pa 1976) 18, 1950–1953 (1993)

    CAS  Google Scholar 

  199. Sasso, R.C., Jeanneret, B., Fischer, K., et al.: Occipitocervical fusion with posterior plate and screw instrumentation. A long-term follow-up study. Spine (Phila Pa 1976) 19, 2364–2368 (1994)

    CAS  Google Scholar 

  200. Sciubba, D.M., Noggle, J.C., Vellimana, A.K., et al.: Laminar screw fixation of the axis. J Neurosurg Spine 8, 327–334 (2008)

    Article  PubMed  Google Scholar 

  201. Sciubba, D.M., Noggle, J.C., Vellimana, A.K., et al.: Radiographic and clinical evaluation of free-hand placement of C-2 pedicle screws. Clinical article. J Neurosurg Spine 11, 15–22 (2009)

    Article  PubMed  Google Scholar 

  202. Sen, M.K., Steffen, T., Beckman, L., et al.: Atlantoaxial fusion using anterior transarticular screw fixation of C1-C2: technical innovation and biomechanical study. Eur Spine J 14, 512–518 (2005)

    Article  PubMed  Google Scholar 

  203. Senoglu, M., Ozbag, D., Gumusalan, Y.: C2 intralaminar screw placement: a quantitative anatomical and morphometric evaluation. Turk Neurosurg 19, 245–248 (2009)

    PubMed  Google Scholar 

  204. Shalayev, S.G., Mun, I.K., Mallek, G.S., et al.: Retrospective analysis and modifications of retractor systems for anterior odontoid screw fixation. Neurosurgical Focus 16, 1–4 (2004)

    Article  Google Scholar 

  205. Simmons, E.H., du Toit Jr., G.: Lateral atlantoaxial arthrodesis. Orthop Clin North Am 9, 1101–1114 (1978)

    CAS  PubMed  Google Scholar 

  206. Six, E., Kelly Jr., D.L.: Technique for C-1, C-2, and C-3 fixation in cases of odontoid fracture. Neurosurgery 8, 374–377 (1981)

    Article  CAS  PubMed  Google Scholar 

  207. Smith, M.D., Anderson, P., Grady, M.S.: Occipitocervical arthrodesis using contoured plate fixation. An early report on a versatile fixation technique. Spine (Phila Pa 1976) 18, 1984–1990 (1993)

    CAS  Google Scholar 

  208. Solanki, G.A., Crockard, H.A.: Peroperative determination of safe superior transarticular screw trajectory through the lateral mass. Spine (Phila Pa 1976) 24, 477–1482 (1999)

    Google Scholar 

  209. Sonntag, V.K., Dickman, C.A.: Craniocervical stabilization. Clin Neurosurg 40, 243–272 (1993)

    CAS  PubMed  Google Scholar 

  210. Statham, P., O’Sullivan, M., Russell, T.: The Halifax Interlaminar Clamp for posterior cervical fusion: initial experience in the United Kingdom. Neurosurgery 32, 396–398 (1993). discussion 398–399

    Article  CAS  PubMed  Google Scholar 

  211. Stevenson, K.L., Wetzel, M., Pollack, I.F.: Delayed intracranial migration of cervical sublaminar and interspinous wires and subsequent cerebellar abscess. Case report. J Neurosurg 97, 113–117 (2002)

    PubMed  Google Scholar 

  212. Stillerman, C.B., Wilson, J.A.: Atlanto-axial stabilization with posterior transarticular screw fixation: technical description and report of 22 cases. Neurosurgery 32, 948–954 (1993)

    Article  CAS  PubMed  Google Scholar 

  213. Stokes, J.K., Villavicencio, A.T., Liu, P.C., et al.: Posterior atlantoaxial stabilization: new alternative to C1-2 transarticular screws. Neurosurg Focus 12, E6 (2002)

    Article  PubMed  Google Scholar 

  214. Stulík, J., Krbec, M.: Magerl’s Technique of C1-2 Fixation. Acta Chir Orthop Traumatol Cech 67, 93–99 (2000)

    PubMed  Google Scholar 

  215. Stulik, J., Vyskocil, T., Sebesta, P., et al.: Atlantoaxial fixation using the polyaxial screw-rod system. Eur Spine J 16, 479–484 (2007)

    Article  PubMed  Google Scholar 

  216. Subach, B.R., Morone, M.A., Haid Jr., R.W., et al.: Management of acute odontoid fractures with single-screw anterior fixation. Neurosurgery 45, 812–819 (1999)

    Article  CAS  PubMed  Google Scholar 

  217. Suchomel, P., Buchvald, P., Barsa, P., et al.: Single-stage total C-2 intralesional spondylectomy for chordoma with three-column reconstruction. Technical note. J Neurosurg Spine 6, 611–618 (2007)

    Article  PubMed  Google Scholar 

  218. Suchomel, P., Hradil, J., Barsa, P., et al.: Surgical treatment of fracture of the ring of axis – “hangman’s fracture”. Acta Chir Orthop Traumatol Cech 73, 321–328 (2006)

    CAS  PubMed  Google Scholar 

  219. Suchomel, P., Stulik, J., Klezl, Z., et al.: Transarticular fixation of C1-C2: a multicenter retrospective study. Acta Chir Orthop Traumatol Cech 71, 6–12 (2004)

    CAS  PubMed  Google Scholar 

  220. Suchomel, P., Taller, S., Lukas, R., et al.: Surgical treatment of fractures of the odontoid process. Rozhl Chir 79, 301–308 (2000)

    CAS  PubMed  Google Scholar 

  221. Sudo, H., Abumi, K., Ito, M., et al.: Spinal cord compression by multistrand cables after solid posterior atlantoaxial fusion. Report of three cases. J Neurosurg 97, 359–361 (2002)

    PubMed  Google Scholar 

  222. Taitz, C., Arensburg, B.: Erosion of the foramen transversarium of the axis. Anatomical observations. Acta Anat (Basel) 134, 12–17 (1989)

    Article  CAS  Google Scholar 

  223. Taitz, C., Arensburg, B.: Vertebral artery tortuosity with concomitant erosion of the foramen of the transverse process of the axis. Possible clinical implications. Acta Anat (Basel) 141, 104–108 (1991)

    Article  CAS  Google Scholar 

  224. Taller, S., Suchomel, P., Lukas, R., et al.: CT-guided internal fixation of a hangman’s fracture. Eur Spine J 9, 393–397 (2000)

    Article  CAS  PubMed  Google Scholar 

  225. Tan, M., Wang, H., Wang, Y., et al.: Morphometric evaluation of screw fixation in atlas via posterior arch and lateral mass. Spine (Phila Pa 1976) 28, 888–895 (2003)

    Google Scholar 

  226. Theodore, N., Partovi, S., Walker, M.P., et al.: Preoperative helical CT angiography for C1-2 transarticular screw placement. A new technique. BNI Q 17, 49–52 (20001)

    Google Scholar 

  227. Tucker, H.H.: Technical report: method of fixation of subluxed or dislocated cervical spine below C1-C2. Can J Neurol Sci 2, 381–382 (1975)

    CAS  PubMed  Google Scholar 

  228. Uribe, J.S., Ramos, E., Baaj, A., et al.: Occipital cervical stabilization using occipital condyles for cranial fixation: technical case report. Neurosurgery 65, E1216–E1217 (2009)

    Article  PubMed  Google Scholar 

  229. Uribe, J.S., Ramos, E., Vale, F.: Feasibility of occipital condyle screw placement for occipitocervical fixation: a cadaveric study and description of a novel technique. J Spinal Disord Tech 21, 540–546 (2008)

    Article  PubMed  Google Scholar 

  230. Vaccaro, A.R., Lehman, A.P., Ahlgren, B.D., et al.: Anterior C1-C2 screw fixation and bony fusion through an anterior retropharyngeal approach. Orthopedics 22, 1165–1170 (1999)

    CAS  PubMed  Google Scholar 

  231. Vlach, O., Leznar, M., Bayer, M.: Diagnosis, classification and treatment of so-called hangman’s fractures. Acta Chir Orthop Traumatol Cech 55, 456–466 (1988)

    CAS  PubMed  Google Scholar 

  232. Wang, M.Y.: C2 crossing laminar screws: cadaveric morphometric analysis. Neurosurgery 59, ONS84–ONS88 (2006). discussion ONS84–88

    Article  PubMed  Google Scholar 

  233. Wang, M.Y., Samudrala, S.: Cadaveric morphometric analysis for atlantal lateral mass screw placement. Neurosurgery 54, 1436–1439 (2004). discussion 1439–1440

    Article  PubMed  Google Scholar 

  234. Weidner, A., Wahler, M., Chiu, S.T., et al.: Modification of C1-C2 transarticular screw fixation by image-guided surgery. Spine (Phila Pa 1976) 25, 2668–2673 (2000). discussion 2674

    CAS  Google Scholar 

  235. Wertheim, S.B., Bohlman, H.H.: Occipitocervical fusion. Indications, technique, and long-term results in thirteen patients. J Bone Joint Surg Am 69, 833–836 (1987)

    CAS  PubMed  Google Scholar 

  236. Wickbom, G.I., Williamson, M.R.: Anomalous foramen transversarium of C2 simulating erosion of bone. Neuroradiology 19, 43–45 (1980)

    CAS  PubMed  Google Scholar 

  237. Wilke, H.J., Fischer, K., Kugler, A., et al.: In vitro investigations of internal fixation systems of the upper cervical spine. II. Stability of posterior atlanto-axial fixation techniques. Eur Spine J 1, 191–199 (1992)

    Article  CAS  PubMed  Google Scholar 

  238. Wright, N.M.: Posterior C2 fixation using bilateral, crossing C2 laminar screws: case series and technical note. J Spinal Disord Tech 17, 158–162 (2004)

    PubMed  Google Scholar 

  239. Wright, N.M.: Translaminar rigid screw fixation of the axis. Technical note. J Neurosurg Spine 3, 409–414 (2005)

    Article  PubMed  Google Scholar 

  240. Wright, N.M., 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 88, 634–640 (1998)

    Article  CAS  PubMed  Google Scholar 

  241. Xiao, Z.M., Zhan, X.L., de Gong, F., et al.: C2 pedicle screw and plate combined with C1 titanium cable fixation for the treatment of atlantoaxial instability not suitable for placement of C1 screw. J Spinal Disord Tech 21, 514–517 (2008)

    Article  PubMed  Google Scholar 

  242. Xu, R., Burgar, A., Ebraheim, N.A., et al.: The quantitative anatomy of the laminas of the spine. Spine (Phila Pa 1976) 24, 107–113 (1999)

    CAS  Google Scholar 

  243. Xu, R., Nadaud, M.C., Ebraheim, N.A., et al.: Morphology of the second cervical vertebra and the posterior projection of the C2 pedicle axis. Spine (Phila Pa 1976) 20, 259–263 (1995)

    CAS  Google Scholar 

  244. Yamazaki, M., Koda, M., Aramomi, M.A., et al.: Anomalous vertebral artery at the extraosseous and intraosseous regions of the craniovertebral junction: analysis by three-dimensional computed tomography angiography. Spine (Phila Pa 1976) 30, 2452–2457 (2005)

    Google Scholar 

  245. Yan, W., Zhang, C., Zhou, X., et al.: Safe angle scope for posterior atlanto-occipital transarticular screw fixation. Neurosurgery 65, 499–504 (2009). discussion 504

    Article  PubMed  Google Scholar 

  246. Yan, W.J., Zhou, X., Zhang, Y., et al.: The feasibility study on the posterior occipito-atlanto-axial screw fixation. J Spinal Surg 2, 289–293 (2004)

    Google Scholar 

  247. Yin, Q., Ai, F., Zhang, K., et al.: Irreducible anterior atlantoaxial dislocation: one-stage treatment with a transoral atlantoaxial reduction plate fixation and fusion. Report of 5 cases and review of the literature. Spine (Phila Pa 1976) 30, E375–E381 (2005)

    Google Scholar 

  248. Yoshida, M., Neo, M., Fujibayashi, S., et al.: Comparison of the anatomical risk for vertebral artery injury associated with the C2-pedicle screw and atlantoaxial transarticular screw. Spine 31, E513–E517 (2006)

    Article  PubMed  Google Scholar 

  249. Young, J.P., Young, P.H., Ackermann, M.J., et al.: The ponticulus posticus: implications for screw insertion into the first cervical lateral mass. J Bone Joint Surg Am 87, 2495–2498 (2005)

    Article  PubMed  Google Scholar 

  250. Zipnick, R.I., Merola, A.A., Gorup, J., et al.: Occipital morphology. An anatomic guide to internal fixation. Spine (Phila Pa 1976) 21, 1719–1724 (1996). discussion 1729–1730

    CAS  Google Scholar 

  251. Zoma, A., Sturrock, R.D., Fisher, W.D., et al.: Surgical stabilisation of the rheumatoid cervical spine. A review of indications and results. J Bone Joint Surg Br 69, 8–12 (1987)

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Neurocenter, Regional Hospital Liberec, Husova St. 10, 46063, Liberec, Czech Republic

    P. Suchomel

  2. Department of Neurosurgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, OH, 45267-0515, USA

    O. Choutka

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Suchomel, P., Choutka, O. (2011). Specific Reconstruction Techniques of Upper Cervical Spine and Craniovertebral Junction. In: Reconstruction of Upper Cervical Spine and Craniovertebral Junction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-13158-5_6

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