Abstract
C1 osteosynthesis is a valuable and powerful technique that allows the treating surgeon to preserve motion between occiput, C1, and C2 in patients with unstable Jefferson fractures. Careful evaluation of the preoperative CT scan and consideration of the patient’s individual fracture pattern and anatomy are critical to the success of this technique. Placement of 3.5-mm screws into the lateral masses of C1 allows compression of the fracture and posterior stabilization for reduction of unstable fractures with minimal impact on cervical range of motion.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Bibliography
Koller H, Resch H, Tauber M, Zenner J, Augat P, Penzkofer R, Acosta F, Kolb K, Kathrein A, Hizl W. A biomechanical rationale for C1-ring osteosynthesis as treatment for displaced Jefferson burst fractures with incompetency of the transverse atlantal ligament. Eur Spine J. 2010;19(8):1288–98.
Bransford RJ, Freeborn MA, Russo AJ, Nguyen QT, Lee MJ, Chapman JR, Bellabarba C. Accuracy & complications associated with posterior C1 screw fixation techniques: a radiographic and clinical assessment. Spine J. 2012;12(3):231–8.
Jo KW, Park IS, Hong JT. Motion-preserving reduction and fixation of C1 Jefferson fracture using a C1 lateral mass screw construct. J Clin Neurosci. 2011;18(5):695–8.
Shatsky J, Bellabarba C, Nguyen QT, Bransford RJ. The transverse atlantal ligament (TAL) does not matter—a retrospective review of fixation of C1 ring fractures. Spine J. 2016;16(3):372–9.
Dvorak MF, Johnson MG, Boyd M, Johnson G, Kwon BK, Fisher CG. Long-term health-related quality of life outcomes following Jefferson-type burst fractures of the atlas. J Neurosurg Spine. 2005;2:411–7.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Pittman, J.L., Bransford, R.J. (2019). C1-Ring Osteosynthesis for Unstable, Jefferson Burst Fractures. In: Koller, H., Robinson, Y. (eds) Cervical Spine Surgery: Standard and Advanced Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-93432-7_31
Download citation
DOI: https://doi.org/10.1007/978-3-319-93432-7_31
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-93431-0
Online ISBN: 978-3-319-93432-7
eBook Packages: MedicineMedicine (R0)