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Insights into the Past and Future of Atlantoaxial Stabilization Techniques

  • Nabeel S. Alshafai
  • Agnieszka Kramarz
  • Minou Behboudi
Chapter
Part of the Acta Neurochirurgica Supplement book series (NEUROCHIRURGICA, volume 125)

Abstract

Over the past century, atlantoaxial stabilization techniques have improved considerably. To our knowledge there has been a scarcity of articles published that focus specifically on the history of atlantoaxial stabilization. Examining the history of instrumentation allows us to evaluate the impact of early influences on current modern stabilization techniques. It also provides inspiration to further develop the techniques and prevents repetition of mistakes. This paper reviews the evolution of C1–C2 instrumentation techniques over time and provides insights into the future of these practices.

We did an extensive literature search in PubMed, Embase and Google Scholar, using the following search terms: ‘medical history’, ‘atlantoaxial’, ‘C1/C2’, ‘stabilization’, ‘instrumentation’, ‘fusion’, ‘arthrodesis’, ‘grafting’, ‘neuroimaging’, ‘biomechanical testing’, ‘anatomical considerations’ and ‘future’.

Many different entry zones have been tested, as well as different constructs, from initial attempts with use of silk threads to use of hooks and rod–wire techniques, and handling of bone grafts, which eventually led to the development of the advanced screw–rod constructs that are currently in use. Much of this evolution is attributable to advancements in neuroimaging, a wide range of new materials available and an improvement in biomechanical understanding in relation to anatomical structures.

Keywords

Medical history Atlantoaxial Stabilization Fixation History C1/C2 Instrumentation History of surgery 

Notes

Competing Interests

The authors declare that they have no competing interests.

Compliance with Ethical Standards

No financial support was received for this work.

References

  1. 1.
    Aldrich EF, Weber PB, Crow WN. Halifax interlaminar clamp for posterior cervical fusion: a long-term follow-up review. J Neurosurg. 1993;78:702–8.CrossRefGoogle Scholar
  2. 2.
    Sanan A, Rengachary SS. The history of spinal biomechanics. Neurosurgery. 1996;39(4):657–68.CrossRefGoogle Scholar
  3. 3.
    Bandela JR, Jacob RP, Arreola M, Griglock TM, Bova F, Yang M. Use of CT-based intraoperative spinal navigation: management of radiation exposure to operator, staff, and patients. World Neurosurg. 2013;79(2):390–4.CrossRefGoogle Scholar
  4. 4.
    Brooks AL, Jenkins EB. Atlantoaxial arthrodesis by the wedge compression method. J Bone Joint Surg Am. 1978;60A:27984.Google Scholar
  5. 5.
    Denaro V, Di Martino A. Cervical spine surgery: a historical perspective. Clin Orthop Relat Res. 2011;469(3):639–48.CrossRefGoogle Scholar
  6. 6.
    Dickman CA, Sonntag VK, Papadopoulos SM, Hadley MN. The interior spinous method of posterior atlantoaxial arthrodesis. J Neurosurg. 1991;74:190–8.CrossRefGoogle Scholar
  7. 7.
    Holness RO, Huestis WS, Howes WJ, Langille RA. Posterior stabilization with an interlaminar clamp in cervical injuries: technical note and review of the long term experience with the method. Neurosurgery. 1984;14(3):318–22.CrossRefGoogle Scholar
  8. 8.
    Kwan MK, Chan CYW, Kwan TCC, Gashi YN, Saw LB. Safety issues and neurological improvement following C1–C2 fusion using C1 lateral mass and C2 pedicle screw in atlantoaxial instability. Malaysian Orthopedics Journal. 2010;4(2):17–22.CrossRefGoogle Scholar
  9. 9.
    Kansal R, Sharma A, Kukreja S. An anterior high cervical retropharyngal approach for C1–C2 intrafacetal fusion and transarticular screw insertion. J Clin Neurosci. 2011;18:1705–8.CrossRefGoogle Scholar
  10. 10.
    Mixter SJ, Osgood RB. Traumatic lesions of the atlas and axis. Ann Surg. 1910;51:193–207.CrossRefGoogle Scholar
  11. 11.
    Wang J, Zhou Y, Zhang Z, Li C, Zheng W, Zhang Y. Minimally invasive anterior transarticular screw fixation and microendoscopic bone graft for atlantoaxial instability. Eur Spine J. 2012;21(8):1568–74.CrossRefGoogle Scholar
  12. 12.
    Tjardes T, Shafizadeh S, Rixen D, Paffrath T, Bouillon B, Steinhausen ES, Baethis H. Image-guided spine surgery: state of the art and future directions. Eur Spine J. 2010;19(1):25–45.CrossRefGoogle Scholar
  13. 13.
    Gallie WE. Fractures and dislocations of cervical spine. Am J Surg. 1939;46:495–9.CrossRefGoogle Scholar
  14. 14.
    Goel A, Laheri V. Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir. 1994;129(1–2):47–53.CrossRefGoogle Scholar
  15. 15.
    Hadra BE. Wiring the spinous processes in fracture and Pott’s disease. Trans Am Orthop Assoc. 1891;4:206–10.Google Scholar
  16. 16.
    Harms J, Melcher P. Posterior C1–C2 fusion with polyaxial screw and rod fixation. Spine. 2001;26:2467–71.CrossRefGoogle Scholar
  17. 17.
    Omeis I, Demattia JA, Hillard VH, Murali R, Das K. History of instrumentation for stabilization of the subaxial cervical spine. Neurosurg Focus. 2004;16(1):E10.PubMedGoogle Scholar
  18. 18.
    Tan M, Wang H, Wang Y, Zhang G, Yi P, Li Z, Wei H, Yang F. Morphometric evaluation of screw fixation in atlas via posterior arch and lateral mass. Spine. 2003;28:888–95.PubMedGoogle Scholar
  19. 19.
    Reindl R, Sen M, Aebi M. Anterior instrumentation for traumatic C1–C2 instability. Spine. 2003;28(17):E329–33.CrossRefGoogle Scholar
  20. 20.
    Rihn JA, Winegar CD, Donaldson WF 3rd, Lee JY, Kang JD. Recurrent atlantoaxial instability due to fracture of the posterior C1 ring: a late finding following posterior C1–C2 fusion using the Halifax clamp. J Surg Orthop Adv. 2009;18(1):45–50.PubMedGoogle Scholar
  21. 21.
    Shin MH, Hur JW, Ryu KS, Park CK. Prospective comparison study between the fluoroscopy-guided and navigation coupled with O-arm-guided pedicle screw placement in the thoracic and lumbosacral spines. J Spinal Disord Tech. 2015;28(6):E347–51.CrossRefGoogle Scholar
  22. 22.
    Tian W. Robot-assisted posterior C1–2 transarticular screw fixation for atlantoaxial instability: a case report. Spine. 2016;41(Suppl 19):B2–5.CrossRefGoogle Scholar
  23. 23.
    Tian W, Wang H, Liu YJ. Robot-assisted anterior odontoid screw fixation: a case report. Orthop Surg. 2016;8(3):400–4.CrossRefGoogle Scholar
  24. 24.
    Vender JR, Rekito AJ, Harrison SJ, Mcdonnell DE. The evolution of posterior cervical and occipitocervical fusion and instrumentation. Neurosurg Focus. 2004;16(1):E9.PubMedGoogle Scholar
  25. 25.
    Lehman R, Riew D, Schnake K. Occipitocervical trauma—C11–C2, rotatory subluxation posterior C1–C2 fusion. Biel/Bienne: AO Foundation; 2016.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Nabeel S. Alshafai
    • 1
  • Agnieszka Kramarz
    • 1
    • 2
  • Minou Behboudi
    • 1
  1. 1.Alshafai Neurosurgical Academy (ANA)TorontoCanada
  2. 2.Department of NeurosurgeryMedical University of GdańskGdańskPoland

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