Abstract
In arthritic patients with involvement of the cervical spine and atlantoaxial instability, treatment is usually by fusion of Cl and C2 with a cerclage [10]. The selection of patients for surgery is usually based on the extent of atlanto-dens mobility. Magnetic resonance imaging (MRI) of the craniocervical junction further clarifies the indication for surgery [1,4]. Even when there seems to be no major instability, the spinal canal of the upper cervical spine is often narrowed by proliferated connective tissue and rheumatic pannus around the dens and atlas [2, 6, 9]. MRI will demonstrate the presence of such alterations and thus confirm the indication for surgery. The stabilizing procedures (Cl, C2 cerclage) used up to now failed to produce satisfactory results because they leave the two vertebrae fixed in only one plane of motion. By combining two surgical procedures we attempt to obtain three-dimensional stability.
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© 1993 Springer-Verlag Berlin Heidelberg
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Montazem, A., Schalm, J., Tressel, W. (1993). Transarticular C1–C2 Screw Fixation Combined with Fusion of the Craniocervical Junction in Arthritic Patients. In: Lorenz, R., Klinger, M., Brock, M. (eds) Intracerebral Hemorrhage Hydrocephalus malresorptivus Peripheral Nerves. Advances in Neurosurgery, vol 21. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77997-8_52
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DOI: https://doi.org/10.1007/978-3-642-77997-8_52
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