Abstract
This chapter aims to measure linear and angular parameters of the atlas and axis in the Chinese population and provide a morphological basis for the design of the novel posterior atlantoaxial fixator. Thirty-five sets of normal adult dry atlas and axis vertebral samples and 40 sets of normal adult CT images of the upper cervical spine were measured. The parameters include posterior atlantal arch width, height, length, inside semi-diameter, outside semi-diameter, the transarticular screw path length, and the transarticular screw path angle in the transverse plane and in the sagittal plane.
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Ni B, Chen H, Guo X, et al. Bilateral C1–2 transarticular screws and atlas hooks fixation technique. Zhonghua Wai Ke Za Zhi. 2005;43:1358–9. (Chinese Language)
Cao Z, Zhong S, Xu D. Atlantaoaxial anatomic measurement and its clinical signification. Zhong Guo Linchuang Jie Pou Za Zhi. 2000;18(4):299–301. (Chinese Language)
Sha Y, Zhang S, Liu Z, et al. Atlantoaxial anatomic measurement of posterior C1–2 transarticular screws. Zhongguo Linchuang Jie Pou Za Zhi. 2002;20(3):172–5. (Chinese Language)
Qu D, Jin D, Zhu Z, et al. Chinese anatomic measurement of atlantoaxial transarticular screws. Zhongguo Linchuang Jie Pou Za Zhi. 2000;7(11):1117–9.
Magerl F, Seeman PS. Stable posterior fusion of the atlas and axis by transarticular screw fixatior. In: Kehr P, Weidner A, editors. Cervical spine. 4th ed. New York: Springer Verlag; 1985. p. 322–7.
Chen ZH, Lun-Hong YU, Huang JF, et al. Anatomic study of radiologic parameters about new location mark in the posterior atlanto-axial transarticular screw fixation. Chin J Clin Anat. 2005;23(5):463–6. (Chinese Language)
Chen Z, Cai X, Huang J, et al. Applied anatomic and clinical studies on posterior atlantoaxial facet screw fixation. Chin J Exp Surg. 2005;22:159–60. (Chinese Language)
Zhu H, Jia L, Sun Q, et al. Measurement of atlas and its clinical significance. Chin J Anat. 1997;20(6):517–20. (Chinese Language)
Li QH, Liu YB, Sheng DH, et al. Applied anatomical study of atlas. J Gannan Med Univ. 2003;23(4):363–7. (Chinese Language)
Kaplan EB. Surgical approaches to the neck. Cervical spine and upper extremity. London: Saunders; 1966. p. 246.
Paramore CG, Dickman CA, Sonntag VKH. The anatomical suitabilityof the C1-2 complex for transarticular screw fixatior. J Neurosurg. 1996;85:221–4.
Madawi AA, Casey TH, Solanki GA, et al. Radiologieal and anatomical evaluation of the atlantoaxial transarticttlar screw fixation technique. J Neurosurg. 1997;86:961–8.
Mareotte P, Dickman CA, So nntag VKH, et al. Posterior at1antoaxial facet screw fixation. Neurosurg. 1993;79:234–7.
Ebraheim NA, Misson JR, Xu R, et al. The optimal transarticular C1-2 Screw length and the location of the hypoglossal nerve. Surg Neurol. 2000;53(3):208–10.
Solanki GA, Crockard HA. Peroperative determination of safe superior transarticular screw trajectory through the lateral mass. Spine. 1999;24:1477–82.
Gebhard JS, Schimmer RC, Jeannerel B. Safty and accuracy of transarticular screw fixation C1–C2 using an aiming device: an anatomic study. Spine. 1998;23:2185–9.
Wright NW, Lauryssen C. Vertebral artery injury in C1-2 transarticular screw fixation: results of survey of the AANS/CNS section on disorders of the spine and peripheral nerves. J Neurosurg. 1998;88(4):634–40.
Madawi A, Solanki G, Casey AT, et al. Variation of the groove in the axis vertebra for the vertebral artery: implications for instrumentation. J Bone Joint Surg Br. 1997;79:820–3.
Kong QY, Jia-Shun LI, Jia LS. Anatomic measurements of the transarticular screw fixation of the atlantoaxial. Orthop J China. 2002;11(10):1328–30.
Igarashi T, Kikuchi S, Sato K, et al. Anatomic study of the axis for surgical planning of transarticular screw fixation. Clin Orthop Relat Res. 2003;408:162–6.
Fuji T, Oda T, Kato Y, et al. Accuracy of atlantoaxial transarticular screw fixation. Spine. 2000;25(14):1760–4.
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© 2018 Springer Nature Singapore Pte Ltd. and Shanghai Jiao Tong University Press
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Wang, J., Chen, F. (2018). Clinical Anatomy and Image Measurements of Atlas and Axis in the Chinese Population and the Design of a Novel Hook + Screw Internal Fixation System. In: Ni, B., Guo, X., Guo, Q. (eds) Atlantoaxial Fixation Techniques. Translational Medicine Research. Springer, Singapore. https://doi.org/10.1007/978-981-10-7889-7_7
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DOI: https://doi.org/10.1007/978-981-10-7889-7_7
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