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Posterior atlanto-axial fusion: A new compression clamp for laminar osteosynthesis

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Summary

A new method of dorsal arthrodesis in patients with atlanto-axial instability of different etiology is described. In three patients solid laminar osteosynthesis C1/C2 was achieved by insertion of an autogenous cortico-cancellous bone graft into the interlaminar space and by a bilateral application of the lately developed metal clamp. The technical principles of the clamp guarantee a permanent pressure on the graft and a solid initial stability in the segment. Additional external fixation and immobilization of the patient are not necessary. Complications as known from other procedures of the atlanto-axial dorsal fusion will be prevented efficiently.

Zusammenfassung

Zur Therapie der atlanto-axialen Instabilität unterschiedlicher Ätiologie (traumatisch, kongenital, rheumatisch und neoplastisch) wurde eine neue, einfache Methode entwickelt. Nach Implantation eines autologen kortiko-spongiösen Knochenspans in den interlaminären Raum wird beidseits des Spans eine metallene Kompressions-klammer auf die Bögen C1/C2 aufgesetzt. Die technische Konzeption der Klammer mit innerem Federzug garantiert die primäre Segmentstabilität; die interlaminäre Osteosynthese ermöglicht die sichere posteriore atlanto-axiale Spondylodese. Bei drei Patienten hat sich das Verfahren bewährt. Äußere Fixation und langfristige Immobilisation des Patienten sind unnötig. Komplikationen, bekannt von anderen Verfahren zur posterioren Fusion C1/C2, werden vermieden.

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Authors and Affiliations

  1. Dept. of Neurological Surgery, University of Essen, Hufelandstr. 55, D-4300, Essen 1, Germany

    K. Roosen & W. Grote (Prof. Dr.)

  2. Technical Central Laboratory of Experimental Medicine, University of Essen, Hufelandstr. 55, D-4300, Essen 1, Germany

    A. Trauschel

Authors
  1. K. Roosen
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  2. A. Trauschel
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  3. W. Grote
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Roosen, K., Trauschel, A. & Grote, W. Posterior atlanto-axial fusion: A new compression clamp for laminar osteosynthesis. Arch. Orth. Traum. Surg. 100, 27–31 (1982). https://doi.org/10.1007/BF00381539

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  • DOI: https://doi.org/10.1007/BF00381539

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