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The Intersection Between Lateral Mass and Inferomedial Edge of the C1 Posterior Arch: A Reference Point for C1 Lateral Mass Screw Insertion

Bunmaprasert T, Puangkaew W, Sugandhavesa N, Liawrungrueang W, Riew KD

Objective: To determine the ideal Atlas (C1) lateral mass screw placement and trajectory using the intersection between the lateral mass and inferomedial edge of the posterior arch as an easily...
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Autogenic Rib Graft for Atlantoaxial and Occipitocervical Fixation in Pediatric Patients

Matsumura , Namikawa T, Kato M, Hori Y, Iwamae M, Hidaka N, Konishi S, Nakamura H

STUDY DESIGN: Retrospective case series. PURPOSE: To evaluate surgical outcomes and effectiveness of an autogenic rib graft for upper cervical fixation in pediatric patients. OVERVIEW OF LITERATURE: Autogenic bone grafts have long...
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Anterior Retropharyngeal Cage Distraction and Fixation for Basilar Invagination: “The Wedge Technique”

Patkar S

OBJECTIVE: Surgery is indicated for basilar invagination (BI) in symptomatic patients. In many patients, symptoms and signs occur due to an upward-migrated and malaligned odontoid with fixed or mobile atlantoaxial...
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Morphometric Study of C1 Pedicle and Feasibility Evaluation of C1 Pedicle Screw Placement with a Novel Clinically Relevant Radiological Classification in an Indian Population

Srivastava A, Mahajan R, Nanda A, Nanda G, Mishra N, Kanagaraju V, Batra S, Chhabra HS

STUDY DESIGN: A retrospective computed tomography (CT)-based morphometric study of 84 C1pedicles in an Indian population focusing on critical morphometric dimensions vis-a-vis C1 pedicle screw placement. PURPOSE: To determine the feasibility...
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Comparison of Outcomes after Atlantoaxial Fusion with Transarticular Screws and Screw-Rod Constructs

Kim JY, Oh CH, Yoon SH, Park HC, Seo HS

OBJECTIVE: The purpose of this study was to compare the radiological and neurological outcomes between two atlantoaxial fusion method for atlantoaxial stabilization; C1 lateral mass-C2 pedicle screws (screw-rod constructs, SRC)...
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Inferolateral Entry Point for C2 Pedicle Screw Fixation in High Cervical Lesions

Lee KH, Kang DH, Lee CH, Hwang SH, Park IS, Jung JM

OBJECTIVE: The purpose of this retrospective study was to evaluate the efficacy and safety of atlantoaxial stabilization using a new entry point for C2 pedicle screw fixation. METHODS: Data were collected...
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Atlantoaxial Transpedicular Screw Fixation for the Management of Traumatic Upper Cervical Spine Instability

Kim BS, Yoo DS, Huh PW, Cho KS, Lee SB

OBJECTIVE: The morbidity and mortality are high for traumatic upper cervical spine instability with cervico-medullary compression. In a clinical retrospective study, the clinical and radiographic results of occipitocervical (OC) fusion...
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Rod Migration into the Posterior Fossa after Harms Operation : Case Report and Review of Literatures

Chun HJ, Bak KH, Kang TH, Yi HJ

C1 lateral mass and C2 pedicle (C1LM-C2P) fixation is a relatively new technique for atlantoaxial stabilization. Complications from C1LM-C2P fixation have been rarely reported. The authors report unilateral rod migration...
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Technical Strategies and Surgical Results of C1 Lateral Mass-C2 Pedicular Screw Fixation in Atlantoaxial Disorders

Choi HJ, Kim KS, Park KS, Han IH, Chin DK, Jin BH, Cho YE

  • KMID: 1486683
  • Korean J Spine.
  • 2008 Sep;5(3):196-202.
OBJECTIVE: There are various posterior fusion techniques in managing C1-2 instability. The aim of this study is to evaluate surgical techniques and clinical results including complications of the C1 lateral...
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Posterior Atlantoaxial Fixation with a Combination of Pedicle Screws and a Laminar Screw in the Axis for a Unilateral High-riding Vertebral Artery

Kim SY, Jang JS, Lee SH

  • KMID: 2189172
  • J Korean Neurosurg Soc.
  • 2007 Feb;41(2):141-144.
A vertebral artery (VA) injury presents a difficult problem in atlantoaxial fixation. Recent technical reports described posterior C2 fixation using bilateral, crossing C2 laminar screws. The translaminar screw technique has...
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C1-2 Instability associated with Duplicated Vertebral Artery: A Case Report

Park SK, Yeom JS, Shim DM, Park KW, Chang BS, Lee CK

A vertebral artery injury is one of the most critical complications of atlantoaxial fixation. Abnormal courses or congenital anomalies of the vertebral artery increase its risk. The authors report a...
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Posterior Atlantoaxial Fixation with Lateral Mass Screw in the Atlas and Pedicle Screw in the Axis

Shin DA, Kim KN, Yoon DH

  • KMID: 2339723
  • J Korean Neurosurg Soc.
  • 2003 Nov;34(5):491-494.
OBJECTIVE: The authors report the successful use of a recently described technique of posterior fixation of the C1 lateral mass and the C2 pedicle with polyaxial screws and rods. METHODS:...
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