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Challenges of Transarticular Screw Fixation in Young Children: Report of Surgical Treatment of a 5-Year-Old Patient's Unstable Os-Odontoideum

Takahashi , Hirabayashi H, Hashidate , Ogihara N, Mukaiyama , Komatsu M, Inaba Y, Kosho T, Kato H

Surgical procedures for atlantoaxial (C1–C2) fusion in young children are relatively uncommon. The purpose of this study was to report on a surgical treatment for a case of atlantoaxial instability...
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Computer-assisted C1-C2 Transarticular Screw Fixation "Magerl Technique" for Atlantoaxial Instability

Uehara M, Takahashi , Hirabayashi H, Hashidate , Ogihara N, Mukaiyama , Kato H

STUDY DESIGN: A retrospective study. PURPOSE: To evaluate the surgical results of computer-assisted C1-C2 transarticular screw fixation for atlantoaxial instability and the usefulness of the navigation system. OVERVIEW OF LITERATURE: We used...
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Intraoperative Vertebral Artery Angiography to Guide C1-2 Transarticular Screw Fixation in a Patient with Athetoid Cerebral Palsy

Chung JC, Jung SS, Park KS, Ha HG

We present a case of an athetoid cerebral palsy with quadriparesis caused by kyphotic deformity of the cervical spine, severe spinal stenosis at the cervicomedullary junction, and atlantoaxial instability. The...
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Unilateral Posterior Atlantoaxial Transarticular Screw Fixation in Patients with Atlantoaxial Instability : Comparison with Bilateral Method

Hue YH, Chun HJ, Yi HJ, Oh SH, Oh SJ, Ko Y

OBJECTIVE: Bilateral C1-2 transarticular screw fixation (TAF) with interspinous wiring has been the best treatment for atlantoaxial instability (AAI). However, several factors may disturb satisfactory placement of bilateral screws. This...
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Measurement of the Axial Isthmus for Atlantoaxial Transarticular Screw Fixation

Kim IG, Lee JY, Kang HS, Park HJ, Cho BP

  • KMID: 2224483
  • Korean J Anat.
  • 2006 Feb;39(1):63-69.
Pre-operative evaluation of the anatomy of the axis, such as the size and angle of the axial isthmus, is very important to minimize complications in atlantoaxial transarticular screw fixation. To...
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Analysis of the Rate of High Riding Vertebral Artery Using Sagittal Reformatted Computed Tomography

Chung SS, Lee CS, Kim SH

  • KMID: 2398629
  • J Korean Orthop Assoc.
  • 2005 Aug;40(4):453-457.
PURPOSE: The rate of high riding vertebral artery (VA) was investigated, and the rate in rheumatoid arthritis (RA) group was compared with that in non-RA group. MATERIALS AND METHODS: 67...
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The Results and Complications of the C1-C2 Transarticular Screw Fixation Methods

Choi JW, Yoon SH, Park HC, Park HS, Kim EY, Ha Y

  • KMID: 2189005
  • J Korean Neurosurg Soc.
  • 2005 Mar;37(3):201-206.
OBJECTIVE: To evaluate the accuracy and safety of C1-C2 transarticular screw insertion, we retrospectively review surgical records and postoperative radiological findings. METHODS: From January 2001 to October 2003, the C1-C2...
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Atlantoaxial Instability due to Hypoplasia of the Odontoid Process

Park JK, Shim SJ, Yoo SI, Lee YS

  • KMID: 1813624
  • J Korean Neurosurg Soc.
  • 2003 Aug;34(2):168-170.
The authors present a case of a 39-year old man, admitted with neck pain and tingling sensation on his right upper extremity. On radiological investigation, atlantoaxial instability due to odontoid...
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Measurements of C1-2 region of Cervical Spine Using MRI for C1-2 Transarticular Screw Fixation

Suk KS, Kim KT, Lee YH, Ryu KN

STUDY DESIGN: The C1-2 region was measured using MRI for a C1-2 transarticular screw fixation. OBJECTIVES: To measure the first and second cervical spine, using MRI for a C1-2 transarticular screw...
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C1-2 Transarticular Screw Fixation as a Revision Surgery for Failed C1-2 Fusion: Case Report

Suk KS, Kim KT, Lee SH

Odontoid process fracture, nonunion or atlantoaxial instability are generally treated with posterior fusion using sublaminar wiring techinique. And occiput to C2 fusion is performed in cases with posterior arch defect...
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Atlantoaxial Subluxation due to Psoriatic Arthritis

Lee SK, Oh SH, Rhee WT, Chung JW, Yi HJ, Kim YS, Ko Y, Kim KM, Oh SJ

  • KMID: 1904672
  • J Korean Neurosurg Soc.
  • 2002 May;31(5):505-508.
Atlantoaxial subluxation causing spinal cord compression at the craniovertebral junction may develop in patients with rheumatoid or psoriatic arthritis. There have been only a few reports of atlantoaxial subluxation in...
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Long Term Follow up and Clinical Results of Posterior C1/2 Fixation

Yoon DH, Kim YS

  • KMID: 2339650
  • J Korean Neurosurg Soc.
  • 1999 Jul;28(7):926-933.
OBJECTIVE: To determine the efficacy of various posterior fusion techniques in managing C1/2 instability. PATIENTS AND METHODS: Retrospective review of patients undergoing C1/2 posterior fusioin was undertaken with the aim of...
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Transoral Anterior Decompression and Posterior Fusion of Irreducible Atlantoaxial Dislocation with Spinal Cord Injury: Case Report

Ki YS, Lee SG, Han GS, Chung HY, Kim YB, Park CW, Lee U

  • KMID: 2188182
  • J Korean Neurosurg Soc.
  • 1998 May;27(5):689-694.
We report a case of irreducible atlantaxial dislocation with spinal cord injury. The patient was a 36-year-old man who suffered from the sudden onset of shallow respiration and severe motor...
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Anatomical Suitability of Posterior C1/2 Transarticular Screw Fixation in Korean

Jun BY

  • KMID: 1955638
  • J Korean Neurosurg Soc.
  • 1998 Feb;27(2):165-171.
Although C1-C2 transarticular screw fixation has become a popular surgical method of treating atlantoaxial instability, we remain concerned about the potential for injury to the vertebral artery. Because of the...
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Clinical Analysis of Posterior C1-C2 Fusion for Atlantoaxial Instability

Hwang IS, Rhim SC, Roh SW, Kim JH, Ra YS, Kim CJ, Kwon Y, Lee JK, Kwun BD

  • KMID: 1955497
  • J Korean Neurosurg Soc.
  • 1998 Nov;27(11):1512-1517.
The authors analyzed the surgical results of posterior C1-C2 fusion in 18 cases of atlantoaxial instability. Posterior C1-C2 wiring with bone fusion(11 cases), C1-C2 transarticular screw fixation(6 cases), and occipitocervical...
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Posterior C1-2 Transarticular Screw Fixation in Atlantoaxial Instability

Lee SH, Sung JK, Kim DH, Hwang SK

  • KMID: 1537878
  • J Korean Neurosurg Soc.
  • 1997 Sep;26(9):1231-1236.
Posterior transarticular screw fixation is known to be one of the best surgical method for the atlanto-axial instability. Between April 1995 and February 1997, this technique was used in the...
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Surgical Management of Atlantoaxial Instability Due to Rheumatoid Arthritis

Lee GS, Oh SH, Kim SY, Kim YS, Ko Y, Oh SJ, Kim KM, Kim NK

  • KMID: 2067478
  • J Korean Neurosurg Soc.
  • 1997 Jul;26(7):934-939.
Rheumatoid arthritis can lead to joint deformity and loss of functional capacity. The cervix may be involved, and this was first described by Garrod, in 1890. The most common abnormalities...
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C1/2 Transarticular Screw Fixation for Complicated Os Odontoideum: Case Report

Jun BY

  • KMID: 2018992
  • J Korean Neurosurg Soc.
  • 1997 Apr;26(4):507-512.
C1/2 posterior transarticular screw fixation has become an accepted method of rigid internal fixation for patients requiring posterior C1/2 fusion. Especially,Surgery for Os odontoideum can be troublesome due to its...
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Transarticular Screw Fixation in Atlantoaxial Instability

Kim YS, Oh SH, Kim YS, Ko Y, Oh SJ, Kim KM, Kim NK

  • KMID: 1955240
  • J Korean Neurosurg Soc.
  • 1997 Mar;26(3):401-406.
Atlantoaxial joint is a complex and unique structure which promotes rotation of head. Disruption of the transverse ligament and odontoid process fracture caused by trauma result in atlantoaxial instability. The...
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Posterior C1-2 Transarticular Screw Fixation in Atlantoaxial Instability

Park HK

  • KMID: 1673188
  • J Korean Neurosurg Soc.
  • 1994 Mar;23(3):310-315.
The atlantoaxial joint is a complex structure which facilitates rotation of the head on the neck. The transverse atlantal ligament is essential to retain the odontoid process of C2 in...
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