J Korean Orthop Assoc.  1987 Oct;22(5):1122-1126. 10.4055/jkoa.1987.22.5.1122.

Traumatic Spondylolisthesis of Cervical Spine Treated by Contoured Loop Fixation and Sublaminar Wiring

• Seong BY
• Choi CU
• Kwon JW
• Choi HS
• Whang HS

• KMID: 2445585
• DOI: http://doi.org/10.4055/jkoa.1987.22.5.1122

Abstract

Rigid posterior fixation of the atlas to the third and fourth cervical spine was achieved in a patient in whom axis pedicle fracture and dislocation of axis on the third cervical spine. Althouth there was no evidence of neurologic disorder, marked instability of axis on the third cervical spine should inevitably be fused in any procedures. An anatomically contoured loop was secured to the posterior arch of the atlas and the laminae of the third and the fourth cervical spine by sublaminar wirings. The technique has the advantage over bone graft, either alone or with cement, in that it affords rigid stabilization, allows early mobilization and some flexion movement of atlanto-occipital joint.

Keyword

Axis pedicle fracture; Contoured loop; Sublaminar; Wiring

MeSH Terms

Atlanto-Occipital Joint
Dislocations
Early Ambulation
Humans
Nervous System Diseases
Spine*
Spondylolisthesis*
Transplants