Combined C1-C2 Transarticular with C1 Lateral Mass Screw Fixation for the Treatment of Atlantoaxial Instability: A Single Center Experience

Sikander, Murtuza; Martin, Sean; Dabbous, Bassam; Griffiths, Stewart; Pereira, Sumit Karia Erlick; Cadoux-Hudson, Tom; Parthiban, J.K.B.C.

doi:10.5005/jp-journals-10039-1105

Cited by 3 publications

(2 citation statements)

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“…The patient was taken to the OR for open reduction and fixation using the Harms technique for C1-C2 fusion [ 12 ]. The surgical procedure was performed under general anesthesia, with the patient in a prone position.…”

Section: Case Presentationmentioning

confidence: 99%

Surgical Treatment of Irreducible AcuteTraumatic Atlantoaxial Rotatory Subluxation in an Adult

Alhasani¹,

Obeidat²,

ALMohammed³

et al. 2022

Cureus

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Traumatic atlantoaxial rotatory subluxation (AARS) is a condition that is extremely rare in adults when compared to the pediatric population. The most common symptoms of this condition are torticollis and post-traumatic neck pain. Our patient is a 41-year-old male who presented to the emergency room within hours of the injury. He came by himself with his relative as a case of road traffic accident. He was the first passenger and had been restrained during the car accident, with no ejection or rollover. He presented with stiffness/pain and reduced range of motion in the neck. Computed tomography (CT) of the cervical spine showed rotatory subluxation of C1 over the C2 with a locked facet. Within 24 hours of the RTA and patient admission, we attempted cervical traction. The reduction was not successful. So, we decided to reduce AARS through a surgical approach. The patient was taken to the operating room for open reduction and fixation using the Harms technique for C1-C2 fusion. The patient recovered from the surgery uneventfully, without any complications, recovered cervical mobility, and improved torticollis. Surgical management through open reduction and internal fixation is recommended for AARD cases in which close reduction fails due to a locked facet.

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Section: Case Presentationmentioning

confidence: 99%

Surgical Treatment of Irreducible AcuteTraumatic Atlantoaxial Rotatory Subluxation in an Adult

Alhasani¹,

Obeidat²,

ALMohammed³

et al. 2022

Cureus

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“…Within 24 h of the fall, and after a failed attempt at external reduction under general anesthesia, the patient underwent an open surgical reduction, and Harms-technique of C1-C2 fusion. [ 4 ] The patient’s T11 fracture although initially managed conservatively (e.g., with bed rest and analgesia) 3 weeks later required T10-T12 percutaneous spinal screw/ fixation. The patient uneventfully recovered from both surgeries.…”

Section: Case Reportmentioning

confidence: 99%

Traumatic atlantoaxial rotatory subluxation in adults – A case report and literature review

Horsfall

Gharooni

Al-Mousa

et al. 2020

Surgical Neurology International

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Background: Traumatic atlantoaxial rotatory subluxation (AARS) is extremely rare in adult versus pediatric populations. Patients usually present with post-traumatic neck pain and torticollis. Surgical management aims at reducing the deformity and stabilizing the spine utilizing external orthotics, and/or internal reduction/fixation. Methods: A 65-year-old female fell downstairs at home. She complained of neck pain with right-sided tenderness and torticollis. The radiographic studies and CT scan demonstrated AARS. This led to an emergent open reduction with internal fixation at the C1-C2 level. Results: We identified 25 similar cases of AARS in the English literature. Patients averaged 28.7 years of age and mostly sustained motor vehicle accidents largely treated with traction/orthotics; only six patients required surgical open reduction/internal fixation. Conclusion: In this case, the patient’s C1-C2 deformity required open reduction/internal fixation rather than bracing alone.

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The Comparison Between Transarticular Screw Fixation and Segmental Screw-Rod Fixation for Posterior Fusion of the C1-2 Segment: A Systematic Review and Meta-Analysis

et al. 2022

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Combined C1-C2 Transarticular with C1 Lateral Mass Screw Fixation for the Treatment of Atlantoaxial Instability: A Single Center Experience

Cited by 3 publications

References 0 publications

Surgical Treatment of Irreducible AcuteTraumatic Atlantoaxial Rotatory Subluxation in an Adult

Surgical Treatment of Irreducible AcuteTraumatic Atlantoaxial Rotatory Subluxation in an Adult

Traumatic atlantoaxial rotatory subluxation in adults – A case report and literature review

The Comparison Between Transarticular Screw Fixation and Segmental Screw-Rod Fixation for Posterior Fusion of the C1-2 Segment: A Systematic Review and Meta-Analysis

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