2013
DOI: 10.1016/j.ijsp.2013.01.002
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Instrumented reduction of a fixed C1–2 subluxation using occipital and C2/C3 fixation: A case report

Abstract: BackgroundDifferent strategies exist for reduction of the cervical spine. Placement of C1 lateral mass screws is a powerful technique but may be impossible in a degenerative or revision setting. We report the open, posterior-only, and instrumented reduction of a fixed C1–2 subluxation using occipital and C2/C3 fixation. The patient had rheumatoid arthritis and had undergone previous surgery of the cervical spine.MethodsWe performed a retrospective chart review and focused appraisal of the literature.ResultsSat… Show more

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Cited by 4 publications
(2 citation statements)
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“… 33 For cases in which placement of a C1 lateral mass screw is difficult, recently described procedures such as open, posterior-only, and instrumented reduction of a fixed C1–2 subluxation using occipital and C2/C3 fixation as reported by Meals et al provide surgeons more options. 84 …”
Section: Treatmentsmentioning
confidence: 99%
“… 33 For cases in which placement of a C1 lateral mass screw is difficult, recently described procedures such as open, posterior-only, and instrumented reduction of a fixed C1–2 subluxation using occipital and C2/C3 fixation as reported by Meals et al provide surgeons more options. 84 …”
Section: Treatmentsmentioning
confidence: 99%
“…[ 47 ] Anterior transarticular fixation is another easier method of reducing irreducible atlantoaxial dislocation with lesser complication rates when compared with anterior plating. [ 48 ] However, concerns persist regarding safe screw placement.…”
Section: Discussionmentioning
confidence: 99%