Instrumented reduction of a fixed C1–2 subluxation using occipital and C2/C3 fixation: A case report

BACKGROUND: Different 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 occipi...

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Detalles Bibliográficos
Autores principales: Meals, Clifton, Harrison, Rachel, Yu, Warren, O'Brien, Joseph
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier, Inc. 2013
Materias:
Full Length Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4300967/
https://www.ncbi.nlm.nih.gov/pubmed/25694899
http://dx.doi.org/10.1016/j.ijsp.2013.01.002
Descripción
Sumario:BACKGROUND: Different 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. METHODS: We performed a retrospective chart review and focused appraisal of the literature. RESULTS: Satisfactory reduction was achieved with this infrequently reported technique. CONCLUSIONS/LEVEL OF EVIDENCE: Spine surgeons may consider the described procedure a viable treatment alternative in problematic subluxations of the cervical spine. Level V.

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