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Image-Guided Internal Fixation of an Oblique Sagittal Split Fracture of C1 Lateral Mass with Motion Preservation: A Technical Report

A sagittal split fracture of the C1 lateral mass is an unstable subtype of C1 fractures and has a high propensity for developing late deformities and pain with nonoperative management. A primary internal fixation of this type of fracture has been recently described with good clinical outcomes and pr...

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Detalles Bibliográficos
Autores principales: Malcolm, James G, Tan, Lee A, Johnson, Andrew K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606747/
https://www.ncbi.nlm.nih.gov/pubmed/28948116
http://dx.doi.org/10.7759/cureus.1496
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author Malcolm, James G
Tan, Lee A
Johnson, Andrew K
author_facet Malcolm, James G
Tan, Lee A
Johnson, Andrew K
author_sort Malcolm, James G
collection PubMed
description A sagittal split fracture of the C1 lateral mass is an unstable subtype of C1 fractures and has a high propensity for developing late deformities and pain with nonoperative management. A primary internal fixation of this type of fracture has been recently described with good clinical outcomes and preservation of motion. We present a modified technique of primary internal fixation using an obliquely inserted C1 lag screw with imaging guidance. We successfully treated a 55-year-old woman with a unilateral C1 oblique sagittal split fracture who failed nonoperative management. Technical nuances are discussed with a review of pertinent literature.
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spelling pubmed-56067472017-09-25 Image-Guided Internal Fixation of an Oblique Sagittal Split Fracture of C1 Lateral Mass with Motion Preservation: A Technical Report Malcolm, James G Tan, Lee A Johnson, Andrew K Cureus Neurosurgery A sagittal split fracture of the C1 lateral mass is an unstable subtype of C1 fractures and has a high propensity for developing late deformities and pain with nonoperative management. A primary internal fixation of this type of fracture has been recently described with good clinical outcomes and preservation of motion. We present a modified technique of primary internal fixation using an obliquely inserted C1 lag screw with imaging guidance. We successfully treated a 55-year-old woman with a unilateral C1 oblique sagittal split fracture who failed nonoperative management. Technical nuances are discussed with a review of pertinent literature. Cureus 2017-07-20 /pmc/articles/PMC5606747/ /pubmed/28948116 http://dx.doi.org/10.7759/cureus.1496 Text en Copyright © 2017, Malcolm et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Malcolm, James G
Tan, Lee A
Johnson, Andrew K
Image-Guided Internal Fixation of an Oblique Sagittal Split Fracture of C1 Lateral Mass with Motion Preservation: A Technical Report
title Image-Guided Internal Fixation of an Oblique Sagittal Split Fracture of C1 Lateral Mass with Motion Preservation: A Technical Report
title_full Image-Guided Internal Fixation of an Oblique Sagittal Split Fracture of C1 Lateral Mass with Motion Preservation: A Technical Report
title_fullStr Image-Guided Internal Fixation of an Oblique Sagittal Split Fracture of C1 Lateral Mass with Motion Preservation: A Technical Report
title_full_unstemmed Image-Guided Internal Fixation of an Oblique Sagittal Split Fracture of C1 Lateral Mass with Motion Preservation: A Technical Report
title_short Image-Guided Internal Fixation of an Oblique Sagittal Split Fracture of C1 Lateral Mass with Motion Preservation: A Technical Report
title_sort image-guided internal fixation of an oblique sagittal split fracture of c1 lateral mass with motion preservation: a technical report
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606747/
https://www.ncbi.nlm.nih.gov/pubmed/28948116
http://dx.doi.org/10.7759/cureus.1496
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