Triple anterior screw fixation of an acute combination atlas-axis fracture - Case report

被引：38

作者：

Apostolides, PJ ^{[1
]}

Theodore, N ^{[1
]}

Karahalios, DG ^{[1
]}

Sonntag, VKH ^{[1
]}

机构：

[1] ST JOSEPHS HOSP,BARROW NEUROL INST,DIV NEUROL SURG,PHOENIX,AZ

来源：

JOURNAL OF NEUROSURGERY | 1997年 / 87卷 / 01期

关键词：

atlas; axis; cervical spine trauma; odontoid fracture; spinal instability;

D O I：

10.3171/jns.1997.87.1.0096

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The authors report the successful treatment of an acute combination atlas-axis fracture in an 85-year-old man using anterior odontoid and Cl-2. transarticular facet screw fixation and a Philadelphia collar. Treatment with halo brace immobilization failed. and the patient experienced recurrent episodes of oxygen desaturation when placed partially prone for chest physiotherapy. If a posterior approach is not feasible, an anterior odontoid and Cl-2 transarticular facet screw fixation can be considered as a salvage procedure for patients with acute combination atlas-axis fractures.

引用

页码：96 / 99

页数：4

共 33 条

[1] FRACTURES OF THE ODONTOID PROCESS - TREATMENT WITH ANTERIOR SCREW FIXATION [J].

AEBI, M ;

ETTER, C ;

COSCIA, M .

SPINE, 1989, 14 (10) :1065-1070

[2]

APFELBAUM RI, 1995, ANTERIOR SCREW FIXAT, V24, P1

[3]

APFELBAUM RI, 1992, NEUROSURGICAL OPERAT, P189

[4] Threaded Steinmann pin fusion of the craniovertebral junction [J].

Apostolides, PJ ;

Dickman, CA ;

Golfinos, JG ;

Papadopoulos, SM ;

Sonntag, VKH .

SPINE, 1996, 21 (14) :1630-1637

[5] ANTERIOR STABILIZATION FOR ACUTE FRACTURES AND NON-UNIONS OF THE DENS [J].

BOHLER, J .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1982, 64 (01) :18-27

[6]

BOHLER J, 1981, UNFALLHEILKUNDE, V84, P221

[7] ODONTOID PROCESS FRACTURE OSTEOSYNTHESIS WITH A DIRECT SCREW FIXATION TECHNIQUE IN 9 CONSECUTIVE CASES [J].

BORNE, GM ;

BEDOU, GL ;

PINAUDEAU, M ;

CRISTINO, G ;

HUSSEIN, A .

JOURNAL OF NEUROSURGERY, 1988, 68 (02) :223-226

[8] MAGNETIC-RESONANCE-IMAGING OF THE TRANSVERSE ATLANTAL LIGAMENT FOR THE EVALUATION OF ATLANTOAXIAL INSTABILITY [J].

DICKMAN, CA ;

MAMOURIAN, A ;

SONNTAG, VKH ;

DRAYER, BP .

JOURNAL OF NEUROSURGERY, 1991, 75 (02) :221-227

[9] THE INTERSPINAL METHOD OF POSTERIOR ATLANTOAXIAL ARTHRODESIS [J].

DICKMAN, CA ;

SONNTAG, VKH ;

PAPADOPOULOS, SM ;

HADLEY, MN .

JOURNAL OF NEUROSURGERY, 1991, 74 (02) :190-198

[10] NEUROSURGICAL MANAGEMENT OF ACUTE ATLAS-AXIS COMBINATION FRACTURES - A REVIEW OF 25 CASES [J].

DICKMAN, CA ;

HADLEY, MN ;

BROWNER, C ;

SONNTAG, VKH .

JOURNAL OF NEUROSURGERY, 1989, 70 (01) :45-49

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