Modern methods of fixation at traumatic damages of сranio-vertebral junction, results of operative intervention

M. E. Polishchuk, E. I. Slynko, V. M. Buryk, A. I. Pastushin, V. V. Verbov

Abstract


The results of 11 patients treatment in with traumatic damage CVJ for the period of 2001 for 2003 with application of modern fixing systems were analysed. At 8 patients occipitocervical stabilization in various updatings has been carried out, 3 patients were operated with the use of anterior methods (2 — transoral removal of dens СII, with the subsequent stabilization, and 1 — transdental screw fixing dens СII). During the remote postoperative period at all patients are defined formations of a bone callous and absence of secondary instability CVJ. The peculiarity of operative technique and technical equipment are considered at installation of various kinds of modern fixing systems. The conclusion about significant improvement of results of treatment of traumatic instability CVJ is made at application of modern fixing systems.


Keywords


trauma of craniovertebral joint occipitocervical fixation; atlantoaxial arthrodesis; transcendental screw fixation

References


Полищук Н.Е., Корж Н.А., Фищенко В.Я. Повреждения позвоночника и спинного мозга. — К., Книга плюс, 2001. — 386 с.

Bӧrm W., Kast E. Anterior screw fixation in Type II Odontoid fractures: is there a difference in outcome between age groups? // Neurosurgery. — 2003. — V.52, N5. — P.1089.

Brian R.S., Morone M.A. Management of acute odontoid fractures with single-screw anterior fixation // Neurosurgery. — 1999. —V.45, N4. — P.812.

Dickman C.A., Foley K., Sonntag V.K.H., Smith M.M. Cannulated screws for odontoid screw fixation and atlanto-axial transarticular screw fixation: Technical note // J. Neurosurg. — 1995. — V.83. — P.1095–1100.

Dickman C.A., Sonntag V.K., Papadopoulos S.M., Hadley M.N. The interspinous method of posterior atlantoaxial arthrodesis // J. Neurosurg. — 1991. — V.74. — P.190–198.

Fehlings M.G., Cooper P.R., Errico T.J. Posterior plates in the management of cervical instability: Long-term results in 44 patients // J. Neurosurg. — 1994. — V.81. — P.341–349.

Gonzalez L.F., Crawford N.R., Dickman C.A. et al. Craniovertebral junction fixation with transarticular screws: biomechanical analysis of a novel technique // J. Neurosurg. (Spine №2). — 2003. — V.98. — P.202–209.

Grob D., Jeanneret B., Aebi M., Markwalder T. Atlanto-axial fusion with transarticular screw fixation //J. Bone Jt. Surg. — 1991. — V.73B. — P.221–227.

Grob D., Crisco J.J., Panjabi M.M. et al. Biomechanical evaluation of four different posterior atlanto-axial fixation techniques // Spine. — 1992. — V.17. — P.480–490.

Hadley M., Dickman C., Browner C., Sonntag V.K.H. Acute axis fractures: A review of 229 cases // J. Neurosurg. — 1989. — V.71. — P.642—647.

Madawi A.A., Casey A.T., Solanki G.A. et al. Radiological and anatomical evaluation of the atlantoaxial transarticular screw fixation technique // J. Neurosurg. — 1997. — V.86 — P.961–968.

Magerl F., Seemann P.S. Stable posterior fusion of the atlas and axis by transarticular screw fixation // Cervical Spine / Eds. P. Kehr, A. Weidner. — N.Y.: Springer-Verlag, 1987. — V.1. — P.322–327.

Pat. 6187005 США. А61В 017/56 Variable angle spinal fixation system/M. Brace, E. Lange. — Опубл. 13.02.01. // Бюл. №392483.

Regis W.H.Jr., Brian R.S. CICII transarticular screw fixation for atlantoaxial instability: A 6-year experience // Neurosurgery. — 2001. — V.48, N1. — P.65.

Song G.S., Theodore N., Dickman C.A., Sonntag V.K.H. Unilateral posterior atlanto-axial transarticular screw fixation // J. Neurosurg. — 1997. — V.87. — P.851–855.

Stillerman C.B., Wilson J.A. Atlanto-axial stabilization with posterior transarticular screw fixation // Neurosurgery. — 1993. — V.33, N5. — P.955.

Surgery of the cervical spine / Eds. S. An. Howard, J. Michael Simpson. — Baltimore: Williams & Wilkins, 1997. — 430 p.

Wright N.M., Lauryssen C. Vertebral artery injury in C1/2 transarticular screw fixation // J. Neurosurg. — 1998. — V.88. — P.634–640.

Yang S.Y., Gao Y.Z. Clinical results of the transoral operation for lesions of the craniovertebral junction and its abnormalities // Surg. Neurol. — 1999. — V.51, N1. — P.16–20.


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