The fracture dislocation of axis: surgical treatment and its progress / 中华创伤骨科杂志

ABSTRACT

The fracture dislocation of axis is a common kind of severe trauma.Because of particular anatomic characteristics of axis, the operation is difficult and highly risky. However, with introduction of new instrumentation and improvement of surgical techniques, innovative methods have been developed in recent years, including posterior C1-2 fusion and internal fixation, decompression by the dissection of C1 posterior arch, occipitocervical fusion and internal fixation, anterior internal fixation for dens fracture dislocation, anterior decompression and internal fixation for vertebral arch fracture dislocation. The available instruments include interlaminar clamp, rod or plate, screw, etc. All these methods and instruments have their respective advantages and disadvantages and indications. In this paper, The indications, effects, and potential complications of them are discussed.