Long Term Follow up and Clinical Results of Posterior C1/2 Fixation
Journal of Korean Neurosurgical Society
; : 926-933, 1999.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-108592
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE:
To determine the efficacy of various posterior fusion techniques in managing C1/2 instability. PATIENTS ANDMETHODS:
Retrospective review of patients undergoing C1/2 posterior fusioin was undertaken with the aim of determining the long-term outcome of the selected procedures. Forty-two patients requiring posterior atlantoaxial fusion for various pathologies were treated with various instruments for internal spinal fixation. Forty-two patients underwent 45 procedures from 1990 to 1997, with a mean follow-up of 2.7 years(range 8 months-7 years)RESULTS:
The most common disease processes were odontoid fracture(12 patients), os odontoideum(13), and rheumatoid instability(7). Nineteen interspinous wirings, 17 transarticular screw fixations, 9 halifax clamp applications were performed. Three of Halifax fixation and 2 of wiring failed in long term follow up. Among of them, bony fusion was failed in 3 patients which consequently required reoperation. All transarticular screw procedures resulted in successful fusions.CONCLUSIONS:
Transarticular screw fixatioin has several potential advantages compare to other procedures as a technique for C1/2 posterior arthrodesis.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Patologia
/
Artrodese
/
Reoperação
/
Estudos Retrospectivos
/
Seguimentos
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
1999
Tipo de documento:
Artigo