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Double insurance atlantoaxial fixation.
Surg Neurol. 2007 Feb; 67(2):135-9.SN

Abstract

BACKGROUND

An alternative technique of atlantoaxial fixation is described, which combines the trans-articular method of fixation described by Magerl in 1982 and the interarticular technique described by us in 1988.

METHODS

Between January 2001 and January 2005, 18 patients underwent the discussed method of fixation at the Department of Neurosurgery at King Edward VII Memorial Hospital in Mumbai, India. Fifteen patients had congenital craniovertebral anomaly and 3 patients had posttraumatic atlantoaxial instability. Fourteen patients had basilar invagination with "fixed" atlantoaxial dislocation, and 4 patients had mobile and reducible atlantoaxial dislocation. The mean follow-up period was 22 months (range, 3-50 months).

RESULTS

Successful atlantoaxial stabilization was achieved in all patients and was documented with dynamic radiography. There was no incidence of implant rejection. There were no neurological, vascular, or infective complications.

CONCLUSION

The described method of atlantoaxial fixation that incorporates the advantages of the 2 currently more frequently used techniques of lateral mass fixation could be an alternative method of fixation.

Authors+Show Affiliations

Department of Neurosurgery, King Edward VII Memorial Hospital, Mumbai-400012, India. atulgoel62@hotmail.com

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17254867

Citation

Goel, Atul. "Double Insurance Atlantoaxial Fixation." Surgical Neurology, vol. 67, no. 2, 2007, pp. 135-9.
Goel A. Double insurance atlantoaxial fixation. Surg Neurol. 2007;67(2):135-9.
Goel, A. (2007). Double insurance atlantoaxial fixation. Surgical Neurology, 67(2), 135-9.
Goel A. Double Insurance Atlantoaxial Fixation. Surg Neurol. 2007;67(2):135-9. PubMed PMID: 17254867.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Double insurance atlantoaxial fixation. A1 - Goel,Atul, Y1 - 2006/11/03/ PY - 2006/05/12/received PY - 2006/05/21/accepted PY - 2007/1/27/pubmed PY - 2007/3/31/medline PY - 2007/1/27/entrez SP - 135 EP - 9 JF - Surgical neurology JO - Surg Neurol VL - 67 IS - 2 N2 - BACKGROUND: An alternative technique of atlantoaxial fixation is described, which combines the trans-articular method of fixation described by Magerl in 1982 and the interarticular technique described by us in 1988. METHODS: Between January 2001 and January 2005, 18 patients underwent the discussed method of fixation at the Department of Neurosurgery at King Edward VII Memorial Hospital in Mumbai, India. Fifteen patients had congenital craniovertebral anomaly and 3 patients had posttraumatic atlantoaxial instability. Fourteen patients had basilar invagination with "fixed" atlantoaxial dislocation, and 4 patients had mobile and reducible atlantoaxial dislocation. The mean follow-up period was 22 months (range, 3-50 months). RESULTS: Successful atlantoaxial stabilization was achieved in all patients and was documented with dynamic radiography. There was no incidence of implant rejection. There were no neurological, vascular, or infective complications. CONCLUSION: The described method of atlantoaxial fixation that incorporates the advantages of the 2 currently more frequently used techniques of lateral mass fixation could be an alternative method of fixation. SN - 0090-3019 UR - https://www.unboundmedicine.com/medline/citation/17254867/Double_insurance_atlantoaxial_fixation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-3019(06)00634-3 DB - PRIME DP - Unbound Medicine ER -