Instrumented reduction of a fixed C1-2 subluxation using occipital and C2/C3 fixation: A case report

Instrumented reduction of a fixed C1-2 subluxation using occipital and C2/C3 fixation: A case report

BACKGROUNDDifferent strategies exist for reduction of the cervical spine. Placement of C1 lateral mass screws is a powerful technique but may be impossible in a degenerative or revision setting. We report the open, posterior-only, and instrumented reduction of a fixed C1-2 subluxation using occipita...

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Veröffentlicht in:International journal of spine surgery 2013, Vol.7, p.e20-e23
Hauptverfasser: Meals, Clifton, Harrison, Rachel, Yu, Warren, O'Brien, Joseph
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container_title International journal of spine surgery
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creator Meals, Clifton
Harrison, Rachel
Yu, Warren
O'Brien, Joseph
description BACKGROUNDDifferent strategies exist for reduction of the cervical spine. Placement of C1 lateral mass screws is a powerful technique but may be impossible in a degenerative or revision setting. We report the open, posterior-only, and instrumented reduction of a fixed C1-2 subluxation using occipital and C2/C3 fixation. The patient had rheumatoid arthritis and had undergone previous surgery of the cervical spine. METHODSWe performed a retrospective chart review and focused appraisal of the literature. RESULTSSatisfactory reduction was achieved with this infrequently reported technique. CONCLUSIONS/LEVEL OF EVIDENCESpine surgeons may consider the described procedure a viable treatment alternative in problematic subluxations of the cervical spine. Level V.
doi_str_mv 10.1016/j.ijsp.2013.01.002
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title Instrumented reduction of a fixed C1-2 subluxation using occipital and C2/C3 fixation: A case report
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