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Motion-preserving reduction and fixation of C1 Jefferson fracture using a C1 lateral mass screw construct

The treatment of C1 Jefferson fractures is controversial. Non-surgical treatment with halo fixation always bears the risk of insufficient healing with further instability and increasing neck pain. However, a C1-2 fusion can markedly decrease the rotatory motion of the neck. The aim of this report is to describe a new treatment for C1 Jefferson fractures. We used open reduction and C1 fixation using a bilateral C1 lateral mass screw construct. The screws were connected with a rod and nuts to reduce lateral spread of the lateral masses. This method is an alternative surgical option for C1 Jefferson fractures in select patients and can maintain important C1-2 joint motion

Keywords : Adult,Atlanto-Axial Joint,Bone Screws,Cervical Atlas,complications,diagnostic imaging,etiology,Fracture Fixation,Internal,Humans,injuries,instrumentation,Joint Instability,Magnetic Resonance Imaging,Male,methods,Motion,Neck,Neck Pain,Neurosurgery,Pain,Patients,Radiography,Republic of Korea,Risk,Spinal Fractures,surgery,Treatment Outcome,Universities,, Reduction,Fixation,C1, touch tens machine

Date of Publication : 2011 May

Authors : Jo KW;Park IS;Hong JT;

Organisation : Department of Neurosurgery, St Mary’s Hospital, College of Medicine, Catholic University, Bucheon, Republic of Korea

Journal of Publication : J Clin Neurosci

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21419630

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