Transoral screw and wire fixation for unstable anterior 1/2 atlas fracture

Basit Öğe Kaydı
dc.contributor.authorKeskil, Semih
dc.contributor.authorGoksel, Murat
dc.contributor.authorYuksel, Ulas
dc.date.accessioned2020-06-25T18:22:39Z
dc.date.available2020-06-25T18:22:39Z
dc.date.issued2017
dc.departmentKırıkkale Üniversitesi
dc.description.abstractStudy Design: Atlas fractures are evaluated according to the fracture type and ligamentous injury. External immobilization may result in fracture nonunion. Objective: The ideal treatment method for non-stabilized atlas fractures is limited fixation without restricting the range of motion of the atlantoaxial and atlantooccipital joints. Summary of Background Data: Such a result can be established by using either anterior fixation or posterior lateral mass fixation. However, none of these techniques can fully address anterior 1/2 atlas fractures such as in this case. Materials and Methods: A transoral technique in which bilateral screws were placed intralaminarly and connected with wire was used to reduce and stabilize an anterior 1/2 fracture of C1. Result: Radiological studies after the surgery showed good cervical alignment, no screw or wire failure and good reduction with fusion of anterior arcus of C1. Conclusions: Internal immobilization by this screw and wire osteosynthesis technique protects the mobility of the atlanto-occipital and atlantoaxial joints. The main advantage is that neither the twisted wires inserted under the anterior lamina, nor the laterally placed screw heads interfere with midline wound closure; unlike the plate/cage and rod systems used together with anterior screws. A computer navigation system with intraoperative 3D imaging facilities will be of benefit for safe placement of the screw, however we preferred a free-hand technique, as the starting point was at the fracture line along the trajectory of the routinely accessible anterior lamina.en_US
dc.identifier.citationKeskil, Semih; Göksel, Murat; Yüksel, Ulas. (2017).Transoral screw and wire fixation for unstable anterior ½ atlas fracture. Journal of Craniovertebral Junction and Spine 8(4):p 364-368.en_US
dc.identifier.doi10.4103/jcvjs.JCVJS_94_17
dc.identifier.endpage368en_US
dc.identifier.issn0974-8237
dc.identifier.issn0976-9285
dc.identifier.issue4en_US
dc.identifier.pmid29403251
dc.identifier.scopus2-s2.0-85040079158
dc.identifier.scopusqualityQ2
dc.identifier.startpage364en_US
dc.identifier.urihttps://doi.org/10.4103/jcvjs.JCVJS_94_17
dc.identifier.urihttps://hdl.handle.net/20.500.12587/6851
dc.identifier.volume8en_US
dc.identifier.wosWOS:000418716900014
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMedknow Publications & Media Pvt Ltden_US
dc.relation.ispartofJournal Of Craniovertebral Junction And Spine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAtlas fractureen_US
dc.subjectC1 fractureen_US
dc.subjectscrewen_US
dc.subjecttransoralen_US
dc.subjectwireen_US
dc.titleTransoral screw and wire fixation for unstable anterior 1/2 atlas fractureen_US
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
Transoral screw and wire fixation for unstable anterior 1 2 atlas fracture.pdf
Boyut:
937.34 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin/Full Text
İndir

Koleksiyon

WOS İndeksli Yayınlar Koleksiyonu
Makale Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu