Abstract
Various methods have been described for the surgical treatment of acute or chronic atlanto-axial instability. Anterior techniques (Cloward [4], Fang and Ong [7], Estridge [6]) have well known disadvantages connected with the approach. Both the lateral (Barbour [1], du Toit [5], Simmons [11] and the combined techniques Boehler [2]) require two approaches. Posterior techniques (Gallie [9], Brooks [3]), while having the easier approach rely on the integrity of the posterior atlas arch and their stability is not at the best in treatment of dens pseudarthrosis (Boehler [2]).
This study was supported by research grants from the ASIF-foundation.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Barbour JR (1971) Screw fixation and fractures of the odontoid process. S Australian Clin 5: 20
Boehler J (1979) Nonunion of the Dens axis. In: Chapchal G (ed) Pseudarthroses and their treatment. Thieme, Stuttgart, p 196
Brooks AL, Jenkins EW (1978) Atlanto-axial arthrodesis by the wedge compression method. J Bone Joint Surg 60-A: 279
Cloward RB (1970) Air instrument surgery. Hall Publishing, Inc. Springer, Heidelberg Berlin New York
Du Toit G (1976) Lateral atlanto-axial arthrodesis, a screw fixation technique. S Afric J Surg 14: 9
Estridge MN, Smith RA (1967) Transoral fusion of odontoid fracture: case report. J Neurosurg 27: 462
Fang HSY, Ong GB (1962) Direct anterior approach to the upper cervial spine. J Bone Joint Surg 44-A: 1588
Frankel HL, Hancock DO, Hyslop G, Melzack J, Michaelis LS, Ungar GH, Vernon JDS, Walsh JJ (1969) The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia, part I. Paraplegia 7: 179
Gallie WE (1939) Fractures and dislocations of the cervical spine. Am J Surg 46: 495
Magerl F (1982) Spondylodesen an der oberen Halswirbelsäule. Acta Chir Austriaca [Suppl] 43: 69
Simmons EH, du Toit G (1978) Lateral atlanto-axial arthrodesis. Orthop Clin North Am 9: 1101
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1987 Springer-Verlag
About this chapter
Cite this chapter
Magerl, F., Seemann, PS. (1987). Stable Posterior Fusion of the Atlas and Axis by Transarticular Screw Fixation. In: Kehr, P., Weidner, A. (eds) Cervical Spine I. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8882-8_59
Download citation
DOI: https://doi.org/10.1007/978-3-7091-8882-8_59
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-8884-2
Online ISBN: 978-3-7091-8882-8
eBook Packages: Springer Book Archive