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Percutaneous anterior C1/2 transarticular screw fixation: salvage of failed percutaneous odontoid screw fixation for odontoid fracture
- Source :
- Journal of Orthopaedic Surgery and Research, Vol 12, Iss 1, Pp 1-8 (2017), Journal of Orthopaedic Surgery and Research
- Publication Year :
- 2017
- Publisher :
- BMC, 2017.
-
Abstract
- Background The objective of this study is to investigate the outcomes and safety of using percutaneous anterior C1/2 transarticular screw fixation as a salvage technique for odontoid fracture if percutaneous odontoid screw fixation fails. Methods Fifteen in 108 odontoid fracture patients (planned to be treated by percutaneous anterior odontoid screw fixation) were failed to introduce satisfactory odontoid screw trajectory. To salvage this problem, we chose the percutaneous anterior C1/2 transarticular screw fixation technique in treatment of these patients. The visual analogue score (VAS) of neck pain and Neck Disability Index (NDI) of all patients were scored at pre-operation, 3 months after operation, and final follow-up. Additional, technique-related complications were recorded and collected. Results Percutaneous C1/2 transarticular screw fixation was performed successfully in all 15 patients whose odontoid screw fixation failed. No technique-related complications (such as nerve injury, spinal cord injury, and esophageal injury) occurred. The VAS of neck pain and NDI score improved significantly (P = 0.000) after operation, and no significant differences were found when compared to 93 non-salvage patients who successfully performed the percutaneous anterior odontoid screw fixation. No screw loose or breakage occurred, all of the odontoid fractures achieve radiographic fusion, bony fusion bridge could be observed at the C1/2 lateral articular facet on 9/15 patients. Conclusions We suggest that percutaneous anterior C1/2 transarticular screw fixation is a good alternative salvage technique if percutaneous odontoid screw fixation failed, and it is a minimally invasive, feasible, and safe technique.
- Subjects :
- Male
Percutaneous
lcsh:Diseases of the musculoskeletal system
Radiography
Bone Screws
Fracture Fixation, Internal
0302 clinical medicine
lcsh:Orthopedic surgery
Technical Note
Orthopedics and Sports Medicine
Spinal cord injury
Odontoid fracture
Pain Measurement
Transarticular screw
030222 orthopedics
Neck pain
Articular facet
Neck Pain
Middle Aged
musculoskeletal system
Treatment Outcome
Cervical Vertebrae
Spinal Fractures
Female
medicine.symptom
Adult
musculoskeletal diseases
Atlantoaxial
medicine.medical_specialty
Screw fixation
03 medical and health sciences
Odontoid Process
medicine
Humans
Minimally Invasive Surgical Procedures
Minimally invasive
Aged
Salvage Therapy
business.industry
medicine.disease
equipment and supplies
Surgery
lcsh:RD701-811
Orthopedic surgery
lcsh:RC925-935
business
Tomography, X-Ray Computed
030217 neurology & neurosurgery
Follow-Up Studies
Subjects
Details
- Language :
- English
- Volume :
- 12
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of Orthopaedic Surgery and Research
- Accession number :
- edsair.doi.dedup.....324c6d242d6b582cf8d32fa1a2b002b2