Journal of Korean Neurosurgical Society

  • 제52권2호
  • /
  • Pages.120-125
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  • 2012
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Posterior Atalntoaxial Fusion with C1 Lateral Mass Screw and C2 Pedicle Screw Supplemented with Miniplate Fixation for Interlaminar Fusion : A Preliminary Report

  • Yoon, Sang-Mok (Department of Neurosurgery, College of Medicine, Catholic University of Daegu) ;
  • Baek, Jin-Wook (Department of Neurosurgery, College of Medicine, Catholic University of Daegu) ;
  • Kim, Dae-Hyun (Department of Neurosurgery, College of Medicine, Catholic University of Daegu)
  • 투고 : 2012.04.12
  • 심사 : 2012.08.19
  • 발행 : 2012.08.28
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초록

Objective : To investigate the feasibility of C1 lateral mass screw and C2 pedicle screw with polyaxial screw and rod system supplemented with miniplate for interlaminar fusion to treat various atlantoaxial instabilities. Methods : After posterior atlantoaxial fixation with lateral mass screw in the atlas and pedicle screw in the axis, we used 2 miniplates to fixate interlaminar iliac bone graft instead of sublaminar wiring. We performed this procedure in thirteen patients who had atlantoaxial instabilities and retrospectively evaluated the bone fusion rate and complications. Results : By using this method, we have achieved excellent bone fusion comparing with the result of other methods without any complications related to this procedure. Conclusion : C1 lateral mass screw and C2 pedicle screw with polyaxial screw and rod system supplemented with miniplate for interlaminar fusion may be an efficient alternative method to treat various atlantoaxial instabilities.

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참고문헌

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피인용 문헌

  1. Posterior Atlantoaxial Fusion Using C1 Lateral Mass and C2 Pedicle by Polyaxial Screw in Atlantoaxial Instability vol.4, pp.3, 2014, https://doi.org/10.4236/ojmn.2014.43027
  2. Repeated Complication Following Atlantoaxial Fusion: A Case Report vol.11, pp.1, 2012, https://doi.org/10.14245/kjs.2014.11.1.7
  3. The height for screw index (HSI) predicts the development of C2 nerve dysfunction associated with C1 lateral mass screw fixation for atlantoaxial instability vol.23, pp.5, 2012, https://doi.org/10.1007/s00586-013-3160-3
  4. The Intersection Between Lateral Mass and Inferomedial Edge of the C1 Posterior Arch: A Reference Point for C1 Lateral Mass Screw Insertion vol.18, pp.2, 2012, https://doi.org/10.14245/ns.2040814.407