Screw implantation in spinous process for occipitoaxial fixation

被引:22
作者
Goel, A [1 ]
Kulkarni, AG
机构
[1] King Edward VII Mem Hosp, Dept Neurosurg, Bombay 400012, Maharashtra, India
[2] Seth GS Med Coll, Bombay 400012, Maharashtra, India
关键词
craniovertebral anomalies; spinous process; occipitalized atlas;
D O I
10.1016/j.jocn.2004.03.021
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The feasibility of direct implantation of screws into the spinous process of the axis for fixation of plates in occipitoaxial stabilization is discussed. The method was used in 11 cases of congenital craniovertebral anomalies. The relatively strong and stubby spinous process of the axis in cases with occipitalization of the atlas facilitated screw implantation. In three cases two screws were implanted into the spinous process. The follow-up ranged from 3 to 43 months, the average being 26 months. During the period of follow-up one screw backed out from the spinous process. In the rest of the cases the screw in the spinous process satisfactorily fixed the axial end of the plate and stabilized the region. (C) 2004 Elsevier Ltd. All rights reserved.
引用
收藏
页码:735 / 737
页数:3
相关论文
共 14 条
[1]
ONE-STAGE TRANSORAL DECOMPRESSION AND POSTERIOR FIXATION IN RHEUMATOID ATLANTOAXIAL SUBLUXATION [J].
CROCKARD, HA ;
CALDER, I ;
RANSFORD, AO .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1990, 72 (04) :682-685
[2]
Magnetic resonance imaging-compatible posterior cervical implant for occipitocervical stabilization [J].
Crockard, HA ;
Tammam, A ;
Mendoza, N .
JOURNAL OF NEUROSURGERY, 1998, 89 (05) :852-856
[3]
THE INFLUENCE OF TRANSORAL ODONTOID RESECTION ON STABILITY OF THE CRANIOVERTEBRAL JUNCTION [J].
DICKMAN, CA ;
LOCANTRO, J ;
FESSLER, RG .
JOURNAL OF NEUROSURGERY, 1992, 77 (04) :525-530
[5]
CRANIOVERTEBRAL JUNCTION MALFORMATIONS - CLINICORADIOLOGICAL FINDINGS, LONG-TERM RESULTS, AND SURGICAL INDICATIONS IN 63 CASES [J].
DILORENZO, N ;
FORTUNA, A ;
GUIDETTI, B .
JOURNAL OF NEUROSURGERY, 1982, 57 (05) :603-608
[6]
OCCIPITOCERVICAL ARTHRODESIS IN CHILDREN - A NEW TECHNIQUE AND ANALYSIS OF RESULTS [J].
DORMANS, JP ;
DRUMMOND, DS ;
SUTTON, LN ;
ECKER, ML ;
KOPACZ, KJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1995, 77A (08) :1234-1240
[7]
THE SURGICAL-TREATMENT OF CHIARI MALFORMATION ASSOCIATED WITH ATLANTOAXIAL DISLOCATION [J].
GOEL, A ;
ACHAWAL, S .
BRITISH JOURNAL OF NEUROSURGERY, 1995, 9 (01) :67-72
[8]
PLATE AND SCREW FIXATION FOR ATLANTOAXIAL SUBLUXATION [J].
GOEL, A ;
LAHERI, V .
ACTA NEUROCHIRURGICA, 1994, 129 (1-2) :47-53
[9]
Basilar invagination: a study based on 190 surgically treated patients [J].
Goel, A ;
Bhatjiwale, M ;
Desai, K .
JOURNAL OF NEUROSURGERY, 1998, 88 (06) :962-968
[10]
GROB D, 1987, ORTHOPADE, V16, P46