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An anterior high cervical retropharyngeal approach for C1-C2 intrafacetal fusion and transarticular screw insertion. 2011

Ritesh Kansal, and Alok Sharma, and Sanjay Kukreja
Department of Neurosurgery, Lokmanya Tilak Muncipal (LTM) Medical College and Municipal General Hospital, Dr. B.R. Ambedkar Road, College Building, 2nd Floor, Room 14, Sion, Mumbai 400022, India. drkansal@yahoo.co.in

Craniovertebral instability is a significant challenge to neurosurgeons. We describe an alternative anterior high cervical retropharyngeal approach for C1-C2 intrafacetal fusion and transarticular screw insertion. We dissected 10 cadaveric specimens and fixed the atlantoaxial joint with C1-C2 intrafacetal fusion and transarticular screw insertion. We achieved good surgical exposure and fixation in all cadavers with this technique. The anterior high cervical retropharyngeal approach for C1-C2 intrafacetal fusion and transarticular screw insertion may provide an alternative fusion technique for craniovertebral fusion.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D001863 Bone Screws Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures. Bone Screw,Screw, Bone,Screws, Bone
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001268 Atlanto-Axial Joint The joint involving the CERVICAL ATLAS and axis bones. Atlanto Axial Joint,Atlantoaxial Joint,Atlanto Axial Joints,Atlanto-Axial Joints,Atlantoaxial Joints,Joint, Atlanto Axial,Joint, Atlanto-Axial,Joint, Atlantoaxial,Joints, Atlanto Axial,Joints, Atlanto-Axial,Joints, Atlantoaxial
D001270 Cervical Atlas The first cervical vertebra. Atlas, Cervical,Arcuate Foramen,C1 Vertebra,Kimmerle Anomaly,Ponticulus Posterior of the Atlas,Ponticulus Posticus,Anomaly, Kimmerle,C1 Vertebras,Vertebra, C1,Vertebras, C1
D001368 Axis, Cervical Vertebra The second cervical vertebra. Epistropheus,C2 Vertebra,Cervical Vertebra Axis,Os Odontoideum,C2 Vertebras,Vertebra Axis, Cervical
D013123 Spinal Fusion Operative immobilization or ankylosis of two or more vertebrae by fusion of the vertebral bodies with a short bone graft or often with diskectomy or laminectomy. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed, p236; Dorland, 28th ed) Spondylodesis,Spondylosyndesis,Fusion, Spinal,Fusions, Spinal,Spinal Fusions,Spondylodeses,Spondylosyndeses

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