ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2012
Direct repair of displaced anterior arch fracture of the atlas under microendoscopy: experience with seven patients.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 12 citations in OpenAlex.
- Initial fracture gap distance as a potential quantitative predictor for atlas fracture nonunion: A preliminary retrospective analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Transoral unilateral lag screw osteosynthesis for coronal split fracture of the lateral mass of the atlas - case report, operative technique and review of the literature.Brain & spine · 2023Article
- Anterior reduction and C1-ring osteosynthesis with Jefferson-fracture reduction plate (JeRP) via transoral approach for unstable atlas fractures.BMC musculoskeletal disorders · 2021Article
- Endoscopic endonasal approach to the craniocervical junction: the importance of anterior C1 arch preservation or its reconstruction.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2016Article
- Unstable Jefferson fractures: Results of transoral osteosynthesis.Indian journal of orthopaedics · 2014Article
- Unstable atlas fracture treatment by anterior plate C1-ring osteosynthesis using a transoral approach.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2013Article
- Transoral screw and wire fixation for unstable anterior ½ atlas fracture.Journal of craniovertebral junction & spineArticle
- Unilateral lag-screw technique for an isolated anterior 1/4 atlas fracture.Journal of craniovertebral junction & spineArticle
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7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn general, bony injuries heal well with immobilization when the fractured segments are well apposed in the cases of stable atlas fracture. Osseous nonunion of the displaced anterior arch fracture of the atlas has been reported in the literature. However, there have been no reports published on the treatment of nonunion of the atlas fractures.
objectiveThe objective of this study is to describe a new technique for direct repair of the displaced anterior arch fracture of the atlas in a minimally invasive manner.
methodsSeven patients with the atlas fracture were treated by a minimally invasive approach. Reduction of anterior arch fractures was not performed by skull traction and the displacement of fractures was more than 5 mm. Direct autograft was performed under microendoscope to improve union of the anterior arch fractures. Radiographic and CT evaluation of the atlas fractures were performed at 3, 6 and 12 months postoperatively.
resultsSeven cases of the atlas fractures (one old and six new fractures) underwent the surgical procedure smoothly without major complications. Total average displacement of the anterior arch fracture was 5.7 mm (range 5-8 mm) before surgery. Of the seven patients, bony union of the fracture developed in six. At latest follow-up, two patients had neck pain associated with movement and limited range of rotational motion.
conclusionDirect repair under microendoscope is a new technique that improves bony union of displaced anterior arch of the atlas fractures.
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