ArticleJournal of orthopaedic surgery and research2017
Percutaneous anterior C1/2 transarticular screw fixation: salvage of failed percutaneous odontoid screw fixation for odontoid fracture.
Article in Journal of orthopaedic surgery and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 12 citations in OpenAlex.
- Comparative Efficacy of Endoscopic Lesion Resection and Posterior Lesion Debridement, Bone Grafting, Fusion and Internal Fixation Combined With Medication in the Treatment of Lumbar Brucellosis Spondylitis.Infection and drug resistance · 2025Article
- Anterior screw fixation for type II odontoid process fractures: A single-center experience with the double Herbert screw fixation technique (Retrospective cohort study).Annals of medicine and surgery (2012) · 2022Article
- A new tool in percutaneous anterior odontoid screw fixation.BMC musculoskeletal disorders · 2021Article
- [Minimally invasive techniques for traumatic injuries of the cervical spine].Der Unfallchirurg · 2020Review
- Design a novel integrated screw for minimally invasive atlantoaxial anterior transarticular screw fixation: a finite element analysis.Journal of orthopaedic surgery and research · 2020Article
- Postoperative intracranial migration of a C2 odontoid screw: A case report and literature review.Surgical neurology international · 2019Article
- The comparison of clinical outcome of fresh type II odontoid fracture treatment between anterior cannulated screws fixation and posterior instrumentation of C1-2 without fusion: a retrospective cohort study.Journal of orthopaedic surgery and research · 2018Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 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.
methodsFifteen 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.
resultsPercutaneous 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.
conclusionsWe 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.
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