ArticleInternational journal of spine surgery2026
Innovative One-Hole Split Endoscopy for Posterior Atlantoaxial Lateral Mass Joint Fusion: Technical Details and Preliminary Clinical Application.
Article in International journal of spine surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Endoscopic-Assisted Posterior Atlantoaxial Fusion: Technical Innovation and Clinical Experience.Orthopaedic surgery · 2026Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPosterior atlantoaxial arthrodesis is a cornerstone of atlantoaxial instability or dislocation. Open surgery entails extensive soft-tissue dissection, with intraoperative blood loss and postoperative axial pain. Experience from other spinal procedures suggests that one-hole split endoscopy may address these limitations; however, evidence at the craniovertebral junction is lacking. SURGICAL TECHNIQUE: This study introduces an innovative, minimally invasive technique for atlantoaxial fusion: one-hole split endoscopy for posterior atlantoaxial lateral mass joint fusion. By delineating the anatomic layers, safety boundaries, and technical points, the technique enables endoscopic lateral mass joint arthrodesis and atlantoaxial screw fixation. CLINICAL APPLICATION: A 12-year-old boy with diagnosed atlantoaxial instability and os odontoideum underwent the one-hole split endoscopy for posterior atlantoaxial lateral mass joint fusion. Early postoperative imaging confirmed anatomic reduction of the joint with stable fixation. At 3 months, computed tomography revealed continuous bony bridging across the lateral mass joint space, indicating early osseous fusion.
conclusionThis study describes the first clinical application of posterior atlantoaxial lateral mass joint fusion using one-hole split endoscopy, demonstrating clinical feasibility and enhanced visualization and suggesting a potential role for endoscopic fusion at the craniovertebral junction. CLINICAL RELEVANCE: This technique offers an innovative, minimally invasive option for posterior atlantoaxial fusion and supports the broader application of endoscopic procedures at the craniovertebral junction. LEVEL OF EVIDENCE: 4:
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