C2 Superior Facetal Osteotomy: A Novel Technique in Complex Craniovertebral Junction Surgery for C1 Lateral Mass Screw Placement.

IF 2.3 Q2 ORTHOPEDICS
Asian Spine Journal Pub Date : 2023-12-01 Epub Date: 2023-12-18 DOI:10.31616/asj.2023.0216
Deepak Kumar Singh, Diwakar Shankar, Vipin Kumar Chand, Rakesh Kumar Singh, Neha Singh
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引用次数: 0

Abstract

Complex craniovertebral junction (CVJ) defects account for a considerable proportion of CVJ diseases. Given the heavily assimilated C1, an unfavorable C1-C2 joint orientation, an overriding C2 superior facet, a low-hanging occiput, and an abnormal vertebral artery course with a high-riding vertebral artery, placement of C1 lateral mass screws might be difficult. To address this, a novel technique for placing C1 lateral mass screws that avoid vertebral artery injury, low-hanging occiput, and overriding C2 superior facet was developed in this study. This approach enables firm fixation of C1-C2 even in difficult situations where the placement of the C1 lateral mass is challenging.

C2 上面部截骨术:复杂颅椎交界处手术中用于 C1 侧肿块螺钉置入的新技术。
复杂性颅椎间隙(CVJ)缺损在颅椎间隙疾病中占相当大的比例。由于 C1 被严重同化、C1-C2 关节方向不佳、C2 上关节面凌驾、枕骨低垂、椎动脉走向异常且椎动脉高悬,因此放置 C1 外侧肿块螺钉可能比较困难。为解决这一问题,本研究开发了一种新型的 C1 侧块螺钉置入技术,可避免椎动脉损伤、低垂枕和 C2 上关节面凌驾于椎动脉之上。即使在放置 C1 侧块具有挑战性的困难情况下,这种方法也能牢固固定 C1-C2。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Asian Spine Journal
Asian Spine Journal ORTHOPEDICS-
CiteScore
5.10
自引率
4.30%
发文量
108
审稿时长
24 weeks
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