{"title":"Treatment of C2 tuberculosis using C1-3 inter-lateral mass structural bone graft and short segment fixation: a case report.","authors":"Guanghai Zhao, Haihong Zhang, Jing Wang","doi":"10.1080/02688697.2025.2494864","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Tuberculosis (TB) infections involving the C2 vertebra (C2 TB) are uncommon and surgery is their primary treatment. Although occipitocervical fusion is presently the main surgical intervention for the disease-helping in restoring spinal stability, it inevitably compromises cervical mobility, significantly impacting patients' postoperative quality of life.</p><p><strong>Case report: </strong>A 39-year-old female with C2 TB underwent a single posterior route lesion removal, structural bone graft between the C1-3 lateral masses, and short segment fixation from C1-3. A one-year follow-up showed significant recovery with minimal clinical complications. Neck rotation was slightly restricted, whereas neck flexion and extension remained unaffected.</p><p><strong>Conclusions: </strong>This case demonstrates the technical viability of a C1-3 inter-lateral mass structural bone graft with short segment fixation for C2 TB.</p>","PeriodicalId":9261,"journal":{"name":"British Journal of Neurosurgery","volume":" ","pages":"1-4"},"PeriodicalIF":1.0000,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Neurosurgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/02688697.2025.2494864","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Tuberculosis (TB) infections involving the C2 vertebra (C2 TB) are uncommon and surgery is their primary treatment. Although occipitocervical fusion is presently the main surgical intervention for the disease-helping in restoring spinal stability, it inevitably compromises cervical mobility, significantly impacting patients' postoperative quality of life.
Case report: A 39-year-old female with C2 TB underwent a single posterior route lesion removal, structural bone graft between the C1-3 lateral masses, and short segment fixation from C1-3. A one-year follow-up showed significant recovery with minimal clinical complications. Neck rotation was slightly restricted, whereas neck flexion and extension remained unaffected.
Conclusions: This case demonstrates the technical viability of a C1-3 inter-lateral mass structural bone graft with short segment fixation for C2 TB.
期刊介绍：
The British Journal of Neurosurgery is a leading international forum for debate in the field of neurosurgery, publishing original peer-reviewed articles of the highest quality, along with comment and correspondence on all topics of current interest to neurosurgeons worldwide.
Coverage includes all aspects of case assessment and surgical practice, as well as wide-ranging research, with an emphasis on clinical rather than experimental material. Special emphasis is placed on postgraduate education with review articles on basic neurosciences and on the theory behind advances in techniques, investigation and clinical management. All papers are submitted to rigorous and independent peer-review, ensuring the journal’s wide citation and its appearance in the major abstracting and indexing services.
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