Pediatric atlantoaxial fixation with bilateral, crossing C-2 translaminar screws. Technical note

Journal of Neurosurgery
Jeffrey R Leonard, Neill M Wright

Abstract

The authors describe the cases of three children in whom atlantoaxial instability was caused by os odontoideum, all requiring surgical fixation. Although C1-2 rod/cantilever constructs involving C-2 pedicle screws and C1-2 transarticular screws have been widely applied in adults, only C1-2 transarticular screw fixation has been reported in children. Both of these constructs potentially place the vertebral artery (VA) at risk because of the variable location of the transverse foramen. Atlantoaxial fixation with C-2 translaminar screws has recently been reported in adult cases in which the risk of VA injury was reduced. The authors report the successful results of rigid atlantoaxial fixation in three children in whom bilateral crossing C-2 translaminar screws were placed, and they discuss the possible advantages of this technique in the pediatric population.

References

Feb 1, 1991·Journal of Neurosurgery·C A DickmanM N Hadley
Jan 1, 1994·Acta neurochirurgica·A Goel, V Laheri
Mar 15, 1996·Spine·N EbraheimW T Jackson
May 15, 1999·Pediatric Neurosurgery·J WangH Bartkowski
Nov 15, 2001·Spine·J Harms, R P Melcher
May 15, 2002·Pediatric Neurosurgery·Raj Kumar, Suresh Radhakrishna Nayak
Jul 21, 2004·Journal of Spinal Disorders & Techniques·Neill M Wright
Aug 13, 2004·Neurosurgical Focus·Daniel Couture, Charles L Branch
Aug 13, 2004·Neurosurgical Focus·Scott Y RahimiMark R Lee
Oct 11, 2005·Neurosurgical Focus·John K StokesJ Patrick Johnson

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Citations

Mar 2, 2010·Archives of Orthopaedic and Trauma Surgery·Fengjin ZhouZhuangchen Zhu
Nov 24, 2007·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·Eric W Nottmeier, Andrew B Foy
Apr 10, 2009·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·Gregory G HeuerPhillip B Storm
May 1, 2009·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·Marco CrostelliElio Ascani
Jun 12, 2009·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·Sheng LuDong P Li
Feb 9, 2010·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·Christian-Andreas MuellerRudolf Andreas Kristof
Nov 25, 2011·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·Ryoji TauchiNaoki Ishiguro
Sep 6, 2013·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·Yong HuCheng-tao Wang
Apr 7, 2010·Journal of Neurosurgery. Pediatrics·Todd C HankinsonRichard C E Anderson
Jun 3, 2009·Journal of Neurosurgery. Pediatrics·Atif HaqueDavid J Sacco
Jan 3, 2012·Journal of Neurosurgery. Pediatrics·Andrew Jea
Jun 5, 2012·Journal of Neurosurgery. Pediatrics·Mahesh KarandikarAnthony M Avellino
Jun 5, 2012·Journal of Neurosurgery. Pediatrics·Arnold H Menezes
Nov 20, 2012·Journal of Neurosurgery. Pediatrics·Paul KlimoMichael S Muhlbauer
Apr 17, 2014·Journal of Craniovertebral Junction and Spine·C S CarrierD R Lebl
Dec 18, 2013·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·Dong-Dong XiaYong-Long Chi
Aug 1, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Sanjiv SinhaRahul Jain
Oct 17, 2007·The Spine Journal : Official Journal of the North American Spine Society·Andrew JeaAllan D Levi
Mar 5, 2010·Neurosurgery·Praveen V MummaneniDean Chou
Jan 6, 2007·Neurosurgery·Jose A Menendez, Neill M Wright
Nov 26, 2016·Neurosurgery Clinics of North America·Hannah E Goldstein, Richard C E Anderson
May 3, 2014·Journal of Neurosurgery. Spine·Shuichi KaneyamaKazuo Mizoi
Dec 3, 2011·Neurosurgical Focus·Paul KlimoDouglas Brockmeyer
Sep 25, 2012·Journal of Neurosurgery. Spine·Steven W HwangAndrew Jea
Feb 23, 2010·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·Bin YueSeung-Ho Han
Oct 16, 2007·Journal of Neurosurgery. Spine·Chandan ReddyPatrick W Hitchon
Jun 29, 2010·Journal of Clinical Nursing·Elise SullivanDesley Hegney
Jan 6, 2019·Journal of Neurosurgery. Pediatrics·Stephen MendenhallAndrew Jea
Dec 20, 2017·Spine Surgery and Related Research·Kei WatanabeNaoto Endo
May 11, 2016·International Journal of Computer Assisted Radiology and Surgery·Teng LuXijing He

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