C1-C2 fusion: promoting stability, reducing morbidity.

摘要: he surgical treatment of atlantoaxial instability has been evolving for more than 100 years. The first report was T a case presentation in 1910, by Mixter and Osgood (30), who described using heavy silk thread to secure the posterior arch atlas spinous process axis. next few decades were associated with multiple advances, including approaches dorsal cervical wiring techniques. These included Gallie technique (13, 16, 27), Brooks-Jenkins (5), Dickman Sonntag (9) et al. (10). Nonwiring techniques interlaminar clamps (21), Magerl transarticular screw (26), plate (17, 18), rod-cantilever (19, 33, 40), translaminar (25, 42, 43), variety other strategies (28, 32). Although indications vary, fusion rates these procedures have observed be as high 90%e100% (2, 9, 12, 28).