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

摘要: 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 transarticular have been widely applied adults, only screw fixation has reported children. Both these potentially place vertebral artery (VA) at risk because variable location transverse foramen. Atlantoaxial with translaminar recently adult which VA injury reduced. report successful results rigid bilateral crossing were placed, they discuss possible advantages this technique pediatric population.