Home | About JCVJS | Editorial board | Ahead of print | Current Issue | Archives | Instructions | Subscribe | Advertise | Contact us |   Login 
Journal of Craniovertebral Junction and Spine
Search Articles   
    
Advanced search   
 
CASE REPORT
Year : 2019  |  Volume : 10  |  Issue : 3  |  Page : 184-187

Hybrid and double insurance atlantoaxial facetal fixation


1 Department of Neurosurgery, KEM Hospital and Seth GS Medical College; Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
2 Department of Neurosurgery, KEM Hospital and Seth GS Medical College, Mumbai, Maharashtra, India

Correspondence Address:
Prof. Atul Goel
Department of Neurosurgery, KEM Hospital and Seth GS Medical College, Parel, Mumbai - 400 012, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcvjs.JCVJS_80_19

Rights and Permissions

The authors report a case of a 19-year-old female patient having basilar invagination with complex musculoskeletal abnormalities wherein atlantoaxial fixation was done with a combination of Goel and Magerl techniques on a single articulation on one side and two transarticular screws (Magerl technique) were deployed on the contralateral side articulation. The combination of Goel and Magerl techniques used in a novel fashion resulted in strong fixation and provided an environment for bone fusion. The special joint architecture and location of facet of atlas anterior and rostral to the facet of axis in the form of facetal-spondyloptosis were used to advantage as it provided a direct screw trajectory for transarticular screw insertion. The patient recovered after surgery in her neurological function. Craniovertebral junction realignment could be observed. Solid bone fusion was observed after 8 months of the surgical procedure.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed37    
    Printed0    
    Emailed0    
    PDF Downloaded1    
    Comments [Add]    

Recommend this journal