Journal of Craniovertebral Junction and Spine

CASE REPORT
Year
: 2013  |  Volume : 4  |  Issue : 2  |  Page : 85--89

Anterior transarticular screw fixation for atlantoaxial arthrodesis: A report of two cases


CS Carrier1, AA Sama2, FP Girardi2, DR Lebl2 
1 Tufts University School of Medicine, Boston, MA 02111, USA
2 Department of Orthopedic Surgery, Hospital for Special Surgery, New York 10021, USA

Correspondence Address:
D R Lebl
Department of Orthopedic Surgery, The Hospital for Special Surgery, 535 East 72nd Street, New York 10021
USA

The sequelae of atlantoaxial instability (AAI) range from axial neck pain to life-threatening neurologic injury. Instrumentation and fusion of the C1-2 joint is often indicated in the setting of clinical or biomechanical instability. This is the first clinical report of anterior Smith-Robinson C1-2 transarticular screw (TAS) fixation for AAI. The first patient presented with ischemic brain tissue secondary to post-traumatic C1-2 segment instability from a MVC 7 years prior to presentation. The second patient presented with a 3 year history of persistent right-sided neck and upper scalp pain. Both were treated with transarticular C1-2 fusion through decortication of the atlantoaxial facet joints and TAS fixation via the anterior Smith-Robinson approach. At 16 months follow-up, the first patient maintained painless range of motion of the cervical spine and denied sensorimotor deficits. The second patient reported 90% improvement in her pre-operative symptoms of neck pain and paresthesia. Anterior Smith-Robinson C1-2 TAS fixation provides a useful alternative to the posterior Goel and Magerl techniques for C1-2 stabilization and fusion.


How to cite this article:
Carrier C S, Sama A A, Girardi F P, Lebl D R. Anterior transarticular screw fixation for atlantoaxial arthrodesis: A report of two cases.J Craniovert Jun Spine 2013;4:85-89


How to cite this URL:
Carrier C S, Sama A A, Girardi F P, Lebl D R. Anterior transarticular screw fixation for atlantoaxial arthrodesis: A report of two cases. J Craniovert Jun Spine [serial online] 2013 [cited 2020 May 29 ];4:85-89
Available from: http://www.jcvjs.com/article.asp?issn=0974-8237;year=2013;volume=4;issue=2;spage=85;epage=89;aulast=Carrier;type=0