Journal of Craniovertebral Junction and Spine

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 12  |  Issue : 1  |  Page : 10--14

Temporary spanning internal fixation for management of complex upper cervical spine fractures


Khalid AlSaleh, Muteb Abulras, Osama Alrehaili 
 Department of Orthopedics College of Medicine, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Khalid AlSaleh
Department of Orthopedics, College of Medicine, King Saud University, Riyadh 12372
Saudi Arabia

Introduction: Fractures of the upper cervical spine are often but not always amenable to either internal fixation or conservative management using a rigid cervical collar. For all other fractures in this area, management with a halo-vest orthosis is indicated, but it also has limitations. Here, we present an operative alternative to the halo-vest orthosis that provides more secure stability and less complications. Methods: Three patients presented to our hospital with atypical fractures of C1 and C2 and were given the choice of either a halo-vest orthosis or secure internal fixation without fusion and accepted the latter. Internal fixation without fusion from occiput to the subaxial spine was performed for all three and then removed-6 months later -after radiologic confirmation of healing. Results: All three patients underwent the procedure successfully and achieved and maintained acceptable alignment. Range of motion was preserved, and no intermediate-term issues were observed. Conclusion: Spanning internal fixation provides a safe and effective technique in the management of complex upper cervical spine injuries without the drawbacks of using a halo-vest orthosis.


How to cite this article:
AlSaleh K, Abulras M, Alrehaili O. Temporary spanning internal fixation for management of complex upper cervical spine fractures.J Craniovert Jun Spine 2021;12:10-14


How to cite this URL:
AlSaleh K, Abulras M, Alrehaili O. Temporary spanning internal fixation for management of complex upper cervical spine fractures. J Craniovert Jun Spine [serial online] 2021 [cited 2021 Apr 17 ];12:10-14
Available from: https://www.jcvjs.com/article.asp?issn=0974-8237;year=2021;volume=12;issue=1;spage=10;epage=14;aulast=AlSaleh;type=0