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Gonzalez LF, Klopfenstein JD, Crawford NR, Dickman CA, Sonntag VKH. Use of dual transarticular screws to fixate simultaneous occipitoatlantal and atlantoaxial dislocations. J Neurosurg Spine 2005; 3:318-23. [PMID: 16266074 DOI: 10.3171/spi.2005.3.4.0318] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
✓ Occipitoatlantal dislocation and atlantoaxial vertical distraction are caused by similar mechanisms, and few individuals survive these injuries. It is hypothesized that the injurious vertical force manifests as a traumatic lesion at different levels of the same ligamentous complex. The authors report the cases of two patients who presented with this combined lesion, describe surgical alternatives for stabilization, and introduce a new technique that combines the use of transarticular screws in a “dual” construct, without involving the unaffected spine.
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Affiliation(s)
- L Fernando Gonzalez
- Division of Neurological Surgery, Spinal Biomechanics Research Laboratory, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013-4496, USA
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Gonzalez L, Theodore N, Dickman CA, Sonntag VK. Occipitoatlantal and atlantoaxial dislocation. ACTA ACUST UNITED AC 2004. [DOI: 10.1053/j.otns.2004.04.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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