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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2023, Number 3

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Cir Columna 2023; 1 (3)

Jefferson's fracture and subaxial cervical spine trauma, surgical resolution, 360o approach; C1 screws to lateral masses and C7 corpectomy: case report

Cruz GMA, Robles ORE, Rodríguez MAF, Sánchez SJF, Martínez BJM

Language: Spanish
References: 18
Page: 168-173
PDF size: 303.58 Kb.


ABSTRACT

Introduction: upper cervical spine injuries comprise < 25% of traumatic spine pathologies, with fractures of the atlas being a rare injury (3-10%). There are multiple techniques for their management; however, they significantly limit the range of mobility and present a challenge for the surgeon. It is important to individualize each patient considering their age and neurological function. In our case it was decided to perform a rare approach by means of screw fixation to lateral masses of C1 with transverse bar allowing better results. Case presentation: 33-year-old male presenting fracture of C1 and C7 after a vehicular accident. He came to the Spine Surgery Department 16 days after the accident, with presence of neurological alteration in the right thoracic extremity. It was decided to perform a 360o approach by posterior stabilization with screws in lateral masses of C1 and transverse bar, laminectomy of C7 stabilization to lateral masses C6-C7 and transpedicular T1 posterior anterior approach and C7 corpectomy. Conclusion: the surgical technique performed for atlas fracture aims mainly at preserving a greater range of mobility compared to standard techniques (C0-C2 and C1-C2 fixation) decreasing the morbidity rate.


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