Motion-preserving reduction and fixation of C1 Jefferson fracture using a C1 lateral mass screw construct

Abstract The treatment of C1 Jefferson fractures is controversial. Non-surgical treatment with halo fixation always bears the risk of insufficient healing with further instability and increasing neck pain. However, a C1–2 fusion can markedly decrease the rotatory motion of the neck. The aim of this...

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Bibliographic Details
Published in:Journal of clinical neuroscience 2011-05, Vol.18 (5), p.695-698
Main Authors: Jo, Kwang-Wook, Park, Ik-Seong, Hong, Jae Taek
Format: Article
Language:English
Subjects:
Adult
Atlanto-Axial Joint - diagnostic imaging
Atlanto-Axial Joint - surgery
Bone Screws
C1 Jefferson fracture
C1 lateral mass screw
Cervical Atlas - diagnostic imaging
Cervical Atlas - injuries
Cervical Atlas - surgery
Fracture Fixation, Internal - instrumentation
Fracture Fixation, Internal - methods
Humans
Joint Instability - diagnostic imaging
Joint Instability - surgery
Magnetic Resonance Imaging
Male
Motion preservation
Neck Pain - diagnostic imaging
Neck Pain - etiology
Neck Pain - surgery
Neurology
Open reduction
Radiography
Spinal Fractures - complications
Spinal Fractures - diagnostic imaging
Spinal Fractures - surgery
Treatment Outcome
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Summary:Abstract The treatment of C1 Jefferson fractures is controversial. Non-surgical treatment with halo fixation always bears the risk of insufficient healing with further instability and increasing neck pain. However, a C1–2 fusion can markedly decrease the rotatory motion of the neck. The aim of this report is to describe a new treatment for C1 Jefferson fractures. We used open reduction and C1 fixation using a bilateral C1 lateral mass screw construct. The screws were connected with a rod and nuts to reduce lateral spread of the lateral masses. This mehod is an alternative surgical option for C1 Jefferson fractures in select patients and can maintain important C1–2 joint motion.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2010.08.033