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Title

Posterior reduction and fixation of an unstable Jefferson fracture with C1 lateral mass screws, C2 isthmus screws, and crosslink fixation: technical case report

Authors
Momjian, Armen
Published in Neurosurgery. 2008, vol. 63, no. 1 Suppl 1, p. ONSE100-101; discussion ONSE101
Abstract OBJECTIVE: We sought to describe a modified technique for the reduction and stabilization of unstable Jefferson fractures. CLINICAL PRESENTATION: We present the case of an isolated unstable Jefferson fracture in a 33-year-old woman. The patient was the victim of a motor vehicle accident. Her neurological examination was normal. A cervical computed tomographic scan revealed an isolated Jefferson fracture that we thought to be unstable when we applied the Spence criteria. TECHNIQUE: The fracture was treated by a technical variant of C1-C2 posterior fixation with compression on the rods by means of a crosslink connector, allowing the reduction of the atlantoaxial lateral mass overhanging. C1-C2 fusion with posterior iliac crest bone graft was added. CONCLUSION: The 1-year radiological follow-up evaluation showed a complete consolidation of the fracture lines and atlantoaxial stability. This technique could be an option for the reduction and stabilization of the unstable Jefferson fractures.
Keywords Adult*Bone ScrewsCervical Vertebrae/radiography/*surgeryFemaleFracture Fixation, Internal/*instrumentation/*methodsHumansSpinal Fractures/radiography/*surgery
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PMID: 18728610
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TESSITORE, Enrico, MOMJIAN, Armen, PAYER, Michael. Posterior reduction and fixation of an unstable Jefferson fracture with C1 lateral mass screws, C2 isthmus screws, and crosslink fixation: technical case report. In: Neurosurgery, 2008, vol. 63, n° 1 Suppl 1, p. ONSE100-101; discussion ONSE101. https://archive-ouverte.unige.ch/unige:19197

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Deposited on : 2012-03-27

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