Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Unusual Anterior Arch Fracture of C1 - Case Report -

Unusual Anterior Arch Fracture of C1 - 증 례 보 고 -

  • Kim, Sang Jin (Department of Neurosurgery, Sanggye Paik Hospital, Inje University) ;
  • Son, Chan Young (Department of Neurosurgery, Sanggye Paik Hospital, Inje University) ;
  • Kim, Tae Hong (Department of Neurosurgery, Sanggye Paik Hospital, Inje University) ;
  • Shin, Hyung Sik (Department of Neurosurgery, Sanggye Paik Hospital, Inje University) ;
  • Hwang, Young Soon (Department of Neurosurgery, Sanggye Paik Hospital, Inje University) ;
  • Park, Sang Keun (Department of Neurosurgery, Sanggye Paik Hospital, Inje University)
  • 김상진 (인제대학교 의과대학 상계백병원 신경외과학교실) ;
  • 손찬영 (인제대학교 의과대학 상계백병원 신경외과학교실) ;
  • 김태홍 (인제대학교 의과대학 상계백병원 신경외과학교실) ;
  • 신형식 (인제대학교 의과대학 상계백병원 신경외과학교실) ;
  • 황용순 (인제대학교 의과대학 상계백병원 신경외과학교실) ;
  • 박상근 (인제대학교 의과대학 상계백병원 신경외과학교실)
  • Received : 2001.02.12
  • Accepted : 2001.03.09
  • Published : 2001.04.28
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Abstract

Fractures of C1 are not uncommon, constituting only 10% of all cervical spine injuries. There is a high prevalence of concomitant fractures of the second and first cervical vertebral complex. Surgical treatment is controversal. Mainstay of treatment is various combination of traction and cervical orthosis according to degree of displacement and location of fracture. We experienced unusual type of fracture, anterior arch fracture of C1 who had a history of total laminectomy of C1,2 due to cervical cord tumor(neurilemmoma arising from C2 root). We performed C1,2 lateral mass screw fixation with posterior fusion with good postoperative outcome.

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