Journal of Korean Neurosurgical Society

  • 제37권3호
  • /
  • Pages.201-206
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  • 2005
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지

축추-환추간 경관절 나사못 고정술 치료의 결과 및 합병증

The Results and Complications of the C1-C2 Transarticular Screw Fixation Methods

  • 최준웅 (인하대학교 의과대학 신경외과학교실) ;
  • 윤승환 (인하대학교 의과대학 신경외과학교실) ;
  • 박형천 (인하대학교 의과대학 신경외과학교실) ;
  • 박현선 (인하대학교 의과대학 신경외과학교실) ;
  • 김은영 (인하대학교 의과대학 신경외과학교실) ;
  • 하윤 (인하대학교 의과대학 신경외과학교실)
  • Choi, Jun-Woong (Department of Neurosurgery, Inha University College of Medicine) ;
  • Yoon, Seung-Hwan (Department of Neurosurgery, Inha University College of Medicine) ;
  • Park, Hyung-Chun (Department of Neurosurgery, Inha University College of Medicine) ;
  • Park, Hyeon-Seon (Department of Neurosurgery, Inha University College of Medicine) ;
  • Kim, Eun-Young (Department of Neurosurgery, Inha University College of Medicine) ;
  • Ha, Yoon (Department of Neurosurgery, Inha University College of Medicine)
  • 발행 : 2005.03.31
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초록

Objective: To evaluate the accuracy and safety of C1-C2 transarticular screw insertion, we retrospectively review surgical records and postoperative radiological findings. Methods: From January 2001 to October 2003, the C1-C2 transarticular screw fixation and posterior wiring with iliac bone grafts was performed in 16 patients. 6 patients had rheumatoid arthritis which caused cervical instability, 3 patients had os odontoideum, 3 patients had type 2 odontoid process fracture, 3 patients had traumatic transverse ligament injury and 1 patients who had been managed with C1-C2 wire fixation had psoriatic arthritis. Results: Osseous fusion was documented in 15 patients(93.8%). Only one patient was recorded screw loosening because of postoperative infection. One patient had only one screw placed because of abnormal anatomical structure, one patients was breakage of a Kirschner wire, and one screw was medial location to lateral mass of C1, but clinical results was excellent and radiological instability was not noted. Conclusion: The author's experience demonstrates that C1-C2 transarticular screw fixation with wired bone graft is a safe procedure with higher fusion rate but precaution is needed to avoid the neural damage, vertebral artery injury, and hardware failure.

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