Department of Neurosurgery, Lokmanya Tilak Muncipal (LTM) Medical College and Municipal General Hospital, Dr. B.R. Ambedkar Road, College Building, 2nd Floor, Room 14, Sion, Mumbai 400022, India.
J Clin Neurosci. 2011 Dec;18(12):1705-8. doi: 10.1016/j.jocn.2011.03.030. Epub 2011 Oct 19.
Craniovertebral instability is a significant challenge to neurosurgeons. We describe an alternative anterior high cervical retropharyngeal approach for C1-C2 intrafacetal fusion and transarticular screw insertion. We dissected 10 cadaveric specimens and fixed the atlantoaxial joint with C1-C2 intrafacetal fusion and transarticular screw insertion. We achieved good surgical exposure and fixation in all cadavers with this technique. The anterior high cervical retropharyngeal approach for C1-C2 intrafacetal fusion and transarticular screw insertion may provide an alternative fusion technique for craniovertebral fusion.
颅颈交界区不稳定是神经外科医生面临的一大挑战。我们介绍了一种替代的前路高位颈椎经咽后入路，用于 C1-C2 关节突关节内融合和经关节螺钉固定。我们解剖了 10 具尸体标本，并用 C1-C2 关节突关节内融合和经关节螺钉固定固定寰枢关节。我们用这种技术在所有尸体标本中都获得了良好的手术显露和固定。前路高位颈椎经咽后入路用于 C1-C2 关节突关节内融合和经关节螺钉固定，可为颅颈融合提供一种替代的融合技术。
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