使用C1和C2椎板螺钉固定进行寰枢椎稳定术。

Tsuji Takashi, Chiba Kazuhiro, Horiuchi Yosuke, Urabe Tadahisa, Fujita Shota, Matsumoto Morio

Department of Orthopaedic Surgery, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.

Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan.

Asian Spine J. 2017 Apr;11(2):314-318. doi: 10.4184/asj.2017.11.2.314. Epub 2017 Apr 12.

We describe the use of a C1 laminar screw in combination with a C2 laminar screw as a salvage technique to treat two patients, one with persistent first intersegmental artery and the other with vertebral artery occlusion after cervical spine fracture. The combined use of C1 and C2 laminar screws allows for good fixation of the atlantoaxial joint with a lower risk of vertebral artery injury; therefore, it can be an alternative surgical procedure for patients with congenital or traumatic anomalous vertebral artery.

我们描述了使用C1椎板螺钉联合C2椎板螺钉作为挽救技术治疗两名患者的情况，其中一名患者存在持续的第一节段间动脉，另一名患者在颈椎骨折后出现椎动脉闭塞。C1和C2椎板螺钉的联合使用能够实现寰枢关节的良好固定，同时降低椎动脉损伤的风险；因此，对于先天性或创伤性椎动脉异常的患者，它可以作为一种替代的手术方法。