Department of Neurosurgery, Kyung Hee University Hospital, Kyung Hee University College of Medicine, 23 Kyungheedae-Ro, Dongdaemun-Gu, Seoul, 02447, South Korea.
Acta Neurochir (Wien). 2024 Jan 24;166(1):31. doi: 10.1007/s00701-024-05914-5.
The surgical treatment of Jefferson fractures generally involves solid fusion, which limits the range of motion of the upper cervical spine. Herein, we present a case of a Jefferson fracture that was surgically treated using direct C1 posterior arch screw reduction and osteosynthesis instead of fusion surgery. Postoperative computed tomography (CT) and plain radiography revealed that both C1 posterior arch screws were well positioned, and placing lag screws at the C1 level played a key role in fracture reduction. The present case highlights a surgical technique, which can preserve neck motion by using lag screws for reduction and osteosynthesis.
杰斐逊骨折的手术治疗通常需要进行牢固的融合，这会限制上颈椎的活动范围。在此，我们报告 1 例采用直接 C1 后弓螺钉复位和固定而不是融合手术治疗的杰斐逊骨折。术后计算机断层扫描（CT）和普通 X 线片显示 C1 后弓螺钉均位置良好，在 C1 水平放置拉力螺钉在骨折复位中起关键作用。本病例突出了一种手术技术，通过使用拉力螺钉进行复位和固定可以保留颈部运动。
