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Anterior C2 Odontoid Fixation Using Cranial Brainlab Navigation: A Novel Approach and Case Report.

作者信息

Khan Muhammad Mohsin, Shah Noman, Shihadeh Omar M, Illeyyan Abdullah, Ali Salih Ahmed Alaaeldin, Rachid El Mohamad Amr, Muhammed Thaha, Thabet Abdulnasser, Belkhair Sirajeddin

机构信息

Clinical Research, University of Dresden, Dresden, DEU.

Neurosurgery, Hamad General Hospital, Doha, QAT.

出版信息

Cureus. 2024 Nov 13;16(11):e73572. doi: 10.7759/cureus.73572. eCollection 2024 Nov.


DOI:10.7759/cureus.73572
PMID:39677062
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11638800/
Abstract

Instrumentation of the cervical spine particularly at the higher cervical levels like C2 presents unique challenges mainly because of their complex anatomy and proximity to neurovascular structures. The goal of the article is to demonstrate that using navigation technologies in inserting anterior odontoid screws can enhance the precision and safety of surgery. We describe a novel approach for anterior C2 odontoid fixation using a three-pin radiolucent Mayfield clamp with intra-operative CT registration and cranial brainlab navigation. A 28-year-old male patient who had a type II odontoid fracture was treated by this innovative technique using a radiolucent Mayfield clamp and cranial Brainlab navigation system to increase the precision of screw placement in the cervical spine and reduce the usage of X-ray during the procedure. The application of this technique results in the appropriate placement of the odontoid screw with limited neck exposure and less operative time. This novel surgical technique represents a significant advancement in the surgical treatment of patients with type II odontoid fractures by offering enhanced precision and safety and reduced surgical trauma. Its successful application in this challenging cervical spine surgery proves its potential in the anterior approach of cervical spine surgery.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/9983dbc22847/cureus-0016-00000073572-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/cec032a36568/cureus-0016-00000073572-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/96e2ba9d5339/cureus-0016-00000073572-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/725dc7a9dc03/cureus-0016-00000073572-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/4b8fe5a21891/cureus-0016-00000073572-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/946ea5df8548/cureus-0016-00000073572-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/d21158ec8234/cureus-0016-00000073572-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/abc121066c20/cureus-0016-00000073572-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/9983dbc22847/cureus-0016-00000073572-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/cec032a36568/cureus-0016-00000073572-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/96e2ba9d5339/cureus-0016-00000073572-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/725dc7a9dc03/cureus-0016-00000073572-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/4b8fe5a21891/cureus-0016-00000073572-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/946ea5df8548/cureus-0016-00000073572-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/d21158ec8234/cureus-0016-00000073572-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/abc121066c20/cureus-0016-00000073572-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdf/11638800/9983dbc22847/cureus-0016-00000073572-i08.jpg

相似文献

[1]
Anterior C2 Odontoid Fixation Using Cranial Brainlab Navigation: A Novel Approach and Case Report.

Cureus. 2024-11-13

[2]
Computer-assisted navigation of anterior odontoid screw fixation for type II odontoid fracture: case report and practical positioning technique.

J Spine Surg. 2024-9-23

[3]
Navigated odontoid screw placement using the O-arm: technical note and case series.

J Neurosurg Spine. 2017-1

[4]
[Primary osteosynthesis of the odontoid process: a multicenter study].

Acta Chir Orthop Traumatol Cech. 2002

[5]
[Anterior osteosynthesis of odontoid fractures].

Acta Chir Orthop Traumatol Cech. 2008-10

[6]
Robot-assisted anterior odontoid screw for the treatment of type Ⅱ odontoid fractures: Safety and effectiveness analysis.

Clin Neurol Neurosurg. 2025-2

[7]
[The Anterior "Triple-/Quadruple" Technique for C1/C2 Trauma in the Elderly: First Experience with 16 Patients].

Z Orthop Unfall. 2015-10

[8]
Acute neck pain caused by atlanto-axial instability secondary to pathologic fracture involving odontoid process and C2 vertebral body: treatment with radiofrequency thermoablation, cement augmentation and odontoid screw fixation.

Arch Orthop Trauma Surg. 2015-9

[9]
Acute combination fracture of atlas and axis: "triple" anterior screw fixation in a 92-year-old man: technical note.

Surg Neurol. 2006-1

[10]
Robotic-Assisted Decompression, Decortication, and Instrumentation for Minimally Invasive Transforaminal Lumbar Interbody Fusion.

JBJS Essent Surg Tech. 2024-12-6

本文引用的文献

[1]
Minimally Invasive Laminotomy for Contralateral "Over-the-Top" Foraminal Decompression Using 3-Dimensional Total Navigation: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown). 2020-9-1

[2]
Surgical management of odontoid fractures at level one trauma center: a single-center series of 142 cases.

Neurol India. 2015

[3]
Neuronavigation in minimally invasive spine surgery.

Neurosurg Focus. 2013-8

[4]
Navigation in surgery.

Langenbecks Arch Surg. 2013-2-22

[5]
Comparative analysis of isocentric 3-dimensional C-arm fluoroscopy and biplanar fluoroscopy for anterior screw fixation in odontoid fractures.

J Spinal Disord Tech. 2013-6

[6]
Image guidance in spine surgery.

Orthop Clin North Am. 2007-7

[7]
Posterior C1-C2 fusion with polyaxial screw and rod fixation.

Spine (Phila Pa 1976). 2001-11-15

[8]
Biomechanics of odontoid fracture fixation. Comparison of the one- and two-screw technique.

Spine (Phila Pa 1976). 1993-10-15

[9]
Fractures of the odontoid process of the axis.

J Bone Joint Surg Am. 1974-12

[10]
Odontoid fractures treated by anterior odontoid screw fixation.

Spine (Phila Pa 1976). 1991-3

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