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Modified Brooks PosteriorWiring Technique for Three-Point C1-C2 Arthrodesis

Published online by Cambridge University Press:  24 February 2017

Giacomo G. Vecil ,
Clayton F.G. Chan  and
R. John Hurlbert
Giacomo G. Vecil
Affiliation:
University of Calgary Spine Program, Foothills Hospital and Medical Centre, Calgary, AB, Canada
Clayton F.G. Chan
Affiliation:
University of Calgary Spine Program, Foothills Hospital and Medical Centre, Calgary, AB, Canada
R. John Hurlbert*
Affiliation:
University of Calgary Spine Program, Foothills Hospital and Medical Centre, Calgary, AB, Canada
*
University of Calgary Spine Program, Foothills Hospital and Medical Centre, 1403 - 29th St. N.W., Calgary, AB T2N 2T9, Canada
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Abstract:

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Background:

The optimal surgical treatment of atlanto-axial instability remains controversial despite the variety of modifications and supplemental techniques currently available.

Methods:

We describe a modification of the Brooks posterior wiring technique supplemented with transarticular screws for C1-C2 instability.

Results:

This method has been implemented in 30 patients in our institution with no radiological failures.

Conclusions:

The modification provides several technical advantages and potentially stronger fixation compared to methods currently in use.

Résumé:

RÉSUMÉ:Introduction:

Le meilleur traitement chirurgical de l'instabilité atlanto-axiale demeure un sujet controversé même si une grande variété de modifications et de techniques d'appoint sont maintenant disponibles.

Méthodes:

Nous décrivons une modification à la technique de cerclage postérieur de Brooks avec vis transarticulaires pour traiter l'instabilité au niveau de C1-C2.

Résultats:

Cette méthode a été utilisée chez 20 patients dans notre institution, sans échec radiologique.

Conclusions:

La modification présente plusieurs avantages techniques et potentiellement une meilleure fixation comparée aux méthodes utilisées actuellement.

Type
Original Article
Information
Canadian Journal of Neurological Sciences , Volume 28 , Issue 2 , May 2001 , pp. 125 - 129
Copyright
Copyright © The Canadian Journal of Neurological 2001

References

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