Schleicher P, Scholz M, Pingel A, Kandziora F. C1 fractures: a review of diagnoses, management options, and outcomes. Mead LB, Millhouse PW, Krystal J, Vaccaro AR. In general, surgery to fuse C1-C2 results in a greater reduction in rotational range of motion for the head compared to other levels of the neck. Typically, fusion of C1-C2 is done following this procedure. This procedure is performed when the dens is severely displaced and compresses the spinal cord. Transoral odontoidectomy is the surgical removal of the dens.Outcomes of surgery for unstable odontoid fractures combined with instability of adjacent segments. The outcome is generally favorable, although a small risk of cerebrospinal fluid leakage persists with this surgery.ġ0 Wang L, Liu C, Zhao QH, Tian JW. Treasure Island (FL): StatPearls Publishing 2018 Jan. When the base of the dens is fractured, a screw facing upward is secured from dens to the C1 above to allow fusion of C1-C2.ĩ Tenny S, Varacallo M. Odontoid screw fixation is done when the dens of C2 gets fractured.The effect of excision of the posterior arch of C1 on C1/C2 fusion using transarticular screws. The stability of C1 achieved from this technique is good, with reduction in pain and other symptoms in most cases.Ĩ Chang KC, Samartzis D, Fuego SM, et al. This surgery helps relieve spinal cord compression in the C1 region due to excessive bone formation, resulting in stenosis of C1. Laminectomy or removal of the back or posterior portion of the C1 vertebral arch.See ACDF: Anterior Cervical Discectomy and Fusion ![]() Outcomes of C1 and C2 posterior screw fixation for upper cervical spine fusion. Pain relief from this procedure is usually seen in most cases, although some patients may experience low intensity, intermittent neck pain.ħ De Iure F, Donthineni R, Boriani S. This surgery provides a high level of stability to the damaged vertebrae. The fractured vertebrae are fixed together with wires, plates, and screws. This surgery is usually performed at the back of the cervical spine. Surgical methods used in the C1-C2 vertebral levels include: Unusual cause of high cervical myelopathy-C1 arch stenosis.
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