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ORIGINAL ARTICLE
Year : 2014  |  Volume : 1  |  Issue : 2  |  Page : 60-68

Anterior fixation of atlantoaxial joints: Technique and pitfalls


Professor and Senior Consultant, Department of Neurosurgery, Bharati vidyapeeth Medical College and Hospital, Poona Hospital and Research Center, Pune, Maharashtra, India

Correspondence Address:
Sushil Patkar
Professor and Senior Consultant, Department of Neurosurgery, Bharati vidyapeeth Medical College and Hospital, Poona Hospital and Research Center, Pune, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10039-1013

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Both the atlantoaxial joints can be exposed adequately by an unilateral extrapharyngeal approach from the right side. The atlantoaxial dislocation can be reduced, joints can be decorticated and bone graft can be introduced into the joint. The odontoid process can be drilled and removed. The C1-C2 joint can be fixed either by (1) C1 lateral mass and C2 body screw plate bilaterally, or (2) bilateral anterior C2-C1 transarticular screws.


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