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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2017; 36(02): 101-107
DOI: 10.1055/s-0037-1601455
Review Article | Artigo de Revisão
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Axis Screw Fixation – A Step-by-Step Review of the Surgical Techniques

Fixação do áxis com parafusos – uma revisão passo a passo das técnicas cirúrgicas
Andrei F. Joaquim
1   Department of Neurology, Discipline of Neurosurgery, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil
,
K. Daniel Riew
2   Department of Orthopedics, Columbia University, New York, NY, United States
› Author Affiliations
Further Information

Publication History

12 December 2016

27 January 2017

Publication Date:
31 March 2017 (online)

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Abstract

In this article, we present the techniques of axis screw fixation (laminar, pars, pedicle and transarticular screws), discussing the indications and contraindications of each one, as well as surgical tips and anatomical landmarks.

Resumo

No presente artigo, apresentamos as técnicas de fixação do áxis com parafusos (lamina, parafusos de pars, pedículo e transarticular), discutindos as indicações e contra-indicações das mesmas, assim como dicas cirúrgicas e parâmetros anatômicos relevantes.

Keywords

axis - screw - lamina - pars - pedicle - transarticular

Palavras-chave

áxis - parafuso - lâmina - pars - pedículo - transarticular

Quiz – Additional Information for Residents (supplementary material)


Supplementary Material

 

  • References

  • 1 Joaquim AF, Ghizoni E, Anderle DV, Oliveira Ed, Tedeschi H. Axis instrumentation: surgical results. Arq Neuropsiquiatr 2012; 70 (11) 857-863
    CrossrefPubMedGoogle Scholar
  • 2 Farey ID, Nadkarni S, Smith N. Modified Gallie technique versus transarticular screw fixation in C1-C2 fusion. Clin Orthop Relat Res 1999; (359) 126-135
    PubMedGoogle Scholar
  • 3 Dickman CA, Sonntag VK. Posterior C1-C2 transarticular screw fixation for atlantoaxial arthrodesis. Neurosurgery 1998; 43 (02) 275-280 , discussion 280–281
    CrossrefPubMedGoogle Scholar
  • 4 Coyne TJ, Fehlings MG, Wallace MC, Bernstein M, Tator CH. C1-C2 posterior cervical fusion: long-term evaluation of results and efficacy. Neurosurgery 1995; 37 (04) 688-692 , discussion 692–693
    CrossrefPubMedGoogle Scholar
  • 5 Rajinda P, Towiwat S, Chirappapha P. Comparison of outcomes after atlantoaxial fusion with C1 lateral mass-C2 pedicle screws and C1-C2 transarticular screws. Eur Spine J 2016 Oct 2
    PubMedGoogle Scholar
  • 6 Jeanneret B, Magerl F. Primary posterior fusion C1/2 in odontoid fractures: indications, technique, and results of transarticular screw fixation. J Spinal Disord 1992; 5 (04) 464-475
    CrossrefPubMedGoogle Scholar
  • 7 Ebrahein NA, Fow J, Xu R, Yeasting RA. The location of the pedicle and pars interarticularis in the axis. Spine 2001; 26 (04) 34-37
    CrossrefPubMedGoogle Scholar
  • 8 Wright NM. Posterior C2 fixation using bilateral, crossing C2 laminar screws: case series and technical note. J Spinal Disord Tech 2004; 17 (02) 158-162
    CrossrefPubMedGoogle Scholar
  • 9 Mandel IM, Kambach BJ, Petersilge CA, Johnstone B, Yoo JU. Morphologic considerations of C2 isthmus dimensions for the placement of transarticular screws. Spine 2000; 25 (12) 1542-1547
    CrossrefPubMedGoogle Scholar
  • 10 Igarashi T, Kikuchi S, Sato K, Kayama S, Otani K. Anatomic study of the axis for surgical planning of transarticular screw fixation. Clin Orthop Relat Res 2003; (408) 162-166
    PubMedGoogle Scholar
  • 11 Singh B, Cree A. Laminar screw fixation of the axis in the pediatric population: a series of eight patients. Spine J 2015; 15 (02) e17-e25
    PubMedGoogle Scholar
  • 12 Hong JT, Yi JS, Kim JT, Ji C, Ryu KS, Park CK. Clinical and radiologic outcome of laminar screw at C2 and C7 for posterior instrumentation--review of 25 cases and comparison of C2 and C7 intralaminar screw fixation. World Neurosurg 2010; 73 (02) 112-118 , discussion e15
    CrossrefPubMedGoogle Scholar
  • 13 Cassinelli EH, Lee M, Skalak A, Ahn NU, Wright NM. Anatomic considerations for the placement of C2 laminar screws. Spine 2006; 31 (24) 2767-2771
    CrossrefPubMedGoogle Scholar
  • 14 Cristante AF, Torelli AG, Kohlmann RB. , et al. Feasibility of intralaminar, lateral mass, or pedicle axis vertebra screws in children under 10 years of age: a tomographic study. Neurosurgery 2012; 70 (04) 835-838 , discussion 838–839
    CrossrefPubMedGoogle Scholar
  • 15 Joaquim AF, Ghizoni E, Rubino PA. , et al. Lateral mass screw fixation of the atlas: surgical technique and anatomy. World Neurosurg 2010; 74 (2-3): 359-362
    CrossrefPubMedGoogle Scholar
  • 16 Mudo ML, Amantéa AV, Cavalheiro S, Joaquim AF. Intraoperative radiological visualization of the occipito-cervical transition and upper cervical spine: technical note. Columna 2009; 8: 197-199
    PubMedGoogle Scholar
  • 17 Yanni DS, Perin NI. Fixation of the axis. Neurosurgery 2010; 66 (3, Suppl) 147-152
    CrossrefPubMedGoogle Scholar
  • 18 Menendez JA, Wright NM. Techniques of posterior C1-C2 stabilization. Neurosurgery 2007; 60 (01) (Suppl. 01) S103-S111
    PubMedGoogle Scholar
  • 19 Puschak TJ, Anderson PA. Posterior C1–C2 Transarticular Screws. Tech Orthop 2002; 17 (03) 296-305
    CrossrefPubMedGoogle Scholar
  • 20 Sciubba DM, Noggle JC, Vellimana AK. , et al. Radiographic and clinical evaluation of free-hand placement of C-2 pedicle screws. Clinical article. J Neurosurg Spine 2009; 11 (01) 15-22
    CrossrefPubMedGoogle Scholar
  • 21 Lehman Jr RA, Dmitriev AE, Helgeson MD, Sasso RC, Kuklo TR, Riew KD. Salvage of C2 pedicle and pars screws using the intralaminar technique: a biomechanical analysis. Spine 2008; 33 (09) 960-965
    CrossrefPubMedGoogle Scholar
  • 22 Parker SL, McGirt MJ, Garcés-Ambrossi GL. , et al. Translaminar versus pedicle screw fixation of C2: comparison of surgical morbidity and accuracy of 313 consecutive screws. Neurosurgery 2009; 64 (05) (Suppl. 02) 343-348 , discussion 348–349
    PubMedGoogle Scholar