Unstable jefferson burst fractures (JBF): Intraoperative stability testing after posterior atlas ring osteosynthesis (C1-RO) allows determination of surgical procedure extent

ABSTRACT:

Introduction

Motion preserving atlas ring osteosynthesis (C1-RO) for unstable Jefferson burst fractures (JBF) with insufficiency of the transverse atlantal ligament (TAL) is under debate. There is controversy about when to apply C1-RO and when further stabilization is needed.

Research question:

Is intraoperative stability testing after C1-RO with restoration of secondary stabilizers feasible, and what are mid-to long-term results of posterior C1-RO vs. C1–C2 ORIF in unstable Jefferson burst fractures with Dickman type I or II transverse atlantal ligament lesions based on intraoperative decision using this stability testing?

Material and methods

Five consecutive patients with unstable JBF were treated with posterior C1-RO or C1–C2 ORIF based on the findings after

SUBMITTER:  

PROVIDER: S-EPMC9729808 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature