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[Technic of C1-C2 fixation by posterior screwing].

A posterior screw fixation technique for C1-C2 is described which respects strict anatomical relations and allows associated posterior arthrodesis limited to C1-C2, using a single approach route. This method of posterior fixation can be used even when anomalies of the posterior arch of C1 or C2 exist, of whatever origin, as well as in the presence of a laminectomy. Four patients were operated upon using this method without any postoperative complications.

Axis, Cervical Vertebra↗

[Spinal fractures].

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Accidents, Traffic↗

[State of the osteoarticular apparatus of the craniovertebral region following restorative-reconstructive surgery].

Clinico-radiological examination of patients with a history of various types of operative treatment conducted on the craniovertebral region and cervical segment of the spine located below it established more precisely that in many cases neither decompression nor stabilization could completely arrest and eliminate the pathological process and the appearance of secondary deformities and neurological disorders in this region. That is why many operative methods for the management of lesions in this region require further study and elaboration.

Adolescent↗

Diagnosis and treatment of cervical instability.

Instability of the cervical spine gives rise to vertebral and neurological symptoms which may be progressive. The principal causes of instability are: trauma, sequelae of laminectomy, malformations, vertebral infections, rheumatoid arthritis, primary tumours (benign and malignant), metastases, and chronic degenerative disease of the discs. Each of these forms of instability must be identified and, depending on the symptoms and pathogenesis, is capable of responding to the appropriate treatment.

Adult↗

Vascular complications of upper cervical spine injuries.

Upper cervical spine injuries can be complicated by occlusion of the vertebral and carotid arteries. Injury to the former is more common. The arteries may be kinked or temporarily occluded, in which case the symptoms are transient. With more forceful trauma, damage to the intima and subsequent thrombosis or prolonged spasm may ensue. Early recognition of ischemic symptoms hastens the diagnosis. In most instances it is not possible to alter advanced neurologic deficits once they are established.

Adult↗