Open AccessHybrid and double insurance atlantoaxial facetal fixation
Author(s) -
Atul Goel,
Ravikiran Vutha,
Abhidha Shah,
Survendra Rai,
Shashi Ranjan
Publication year - 2019
Publication title -
journal of craniovertebral junction and spine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 23
eISSN - 0976-9285
pISSN - 0974-8237
DOI - 10.4103/jcvjs.jcvjs_80_19
Subject(s) - basilar invagination , medicine , fixation (population genetics) , atlas (anatomy) , surgery , facet joint , odontoid process , facet (psychology) , cervical spine , anatomy , psychology , social psychology , population , decompression , environmental health , lumbar spine , personality , big five personality traits
The authors report a case of a 19-year-old female patient having basilar invagination with complex musculoskeletal abnormalities wherein atlantoaxial fixation was done with a combination of Goel and Magerl techniques on a single articulation on one side and two transarticular screws (Magerl technique) were deployed on the contralateral side articulation. The combination of Goel and Magerl techniques used in a novel fashion resulted in strong fixation and provided an environment for bone fusion. The special joint architecture and location of facet of atlas anterior and rostral to the facet of axis in the form of facetal-spondyloptosis were used to advantage as it provided a direct screw trajectory for transarticular screw insertion. The patient recovered after surgery in her neurological function. Craniovertebral junction realignment could be observed. Solid bone fusion was observed after 8 months of the surgical procedure.