Abstract
From May 1989 to July 1992, 20 consecutive cases of traumatic atlanto-axial (C1-2) fracture-dislocations and subluxations, treated at this Hospital, were reviewed. Among them, the 12 cases undergoing Halifax interlaminar clamping and fusion procedures for C1-2 instability were analysed. There were 8 male and 4 female patients whose ages ranged from 15 to 56 years, with an average of 33 years. In a mean follow-up period of 31.7 (range, 12-48) months, there was no operative mortality. In two patients, C1-2 fracture could not be completely reduced and resulted in malaligned fusion. Another two had malaligned fusion because of overcorrection and posterior motion of C1 on C2. In functional and imaging study, all 12 patients had stable C1-2 structure. Loosening of the screw was noted in 2 cases (2/12). The present series seems to indicate the Halifax interlaminar clamping techniques provide an excellent alternative for posterior fusion in traumatic C1-2 instability. Proper case selection is indispensable to clinical success. To achieve good results, the ideal alignment of the instability must be reduced before clamping and fusion procedures.
| Original language | English |
|---|---|
| Pages (from-to) | 26-31 |
| Number of pages | 6 |
| Journal | Journal of Surgical Association Republic of China |
| Volume | 28 |
| Issue number | 1 |
| Publication status | Published - 1995 |
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All Science Journal Classification (ASJC) codes
- Surgery
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Posterior stabilization with Halifax interlaminar clamps in traumatic atlanto-axial instability. A report of 12 cases. / Lee, E-Jian; Chio, C. C.; Chen, H. H.
In: Journal of Surgical Association Republic of China, Vol. 28, No. 1, 1995, p. 26-31.Research output: Contribution to journal › Article
TY - JOUR
T1 - Posterior stabilization with Halifax interlaminar clamps in traumatic atlanto-axial instability. A report of 12 cases
AU - Lee, E-Jian
AU - Chio, C. C.
AU - Chen, H. H.
PY - 1995
Y1 - 1995
N2 - From May 1989 to July 1992, 20 consecutive cases of traumatic atlanto-axial (C1-2) fracture-dislocations and subluxations, treated at this Hospital, were reviewed. Among them, the 12 cases undergoing Halifax interlaminar clamping and fusion procedures for C1-2 instability were analysed. There were 8 male and 4 female patients whose ages ranged from 15 to 56 years, with an average of 33 years. In a mean follow-up period of 31.7 (range, 12-48) months, there was no operative mortality. In two patients, C1-2 fracture could not be completely reduced and resulted in malaligned fusion. Another two had malaligned fusion because of overcorrection and posterior motion of C1 on C2. In functional and imaging study, all 12 patients had stable C1-2 structure. Loosening of the screw was noted in 2 cases (2/12). The present series seems to indicate the Halifax interlaminar clamping techniques provide an excellent alternative for posterior fusion in traumatic C1-2 instability. Proper case selection is indispensable to clinical success. To achieve good results, the ideal alignment of the instability must be reduced before clamping and fusion procedures.
AB - From May 1989 to July 1992, 20 consecutive cases of traumatic atlanto-axial (C1-2) fracture-dislocations and subluxations, treated at this Hospital, were reviewed. Among them, the 12 cases undergoing Halifax interlaminar clamping and fusion procedures for C1-2 instability were analysed. There were 8 male and 4 female patients whose ages ranged from 15 to 56 years, with an average of 33 years. In a mean follow-up period of 31.7 (range, 12-48) months, there was no operative mortality. In two patients, C1-2 fracture could not be completely reduced and resulted in malaligned fusion. Another two had malaligned fusion because of overcorrection and posterior motion of C1 on C2. In functional and imaging study, all 12 patients had stable C1-2 structure. Loosening of the screw was noted in 2 cases (2/12). The present series seems to indicate the Halifax interlaminar clamping techniques provide an excellent alternative for posterior fusion in traumatic C1-2 instability. Proper case selection is indispensable to clinical success. To achieve good results, the ideal alignment of the instability must be reduced before clamping and fusion procedures.
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M3 - Article
VL - 28
SP - 26
EP - 31
JO - Formosan Journal of Surgery
JF - Formosan Journal of Surgery
SN - 1682-606X
IS - 1
ER -