Pre-operative irreducible C1-C2 dislocations: intra-operative reduction and posterior fixation. The "always posterior strategy"

Massimiliano Visocchi; Domenico Pietrini; Tommaso Tufo; E Fernandez; Concezio Di Rocco

doi:10.1007/s00701-009-0271-z

Pre-operative irreducible C1-C2 dislocations: intra-operative reduction and posterior fixation. The "always posterior strategy"

Massimiliano Visocchi^*
, Domenico Pietrini
, Tommaso Tufo
, E Fernandez
, Concezio Di Rocco

^*Corresponding author

Research output: Contribution to journal › Article

42 Citations (Scopus)

Abstract

According to Menezes' algorithm, pre-operative dynamic neuroradiological investigation in C1-C2 dislocations (C1C2D) instability is strongly advocated in order to exclude those patients not eligible for posterior fixation and fusion without previous anterior trans-oral decompression. Anterior irreducible compression due to C1C2D instability, it is said, needs trans-oral anterior decompression. We reviewed our experience in order to refute such a paradigm.

Original language	English
Pages (from-to)	551-551-9; discussion 560
Journal	Acta Neurochirurgica
Volume	151
Issue number	5
DOIs	https://doi.org/10.1007/s00701-009-0271-z
Publication status	Published - 2009

All Science Journal Classification (ASJC) codes

Surgery
Clinical Neurology

Keywords

Adolescent
Adult
Atlanto-Axial Joint
Bone Screws
Bone Transplantation
Bone Wires
Cervical Vertebrae
Child
Clinical Protocols
Dislocations
Female
Fracture Fixation
Humans
Male
Postoperative Care
Radiographic Image Enhancement
Spinal Fusion
Tomography
Treatment Outcome
X-Ray Computed

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10.1007/s00701-009-0271-z

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title = "Pre-operative irreducible C1-C2 dislocations: intra-operative reduction and posterior fixation. The {"}always posterior strategy{"}",

abstract = "According to Menezes' algorithm, pre-operative dynamic neuroradiological investigation in C1-C2 dislocations (C1C2D) instability is strongly advocated in order to exclude those patients not eligible for posterior fixation and fusion without previous anterior trans-oral decompression. Anterior irreducible compression due to C1C2D instability, it is said, needs trans-oral anterior decompression. We reviewed our experience in order to refute such a paradigm.",

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author = "Massimiliano Visocchi and Domenico Pietrini and Tommaso Tufo and E Fernandez and \{Di Rocco\}, Concezio",

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doi = "10.1007/s00701-009-0271-z",

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AU - Fernandez, E

AU - Di Rocco, Concezio

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Pre-operative irreducible C1-C2 dislocations: intra-operative reduction and posterior fixation. The "always posterior strategy"

Abstract

All Science Journal Classification (ASJC) codes

Keywords

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