Temporary spanning internal fixation for management of complex upper cervical spine fractures.

Abstract

INTRODUCTION:

Fractures of the upper cervical spine are often but not always amenable to either internal fixation or conservative management using a rigid cervical collar. For all other fractures in this area, management with a halo-vest orthosis is indicated, but it also has limitations. Here, we present an operative alternative to the halo-vest orthosis that provides more secure stability and less complications.

METHODS:

Three patients presented to our hospital with atypical fractures of C1 and C2 and were given the choice of either a halo-vest orthosis or secure internal fixation without fusion and accepted the latter. Internal fixation without fusion from occiput to the subaxial spine was performed for all three and then removed-6 months later -after radiologic confirmation of healing.

RESULTS:

All three patients underwent the procedure successfully and achieved and maintained acceptable alignment. Range of motion was preserved, and no intermediate-term issues were observed.

CONCLUSION:

Spanning internal fixation provides a safe and effective technique in the management of complex upper cervical spine injuries without the drawbacks of using a halo-vest orthosis.

• Authors: Khalid AlSaleh, Muteb Abulras, Osama Alrehaili
• Journal: Journal of craniovertebral junction & spine (J Craniovertebr Junction Spine) 2021 Jan-Mar Vol. 12 Issue 1 Pg. 10-14 ISSN: 0974-8237 [Print] India
• PMID: 33850376 (Publication Type: Journal Article)
• Copyright: Copyright: © 2021 Journal of Craniovertebral Junction and Spine.