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• W2073958908 abstract "In Brief Study Design. Retrospective study with clinical and radiologic evaluation of transoral reduction and osteosynthesis of C1 in the treatment of unstable Jefferson fractures. Objective. Assessment of a new method, which preserves the function of the C1–C2 joint in young patients. Summary of Background Data. Unstable Jefferson fractures with rupture of the transverse ligament and high-grade dislocation of the lateral masses of C1 are usually treated conservatively by immobilization or traction or surgical by posterior fusion C1–C2. Methods. Six patients with Jefferson fractures with rupture of the transverse ligament were treated by a transoral approach. Reduction was performed by direct manipulation followed by the osteosynthesis of the anterior ring and the lateral masses of C1. Results. Total average lateral displacement of the lateral masses was 13.5 mm before surgery (range, 8–19 mm) and improved to 4.3 mm after surgery (range 1–8 mm). The total average difference of the atlantal-dens interval in flexion-extension after surgery was 2.0 mm (range 1–3 mm). The average postoperative rotation in the atlantoaxial joint, evaluated by rotation MRI, was in total 39.2° (range 10°–61°). Conclusions. Transoral reduction and osteosynthesis C1 is a new technique that allows maintenance of rotatory mobility in the C1–C2 joint and restoration of congruency in the atlanto-occipital and atlantoaxial joints. None of the patients had symptoms of postoperative instability of C1–C2. Six patients with unstable Jefferson fractures were treated by transoral reduction and osteosynthesis of C1. An anatomical reconstruction of the atlas with bony fusion of the fragments was obtained, preserving rotation of the C1–C2 joint and restoring the congruence of the atlanto-occipital and atlantoaxial joints. There was no major instability." @default.
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• W2073958908 date "2004-04-01" @default.
• W2073958908 modified "2023-10-18" @default.
• W2073958908 title "Transoral Reduction and Osteosynthesis C1 as a Function-Preserving Option in the Treatment of Unstable Jefferson Fractures" @default.
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• W2073958908 doi "https://doi.org/10.1097/01.brs.0000116984.42466.7e" @default.
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