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- W2401257182 abstract "Objective To introduce a new C, screw insertion technique to avoid injury to C_(1-2) venous sinus in posterior atiantoaxial fixation. Methods 48 cases (96 sides of C_1 screws) undergoing posterior atiantoaxial fixation were retrospectively analyzed, including 28 cases of C_1 or C_2 fresh fracture and 20 cases of congenital malformation or old fracture &dislocation, among which 12 cases (24 sides) were operated by Coel lateral mass screws, 14 cases (28 sides) by TAN Mingsheng C_1 transpedicular screws and 44 sides of C, screws in 22 cases were inserted via notch on underside of C, posterior arch combined with bone wax column protecting C_(1-2) venous sinus. Results Bleeding was encountered in five sides of C_1 screws among 26 cases (52 sides) whose venous sinuses were not protected by bone wax column, involving 3 cases of Coel lateral screw implant fixation. There was statistical difference in the incidence rate of bleeding between Coel technique and ours ( P 0. 05) or between Goel sides of Goel lateral mass screws (12. 5% ) and 2 sides of C_1 transpedicular screws (7. 1% ). It occurred in none of 22 cases (44 sides) with our presented technique. There was a significant difference between Goel lateral screw implant fixation and C_1 transpedicular technique (P > 0. 05 ). All the screws were implanted successfully. All cases were followed up and there was not any sign of implant failure. Conclusions Our presented C_1 screw insertion technique can provide a better bony landmark and vascular protection, stronger bony holding power and more extensive applicability to reduce injury to C_(1-2) venous sinus and increase the surgical safety.Key words: Cervical spondylosis; Atlas; Internal fixators" @default.
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- W2401257182 date "2010-04-06" @default.
- W2401257182 modified "2023-09-27" @default.
- W2401257182 title "[Effect of C(1-2) venous sinus upon operative safety of atlantoaxial screw insertion]" @default.
- W2401257182 doi "https://doi.org/10.3760/cma.j.issn.0376-2491.2010.13.009" @default.
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