ISSN: 1859 - 2872
Initial results of C1C2 fixation by Harms’ technique at 108 Military Central Hospital
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Abstract
Objective: To evaluate the results of C1C2 fixation using Harm's technique at the Department of Neurosurgery - 108 Military Central Hospital. Subject and method: Twenty-one patients with C1C2 fixation by Harms' technique, including epidemiological indicators, Nurick’s score, surgical methods, operative time, intraoperative and postoperative complications were collected retrospectively. The results of long-term follow-up include clinical status and CT scan images after 12 months. Result: The patients’ mean age was 46.19 years old, the mean operative time was 128 minutes, the average follow-up time was 32.81 months. There were no neurovascular complications. 100% of patients had bone union at the time of final follow-up. Patients with preoperative neurological deficits had good recovery. Conclusion: Surgical fixation of C1C2 using Harms' technique is a safe technique with high bone fusion rate. It was recommended as a first choice for C1C2 instability.
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References
2. Aryan HE, Newman CB, Nottmeier EW, Acosta Jr FL, Wang VY, Ames CP (2008) Stabilization of the atlantoaxial complex via C-1 lateral mass and C-2 pedicle screw fixation in a multicenter clinical experience in 102 patients: Modification of the Harms and Goel techniques. J Neurosurg Spine 8: 222-229.
3. Magerl F, Seemann P (1986) Stable posterior fusion of the atlas and axis by transarticular screw fixation. In: Society C.S.R., editor. Cervical Spine. New York: Springer-Verlag: 322-327.
4. Harms J, Melcher RP (2001) Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine 26: 2467-2471.
5. Park J, Scheer JK, Lim TJ, Deviren V, Ames CP (2011) Biomechanical analysis of Goel technique for C1-2 fusion. J Neurosurg Spine 14: 639-646.
6. Nurick S (1972) The pathogenesis of the spinal cord disorder associated with cervical spondylosis. Brain 95: 87-100.
7. Bridwell KH et al (1995) Anterior fresh frozen structural allografts in the thoracic and lumbar spine: Do they work if combined with posterior fusion and instrumentation in adult patients with kyphosis or anterior column defects? Spine (Phila Pa 1976) 20: 1410-1418.
8. Mummaneni PV, Lu DC, Dhall SS, Mummaneni VP, Chou D (2010) C1 lateral mass fixation: A comparison of constructs. Neurosurgery 66(3): 153-160.
9. Maina AM (2021) C1-C2 fixation with C1 lateral mass and C2 pars screws, a case siries: Technique anh out comes. East African Orthopaedic Journal 15(2): 101-107.
10. Wright NM (2004) Posterior C2 fixation using bilateral, crossing C2 laminar screws: Case series and technical note. J Spinal Disord Tech 17: 158-162.
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