Pubblicazioni

Autori:

Zanasi, Marco; Chahine, Rabih; Pavesi, Giacomo; Iaccarino, Corrado

Titolo:

Posterior wiring with sublaminar polyester bands, titanium-peek fixation system for C2 fracture management: a 4-patient case series with a maximum of 18 months' follow-up

Anno:

2023

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Formato:

A Stampa

Referee:

Sì

Nome rivista:

JOURNAL OF SPINE SURGERY

ISSN Rivista:

2414-469X

N° Volume:

9

Numero o Fascicolo:

3

Intervallo pagine:

306-313

Parole chiave:

C2 fractures; case series; posterior wiring; spine fracture consolidation

Breve descrizione dei contenuti:

Background: C2 fractures can be classified differently when dens, pedicles or body are injured. With regards to the best management of Type-II Anderson-D'Alonzo fractures, Hangman's fractures of pedicles and C2 body fractures are more debatable. However, vertebral pedicle and/or articular screw and dorsal wiring are the most common surgical posterior approaches opted for. Compared to the screw technique, dorsal wiring provides certain benefits such as a lower risk of vertebral artery injury, no need for navigation, less lateral dissection of the paraspinal muscles, shorter surgery time and lower medical costs. Case description: Two patients with failed conservative treatment for Anderson-D'Alonzo Type-III fractures (Cases 1A and 1B), a patient suffering from a Type-II Hangman's fracture (Case 2) and a patient with failed conservative treatment for a C2 transversal body fracture (Case 3) underwent surgery at the Neurosurgery Division of the University Hospital of Modena (Italy) between July 2020 and September 2021. All patients were treated with posterior wiring with 5 mm Polyester bands, titanium-peek fixation system (Jazz-Lock system MediNext®-Implanet) inserted through the C1 posterior arch and either the C2 or C3 laminae. A fracture diastasis reduction was observed ranging between 4.5 and 1 mm. No intraoperative and post-operative complications were encountered. The duration of the period of hospitalisation ranged between 5 and 12 days. All patients who had worked prior to the traumatic event were able to return to work 18 months following surgery. Conclusions: In reducing C2 fractures, a sublaminar fixation with polyester bands and a titanium-peek fixation system can be proposed for fragile and elderly patients.

Pagina Web:

https://doi.org/10.21037/jss-22-77

Id prodotto:

136186

Handle IRIS:

11562/1113027

ultima modifica:

22 novembre 2024

Citazione bibliografica:

Zanasi, Marco; Chahine, Rabih; Pavesi, Giacomo; Iaccarino, Corrado, Posterior wiring with sublaminar polyester bands, titanium-peek fixation system for C2 fracture management: a 4-patient case series with a maximum of 18 months' follow-up «JOURNAL OF SPINE SURGERY» , vol. 9 , n. 3 , 2023 , pp. 306-313

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