Use of dual transarticular screws to fixate simultaneous occipitoatlantal and atlantoaxial dislocations.

Journal Article (Journal Article)

Occipitoatlantal dislocation and atlantoaxial vertical distraction are caused by similar mechanisms, and few individuals survive these injuries. It is hypothesized that the injurious vertical force manifests as a traumatic lesion at different levels of the same ligamentous complex. The authors report the cases of two patients who presented with this combined lesion, describe surgical alternatives for stabilization, and introduce a new technique that combines the use of transarticular screws in a "dual" construct, without involving the unaffected spine.

Full Text

Duke Authors

Cited Authors

  • Gonzalez, LF; Klopfenstein, JD; Crawford, NR; Dickman, CA; Sonntag, VKH

Published Date

  • October 2005

Published In

Volume / Issue

  • 3 / 4

Start / End Page

  • 318 - 323

PubMed ID

  • 16266074

Pubmed Central ID

  • 16266074

International Standard Serial Number (ISSN)

  • 1547-5654

Digital Object Identifier (DOI)

  • 10.3171/spi.2005.3.4.0318


  • eng

Conference Location

  • United States