Threaded K-wire spinous process fixation of the axis for modified Gallie fusion in children and adolescents.
A retrospective analysis of a technique for achieving atlantoaxial arthrodesis was performed. Fourteen patients underwent a modified Gallie technique, and all patients achieved successful arthrodesis with minimal restriction in rotation of the neck postoperatively. No patients showed neurologic deterioration. Fixation of a threaded K-wire to the spinous process of the axis improved the stability of the wiring technique, and we have been very successful in achieving atlantoaxial arthrodesis in the pediatric population.
Mah
J Y
JY
Children's Hospital, McMaster University Medical Center, Hamilton, Ontario, Canada.
Thometz
J
J
Emans
J
J
Millis
M
M
Hall
J E
JE
D000293:Adolescent; D001268:Atlanto-Axial Joint; D001864:Bone Wires; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D009984:Orthopedic Fixation Devices; D011859:Radiography; D012189:Retrospective Studies; D013123:Spinal Fusion / Q000295:instrumentation* / Q000379:methods