title: Threaded K-wire spinous process fixation of the axis for modified Gallie fusion in children and adolescents.
abstract: 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.
authors.affiliation: Children's Hospital, McMaster University Medical Center, Hamilton, Ontario, Canada.
authors.forename: J Y
authors.initials: JY
authors.lastname: Mah
authors.forename: J
authors.initials: J
authors.lastname: Thometz
authors.forename: J
authors.initials: J
authors.lastname: Emans
authors.forename: M
authors.initials: M
authors.lastname: Millis
authors.forename: J E
authors.initials: JE
authors.lastname: Hall
mesh_terms: 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