title: Modified Brooks posterior wiring technique for three-point C1-C2 arthrodesis.
abstract: BACKGROUND
  The optimal surgical treatment of atlanto-axial instability remains controversial despite the variety of modifications and supplemental techniques currently available.
  
  
  METHODS
  We describe a modification of the Brooks posterior wiring technique supplemented with transarticular screws for C1-C2 instability.
  
  
  RESULTS
  This method has been implemented in 30 patients in our institution with no radiological failures.
  
  
  CONCLUSIONS
  The modification provides several technical advantages and potentially stronger fixation compared to methods currently in use.
authors.affiliation: University of Calgary Spine Program, Foothills Hospital and Medical Centre, AB, Canada.
authors.forename: G G
authors.initials: GG
authors.lastname: Vecil
authors.forename: C F
authors.initials: CF
authors.lastname: Chan
authors.forename: R J
authors.initials: RJ
authors.lastname: Hurlbert
mesh_terms: D001368:Axis, Cervical Vertebra / Q000601:surgery*; D001864:Bone Wires; D001270:Cervical Atlas / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods*