title: Motion-preserving reduction and fixation of C1 Jefferson fracture using a C1 lateral mass screw construct.
abstract: The treatment of C1 Jefferson fractures is controversial. Non-surgical treatment with halo fixation always bears the risk of insufficient healing with further instability and increasing neck pain. However, a C1-2 fusion can markedly decrease the rotatory motion of the neck. The aim of this report is to describe a new treatment for C1 Jefferson fractures. We used open reduction and C1 fixation using a bilateral C1 lateral mass screw construct. The screws were connected with a rod and nuts to reduce lateral spread of the lateral masses. This method is an alternative surgical option for C1 Jefferson fractures in select patients and can maintain important C1-2 joint motion.
authors.affiliation: Department of Neurosurgery, St Mary's Hospital, College of Medicine, Catholic University, Bucheon, Republic of Korea.
authors.forename: Kwang-Wook
authors.initials: KW
authors.lastname: Jo
authors.forename: Ik-Seong
authors.initials: IS
authors.lastname: Park
authors.forename: Jae Taek
authors.initials: JT
authors.lastname: Hong
mesh_terms: D000328:Adult; D001268:Atlanto-Axial Joint / Q000000981:diagnostic imaging / Q000601:surgery; D001863:Bone Screws; D001270:Cervical Atlas / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D019547:Neck Pain / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D011859:Radiography; D016103:Spinal Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome