Atlantoaxial Anterior Transarticular Screw Fixation: Indications and Surgical Technique.

ATSF Anterior transarticular screw fixation Atlantoaxial anterior transarticular fixation Atlantoaxial instability

Journal

Acta neurochirurgica. Supplement
ISSN: 0065-1419
Titre abrégé: Acta Neurochir Suppl
Pays: Austria
ID NLM: 100962752

Informations de publication

Date de publication:
2023
Historique:
medline: 28 12 2023
pubmed: 28 12 2023
entrez: 28 12 2023
Statut: ppublish

Résumé

Posterior atlantoaxial screw fixation is a widely adopted therapeutic option for C1-C2 instability secondary to fractures or dislocation, degenerative diseases, or tumors at this level. Anterior transarticular screw fixation (ATSF) is an effective alternative to the posterior approaches, presenting several advantages despite being scarcely known and rarely chosen.In this chapter, we describe the ATSF step by step, illustrating its variations reported in literature, and we critically analyze the several advantages and contraindications of this technique. Moreover, we provide a list of tips and tricks on the surgical procedure, including critical operating room settings-the result of more than 10 years of experience in the field by a senior author.ATSF is a valid strategy for the treatment of different diseases occurring at the level of the atlantoaxial complex that needs consideration. Given the significant learning curve of this strategy, some hints may be essential to begin introducing this technique in the personal armamentarium of a spine surgeon so that they can perform ATSF safely and effectively.

Identifiants

pubmed: 38153481
doi: 10.1007/978-3-031-36084-8_42
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

273-277

Informations de copyright

© 2023. The Author(s), under exclusive license to Springer Nature Switzerland AG.

Références

Steinmetz MP, Mroz TE, Benzel EC. Craniovertebral junction: biomechanical considerations. Neurosurgery. 2010;66(3 Suppl):7–12. https://doi.org/10.1227/01.NEU.0000366109.85796.42 . PMID: 20173531.
doi: 10.1227/01.NEU.0000366109.85796.42 pubmed: 20173531
Lu J, Ebraheim NA, Yang H, Heck BE, Yeasting RA. Anatomic considerations of anterior transarticular screw fixation for atlantoaxial instability. Spine. 1998;23:1229–35; discussion 1236.
doi: 10.1097/00007632-199806010-00011 pubmed: 9636976
Reindl R, Sen M, Aebi M. Anterior instrumentation for traumatic C1-C2 instability. Spine. 2003;28:E329–33.
doi: 10.1097/01.BRS.0000083328.27907.3B pubmed: 12973157
Koller H, Kammermeier V, Ulbricht D, Assuncao A, Karolus S, van den Berg B, et al. Anterior retropharyngeal fixation C1-2 for stabilization of atlantoaxial instabilities: study of feasibility, technical description and preliminary results. Eur Spine J. 2006;15:1326–38.
doi: 10.1007/s00586-006-0103-2 pubmed: 16604355 pmcid: 2438564
Polli FM, Miscusi M, Forcato S, Raco A. Atlantoaxial anterior transarticular screw fixation: a case series and reappraisal of the technique. Spine J. 2015;15(1):185–93. https://doi.org/10.1016/j.spinee.2014.09.019 . Epub 2014 Sep 26. PMID: 25264177.
doi: 10.1016/j.spinee.2014.09.019 pubmed: 25264177
Ricciardi L, Sturiale CL, Izzo A, Pucci R, Valentini V, Montano N, Polli FM, Visocchi M, Vivas-Buitrago T, Chaichana KL, Quinones-Hinojosa A, Olivi A, Chen S. Submandibular approach for single-stage craniovertebral junction ventral decompression and stabilization: a preliminary cadaveric study of technical feasibility. World Neurosurg. 2019;127:206–12. https://doi.org/10.1016/j.wneu.2019.04.038 . Epub 2019 Apr 10. PMID: 30980973.
doi: 10.1016/j.wneu.2019.04.038 pubmed: 30980973
Gembruch O, Ahmadipour Y, Lemonas E, Müller O. The anterior transarticular fixation of C1/C2 in the elderly with dens fractures. Int J Spine Surg. 2020;14(2):162–9. https://doi.org/10.14444/7031 . PMID: 32355621; PMCID: PMC7188103.
doi: 10.14444/7031 pubmed: 32355621 pmcid: 7188103
Goel A, Laheri V. Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir (Wien). 1994;129:47–53.
doi: 10.1007/BF01400872 pubmed: 7998495
Harms J, Melcher RP. Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine. 2001;26:2467–71.
doi: 10.1097/00007632-200111150-00014 pubmed: 11707712
Kaneko K, Milic-Emily J, Dolovich MB, et al. Regional distribution of ventilation and perfusion as a function of body position. J Appl Physiol. 1966;21:767–77.
doi: 10.1152/jappl.1966.21.3.767 pubmed: 5912746
Stone JG, Khambatta HJ. Pulmonary shunts in the prone position. Anaesthesia. 1978;33:512–7.
doi: 10.1111/j.1365-2044.1978.tb08387.x pubmed: 686310
Palmon SC, Kirsch JR, Depper JA, et al. The effect of the prone position on pulmonary mechanics is frame-dependent. Anesth Analg. 1998;87:1175–80.
doi: 10.1213/00000539-199811000-00037 pubmed: 9806704
Sen MK, Steffen T, Beckman L, Tsantrizos A, Reindl R, Aebi M. Atlantoaxial fusion using anterior transarticular screw fixation of C1-C2: technical innovation and biomechanical study. Eur Spine J. 2005;14:512–8.
doi: 10.1007/s00586-004-0823-0 pubmed: 15668776 pmcid: 3454666
Lapsiwala SB, Anderson PA, Oza A, Resnick DK. Biomechanical comparison of four C1 to C2 rigid fixative techniques: anterior transarticular, posterior transarticular, C1 to C2 pedicle, and C1 to C2 intralaminar screws. Neurosurgery. 2006;58:516–21; discussion 516–21.
doi: 10.1227/01.NEU.0000197222.05299.31 pubmed: 16528192

Auteurs

Filippo Maria Polli (FM)

Fondazione Policlinico Gemelli IRCCS, Catholic University of the Sacred Heart, Rome, Italy.

Alessandro Rapisarda (A)

Fondazione Policlinico Gemelli IRCCS, Catholic University of the Sacred Heart, Rome, Italy. alessandro.rapisarda01@icatt.it.

Sokol Trungu (S)

Department of Neuroscience, Mental Health and Sense Organs (NESMOS), Sapienza University of Rome, Rome, Italy.
Neurosurgery Unit, Card. G. Panico Hospital, Tricase, Italy.

Stefano Forcato (S)

Neurosurgery Unit, Card. G. Panico Hospital, Tricase, Italy.

Nicola Montano (N)

Fondazione Policlinico Gemelli IRCCS, Catholic University of the Sacred Heart, Rome, Italy.

Francesco Signorelli (F)

Department of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Massimiliano Visocchi (M)

Institute of Neurosurgery, Catholic University of Rome, Rome, Italy.

Alessandro Olivi (A)

Fondazione Policlinico Gemelli IRCCS, Catholic University of the Sacred Heart, Rome, Italy.

Classifications MeSH