Salvage posterior atlantoaxial fixation techniques: A retrospective study

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dc.authorid0000-0002-9332-3321
dc.contributor.authorSecer, Mehmet
dc.contributor.authorKarakoyun, Oguz Durmus
dc.contributor.authorUlutas, Murat
dc.contributor.authorGokbel, Aykut
dc.contributor.authorCinar, Kadir
dc.contributor.authorYigitkanli, Kazim
dc.date.accessioned2026-01-24T12:31:16Z
dc.date.available2026-01-24T12:31:16Z
dc.date.issued2022
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractObject: Since the atlantoaxial region have critical neurovascular anatomy and limited bone surface for fusion, the application and choice of salvage fixation techniques are highly important. To discuss alternative posterior atlantoaxial fixation surgery techniques. Methods: We retrospectively surgical records of 22 patients that posterior atlantoaxial fixation techniques were applied. Results: The patients included 11 males and 11 females (mean age: 65.7 years). The fracture type that caused instability is type 2 odontoid fractures (22). In six of these patients alternative stabilization techniques were applied due to anatomical variations, huge venous bleeding and iatrogenic trauma of the screw entry points during surgery. Conclusions: Owing to anatomical variations, intraoperative challenges, and/or instrumentation failures, performing alternative surgical fixation technique is an important factor that affects the success of stabilization of the atlantoaxial region. Knowledge of salvage techniques especially during the learning curve is vitally important. Surgeons should adapt to intraoperative surgical challenges as required. (c) 2021 Sociedad Espanola de Neurocirugia. Published by Elsevier Espana, S.L.U. All rights reserved.
dc.identifier.doi10.1016/j.neucir.2021.08.002
dc.identifier.endpage317
dc.identifier.issn1130-1473
dc.identifier.issn2340-6305
dc.identifier.issue6
dc.identifier.pmid36333088
dc.identifier.scopus2-s2.0-85118263741
dc.identifier.scopusqualityQ3
dc.identifier.startpage310
dc.identifier.urihttps://doi.org/10.1016/j.neucir.2021.08.002
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5763
dc.identifier.volume33
dc.identifier.wosWOS:001260889900007
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Espana Slu
dc.relation.ispartofNeurocirugia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260121
dc.subjectAlternate surgery techniques
dc.subjectSalvage surgery
dc.subjectSurgical complications
dc.subjectUpper cervical trauma
dc.titleSalvage posterior atlantoaxial fixation techniques: A retrospective study
dc.title.alternativeTécnicas de fijación atlantoaxial posterior de rescate: un estudio retrospectivo
dc.typeArticle

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