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Journal of Korean Neurosurgical Society 2001;30(4): 537-540. |
| Unusual Anterior Arch Fracture of C1. |
| Sang Jin Kim, Chan Young Son, Tae Hong Kim, Hyung Sik Shin, Young Soon Hwang, Sang Keun Park |
| Department of Neurosurgery, Sanggye Paik Hospital, Inje University, Seoul, Korea. |
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| ABSTRACT |
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Fractures of C1 are not uncommon, constituting only 10% of all cervical spine injuries. There is a high prevalence of concomitant fractures of the second and first cervical vertebral complex. Surgical treatment is controversal.
Mainstay of treatment is various combination of traction and cervical orthosis according to degree of displacement and location of fracture. We experienced unusual type of fracture, anterior arch fracture of C1 who had a history of total laminectomy of C1,2 due to cervical cord tumor(neurilemmoma arising from C2 root). We performed C1,2 lateral mass screw fixation with posterior fusion with good postoperative outcome. |
| Key Words:
Unusual fracture of C1; Lateral mass screw fixation; Posterior fusion |
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