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Wheeless' Textbook of Orthopaedics

Atlanto-axial fusion with transarticular screw fixation


Grob-D. Jeanneret-B. Aebi-M. Markwalder-T-M. Spine Centre, Zurich, Switzerland. J-Bone-Joint-Surg- [m[Br]. 1991 [1mNov [m. 73(6). P 972-6. We reviewed 161 patients, from four centres in Switzerland, who had undergone posterior fusion of the upper cervical spine with transarticular screw fixation of the atlanto-axial joints. They were followed up for a mean 24.6 months. The vertebral artery and the medulla escaped injury and only 5.9% of the complications were directly related to the screws. The rate of pseudarthrosis was 0.6%. Author-abstract.



Original Text by Clifford R. Wheeless, III, MD.