Percutaneous screw fixation for traumatic spondylolisthesis of the axis using iso-c3d fluoroscopy-assisted navigation (Case Report)

Y. Sugimoto, Y. Ito, T. Shimokawa, Yasuyuki Shiozaki, T. Mazaki

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Introduction: Stable hangman's fractures are usually treated with a Halo vest fixation; however, this is not always effective in patients with polytrauma. These patients benefit from minimally invasive surgery because it allows for early rehabilitation and reduced nursing care. This is the case report on percutaneous screw fixation using three dimensional fluoroscopy-assisted navigation in a patient with polytrauma and a hangman's fracture. Case Report: The patient was a 69-year-old woman involved in a traffic accident. Radiographs and CT showed bilateral fractures through the neural arch at the base of the C2 pedicles. External immobilzation was difficult due to her polytrauma. Intervention: A dynamic reference arc was attached to the spinous process of the axis through a small incision. After image acquisition, the fluoroscope workstation generated 3-dimensional reconstructions of the imaged anatomy. We made two small, lateral incisions for percutaneous screw insertion, and used an image-guided awl to create screw holes. A guide-wire was inserted through this screw pilot hole, and a cancellous lag screw was inserted over the guide-wire. At her final follow-up, the patient had no neurological deficits and bony union was achieved. Conclusion: Percutaneous screws fixation using three-dimensional fluoroscopy proved to be a useful technique for the treatment of hangman's fracture.

Original languageEnglish
Pages (from-to)83-85
Number of pages3
JournalMinimally Invasive Neurosurgery
Volume53
Issue number2
DOIs
Publication statusPublished - 2010
Externally publishedYes

Fingerprint

Spondylolisthesis
Fluoroscopy
Spinal Fractures
Multiple Trauma
Rehabilitation Nursing
Minimally Invasive Surgical Procedures
Traffic Accidents
Nursing Care
Anatomy

Keywords

  • Hangman's fracture
  • Iso-c3d
  • Minimally invasive surgery
  • Navigation
  • Percutaneous fixation
  • Three-dimensional fluoroscopy

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Percutaneous screw fixation for traumatic spondylolisthesis of the axis using iso-c3d fluoroscopy-assisted navigation (Case Report). / Sugimoto, Y.; Ito, Y.; Shimokawa, T.; Shiozaki, Yasuyuki; Mazaki, T.

In: Minimally Invasive Neurosurgery, Vol. 53, No. 2, 2010, p. 83-85.

Research output: Contribution to journalArticle

Sugimoto, Y. ; Ito, Y. ; Shimokawa, T. ; Shiozaki, Yasuyuki ; Mazaki, T. / Percutaneous screw fixation for traumatic spondylolisthesis of the axis using iso-c3d fluoroscopy-assisted navigation (Case Report). In: Minimally Invasive Neurosurgery. 2010 ; Vol. 53, No. 2. pp. 83-85.
@article{925d1d2b30dd4b8f98d89f6cd8cf6041,
title = "Percutaneous screw fixation for traumatic spondylolisthesis of the axis using iso-c3d fluoroscopy-assisted navigation (Case Report)",
abstract = "Introduction: Stable hangman's fractures are usually treated with a Halo vest fixation; however, this is not always effective in patients with polytrauma. These patients benefit from minimally invasive surgery because it allows for early rehabilitation and reduced nursing care. This is the case report on percutaneous screw fixation using three dimensional fluoroscopy-assisted navigation in a patient with polytrauma and a hangman's fracture. Case Report: The patient was a 69-year-old woman involved in a traffic accident. Radiographs and CT showed bilateral fractures through the neural arch at the base of the C2 pedicles. External immobilzation was difficult due to her polytrauma. Intervention: A dynamic reference arc was attached to the spinous process of the axis through a small incision. After image acquisition, the fluoroscope workstation generated 3-dimensional reconstructions of the imaged anatomy. We made two small, lateral incisions for percutaneous screw insertion, and used an image-guided awl to create screw holes. A guide-wire was inserted through this screw pilot hole, and a cancellous lag screw was inserted over the guide-wire. At her final follow-up, the patient had no neurological deficits and bony union was achieved. Conclusion: Percutaneous screws fixation using three-dimensional fluoroscopy proved to be a useful technique for the treatment of hangman's fracture.",
keywords = "Hangman's fracture, Iso-c3d, Minimally invasive surgery, Navigation, Percutaneous fixation, Three-dimensional fluoroscopy",
author = "Y. Sugimoto and Y. Ito and T. Shimokawa and Yasuyuki Shiozaki and T. Mazaki",
year = "2010",
doi = "10.1055/s-0030-1247503",
language = "English",
volume = "53",
pages = "83--85",
journal = "Minimally Invasive Neurosurgery",
issn = "0946-7211",
publisher = "Georg Thieme Verlag",
number = "2",

}

TY - JOUR

T1 - Percutaneous screw fixation for traumatic spondylolisthesis of the axis using iso-c3d fluoroscopy-assisted navigation (Case Report)

AU - Sugimoto, Y.

AU - Ito, Y.

AU - Shimokawa, T.

AU - Shiozaki, Yasuyuki

AU - Mazaki, T.

PY - 2010

Y1 - 2010

N2 - Introduction: Stable hangman's fractures are usually treated with a Halo vest fixation; however, this is not always effective in patients with polytrauma. These patients benefit from minimally invasive surgery because it allows for early rehabilitation and reduced nursing care. This is the case report on percutaneous screw fixation using three dimensional fluoroscopy-assisted navigation in a patient with polytrauma and a hangman's fracture. Case Report: The patient was a 69-year-old woman involved in a traffic accident. Radiographs and CT showed bilateral fractures through the neural arch at the base of the C2 pedicles. External immobilzation was difficult due to her polytrauma. Intervention: A dynamic reference arc was attached to the spinous process of the axis through a small incision. After image acquisition, the fluoroscope workstation generated 3-dimensional reconstructions of the imaged anatomy. We made two small, lateral incisions for percutaneous screw insertion, and used an image-guided awl to create screw holes. A guide-wire was inserted through this screw pilot hole, and a cancellous lag screw was inserted over the guide-wire. At her final follow-up, the patient had no neurological deficits and bony union was achieved. Conclusion: Percutaneous screws fixation using three-dimensional fluoroscopy proved to be a useful technique for the treatment of hangman's fracture.

AB - Introduction: Stable hangman's fractures are usually treated with a Halo vest fixation; however, this is not always effective in patients with polytrauma. These patients benefit from minimally invasive surgery because it allows for early rehabilitation and reduced nursing care. This is the case report on percutaneous screw fixation using three dimensional fluoroscopy-assisted navigation in a patient with polytrauma and a hangman's fracture. Case Report: The patient was a 69-year-old woman involved in a traffic accident. Radiographs and CT showed bilateral fractures through the neural arch at the base of the C2 pedicles. External immobilzation was difficult due to her polytrauma. Intervention: A dynamic reference arc was attached to the spinous process of the axis through a small incision. After image acquisition, the fluoroscope workstation generated 3-dimensional reconstructions of the imaged anatomy. We made two small, lateral incisions for percutaneous screw insertion, and used an image-guided awl to create screw holes. A guide-wire was inserted through this screw pilot hole, and a cancellous lag screw was inserted over the guide-wire. At her final follow-up, the patient had no neurological deficits and bony union was achieved. Conclusion: Percutaneous screws fixation using three-dimensional fluoroscopy proved to be a useful technique for the treatment of hangman's fracture.

KW - Hangman's fracture

KW - Iso-c3d

KW - Minimally invasive surgery

KW - Navigation

KW - Percutaneous fixation

KW - Three-dimensional fluoroscopy

UR - http://www.scopus.com/inward/record.url?scp=77953656608&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77953656608&partnerID=8YFLogxK

U2 - 10.1055/s-0030-1247503

DO - 10.1055/s-0030-1247503

M3 - Article

C2 - 20533141

AN - SCOPUS:77953656608

VL - 53

SP - 83

EP - 85

JO - Minimally Invasive Neurosurgery

JF - Minimally Invasive Neurosurgery

SN - 0946-7211

IS - 2

ER -