Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability

GÖKHAN BİLGİLİ, Mustafa; KOTİL, kadir; KAYACI, Selim

Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability

Kadir KOTİL, (İstanbul Arel Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Mustafa GÖKHAN BİLGİLİ, (Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Selim KAYACI (Recep Tayyip Erdoğan Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Rize, Türkiye)

Acta Orthopaedica et Traumatologica Turcica

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Yıl: 2014 Cilt: 48 Sayı: 4 Sayfa Aralığı: 443 - 448 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability

Öz:

Objective: The aim of this study was to evaluate the clinical and radiologic results of the use of thick spiral silk knotting instead of sublaminar wiring for C1-C2 arthrodesis in patients with atlantoaxial instability.Methods: We retrospectively evaluated 16 patients (10 females, 6 males; mean age: 43.4 years; mean follow-up: 34 months) with atlantoaxial instability who underwent C1-C2 fusion by reduction and sublaminar spiral silk knotting. All patients underwent open reduction, bounding both laminae with thick spiral silk instead of wiring and arthrodesis with autografting. Reduction rates, screw position and fusion rates were evaluated using computed tomography.Results: Preoperative mean atlantodental interval (ADI) was 8 (range: 6 to 11) mm and postoperative ADI was 2.1 (range: 0.5 to 2.5) mm. There was no dural or spinal cord injury. Complete reduction was observed in all cases. Fusion was unsuccessful in 1 case (6.25%). Postoperative mean flexion ADI was 10 mm and mean extension ADI was 1 mm. Graft separation between C1-C2 was observed in slice tomographic examination in one patient. Malposition was observed in 2 screws (4%).Conclusion: The sublaminar silk knotting technique appears to provide safe anatomical reduction. As this method is cheap and simple and does not require extra implantation, loosen, create neurologic compromise or cause radiologic crowding, it can be considered an alternative surgical technique to sublaminar wiring.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	KOTİL k, GÖKHAN BİLGİLİ M, KAYACI S (2014). Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability. , 443 - 448.
Chicago	KOTİL kadir,GÖKHAN BİLGİLİ Mustafa,KAYACI Selim Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability. (2014): 443 - 448.
MLA	KOTİL kadir,GÖKHAN BİLGİLİ Mustafa,KAYACI Selim Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability. , 2014, ss.443 - 448.
AMA	KOTİL k,GÖKHAN BİLGİLİ M,KAYACI S Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability. . 2014; 443 - 448.
Vancouver	KOTİL k,GÖKHAN BİLGİLİ M,KAYACI S Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability. . 2014; 443 - 448.
IEEE	KOTİL k,GÖKHAN BİLGİLİ M,KAYACI S "Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability." , ss.443 - 448, 2014.
ISNAD	KOTİL, kadir vd. "Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability". (2014), 443-448.

APA	KOTİL k, GÖKHAN BİLGİLİ M, KAYACI S (2014). Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability. Acta Orthopaedica et Traumatologica Turcica, 48(4), 443 - 448.
Chicago	KOTİL kadir,GÖKHAN BİLGİLİ Mustafa,KAYACI Selim Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability. Acta Orthopaedica et Traumatologica Turcica 48, no.4 (2014): 443 - 448.
MLA	KOTİL kadir,GÖKHAN BİLGİLİ Mustafa,KAYACI Selim Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability. Acta Orthopaedica et Traumatologica Turcica, vol.48, no.4, 2014, ss.443 - 448.
AMA	KOTİL k,GÖKHAN BİLGİLİ M,KAYACI S Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability. Acta Orthopaedica et Traumatologica Turcica. 2014; 48(4): 443 - 448.
Vancouver	KOTİL k,GÖKHAN BİLGİLİ M,KAYACI S Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability. Acta Orthopaedica et Traumatologica Turcica. 2014; 48(4): 443 - 448.
IEEE	KOTİL k,GÖKHAN BİLGİLİ M,KAYACI S "Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability." Acta Orthopaedica et Traumatologica Turcica, 48, ss.443 - 448, 2014.
ISNAD	KOTİL, kadir vd. "Reduction and arthrodesis with sublaminar spiral silk in atlantoaxial joint instability". Acta Orthopaedica et Traumatologica Turcica 48/4 (2014), 443-448.