Journal Logo

Institutional members access full text with Ovid®

Unstable C1 Fracture Managed with Internal Fixation Using Lateral Mass Screws

A Case Report

Yu, Jonathan C., MD1; Niemeier, Thomas E., MD1; Manoharan, Sakthivel R., MD1,a

doi: 10.2106/JBJS.CC.17.00119
Case Reports
Buy
SDC
Disclosures

Case: A 47-year-old woman presented with an unstable C1 fracture after falling down several stairs. She was found to have a sagittal split fracture of the right C1 lateral mass extending into the posterior arch. The fracture was treated with a direct posterior osteosynthesis of C1 using lateral mass screws.

Conclusion: Surgical management of unstable C1 fractures has traditionally involved posterior fusion of C1 to C2 or fusion from the occiput to C2. These fusion procedures can be quite functionally limiting. Recently, direct osteosynthesis of C1 has been shown to be an effective, motion-preserving alternative.

1Division of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama

aE-mail address for S.R. Manoharan: srajaram@uabmc.edu

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
You currently do not have access to this article

To access this article: