C1-2 transarticular screw fixation combined with Gallie technique in atloaxial dislocation

Authors

  • Ernesto Enrique Horta Tamayo Universidad de Ciencias Médicas de Holguín. Facultad de Ciencias Médicas “Mariana Grajales Coello”. Hospital Clínico Quirúrgico “Lucía Iñiguez Landín”. Holguín. Cuba. https://orcid.org/0000-0002-1292-1689
  • Luis Cesar Acosta Gonzalez Universidad de Ciencias Médicas de Holguín. Facultad de Ciencias Médicas “Mariana Grajales Coello”. Hospital Clínico Quirúrgico “Lucía Iñiguez Landín”. Holguín. Cuba. https://orcid.org/0000-0002-6463-4243
  • Lary Benice Rodriguez Santillan Universidad de Ciencias Médicas de Holguín. Facultad de Ciencias Médicas “Mariana Grajales Coello”. Hospital Clínico Quirúrgico “Lucía Iñiguez Landín”. Holguín. Cuba. https://orcid.org/0000-0003-1039-0690
  • Diana Rosa Ortega Raez Universidad de Ciencias Médicas de Holguín. Facultad de Ciencias Médicas “Mariana Grajales Coello”. Hospital Clínico Quirúrgico “Lucía Iñiguez Landín”. Holguín. Cuba. https://orcid.org/0000-0002-6992-3570

Keywords:

TOOTH AVULSION, ATLANTO-AXIAL JOINT, VERTEBRAL ARTERY, DISLOCATION.

Abstract

Introduction: Multiple surgical techniques exist to treat instability of the atlantoaxial complex. Transarticular C1-2 screw fixation (Magerl's technique) has shown high fusion rates, and can be combined with the initially described wiring systems to guarantee greater stability to the construct.

Case presentation: male, 62 years old, who after a two-meter fall, was brought to the institution reporting cervical pain and inability to move the limbs. On neurological examination, he had a grade B on the American Spinal Injury Classiffication Scale. A comminuted odontoid fracture and atloaxial dislocation were diagnosed. Cervical traction was applied and vertebral alignment was achieved. Surgical treatment was planned using Magerl's technique. Given the suboptimal trajectory of the initial screw, it was combined with posterior atloaxoid fusion, using Gallie technique. External immobilization was maintained for two weeks. At hospital discharge, the patient achieved ambulation, maintaining brachial dysparesis with distal predominance. In evolutionary radiological studies, no failure of the instrumentation system was observed.

Conclusions: In our case, the use of the Gallie technique, in view of the malposition of one of the C1-2 transarticular screws, allowed preserving the stability of the construct.


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References

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Published

2022-08-06

How to Cite

1.
Horta Tamayo EE, Acosta Gonzalez LC, Rodriguez Santillan LB, Ortega Raez DR. C1-2 transarticular screw fixation combined with Gallie technique in atloaxial dislocation. Rev Ciencias Médicas [Internet]. 2022 Aug. 6 [cited 2025 Aug. 1];26(4):e5186. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/5186

Issue

Vol. 26 No. 4 (2022)

Section

CASE REPORTS

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