2008 Volume 57 Issue 2 Pages 211-217
We mainly applied Magerl method to fix round epistropheus for treating its rootlessness. However, the procedure may cause artery damage during screw implantation in cases of run abnormality such as high riding VA. It is Goel (Har for such an artery run abnormality example ms). Good results were obtained for round epistropheus fixation by this technique (C1 lateral mass, C2 pedicle screw fixation) and the results are reported below.
Objectives: Five patients with RA (average age: 53.6 years) who underwent round epistropheus fixation by the Goel (Harms) technique were followed up from October 2004 to February 2006. The mean time to follow-up assessment after the fixation was 1 year and 9 months.
Methods: Sharp pain was evaluated according to Ranawat's classification and by neurological function evaluation. In X-ray study, Ranawat value was measured in terms of atlantodental interval, an index of perpendicular dislocation for level dislocation.
Results: Bone union was achieved in all cases and there were no serious complications such as blood vessel damage and nervous system damage, indicating that this method is useful for artery run abnormality.
