Use of a titanium mesh cage for posterior atlantoaxial arthrodesis. Technical note

Morio Matsumoto, Kazuhiro Chiba, Takashi Tsuji, Hirofumi Maruiwa, Yoshiaki Toyama, Jun Ogawa

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The authors placed titanium mesh cages to achieve posterior atlantoaxial fixation in five patients with atlantoaxial instability caused by rheumatoid arthritis or os odontoideum. A mesh cage packed with autologous cancellous bone was placed between the C-1 posterior arch and the C-2 lamina and was tightly connected with titanium wires. Combined with the use of transarticular screws, this procedure provided very rigid fixation. Solid fusion was achieved in all patients without major complications. The advantages of this method include more stable fixation, better control of the atlantoaxial fixation angle, and reduced donor-site morbidity compared with a conventional atlantoaxial arthrodesis in which an autologous iliac crest graft is used.

Original languageEnglish
Pages (from-to)127-130
Number of pages4
JournalJournal of neurosurgery
Volume96
Issue number1 SUPPL.
Publication statusPublished - 2002 Mar 25

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Keywords

  • Atlantoaxial fusion
  • Atlantoaxial stabilization
  • Titanium mesh cage

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Matsumoto, M., Chiba, K., Tsuji, T., Maruiwa, H., Toyama, Y., & Ogawa, J. (2002). Use of a titanium mesh cage for posterior atlantoaxial arthrodesis. Technical note. Journal of neurosurgery, 96(1 SUPPL.), 127-130.