WebDISCUSSION. We were able to demonstrate that the combination of C1 lateral mass screws with C1-C2 transarticular screws is a safe and solid technique for posterior atlantoaxial fixation based on well-established posterior atlantoaxial fixation techniques. The C1-C2 motion segment has the widest range of movement of any spinal motion segment. WebSep 6, 2024 · C1 lateral mass screws were placed using the Goel-Harms technique .[5 , 6 ] However, the O-arm documented that a C2 pedicle screw should not be inserted; rather a translaminar left-C2 screw was placed, while a routine pedicle screw was placed on the right [Figure 3b -d ]; The C1-C2 rods were finally applied and the fusion was completed …

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