According to Menezes' algorithm, pre-operative dynamic neuroradiological investigation in C1-C2 dislocations (C1C2D) instability is strongly advocated in order to exclude those patients not eligible for posterior fixation and fusion without previous anterior trans-oral decompression. Anterior irreducible compression due to C1C2D instability, it is said, needs trans-oral anterior decompression. We reviewed our experience in order to refute such a paradigm.
Visocchi, M., Pietrini, D., Tufo, T., Fernandez, E., Di Rocco, C., Pre-operative irreducible C1-C2 dislocations: intra-operative reduction and posterior fixation. The "always posterior strategy", <<ACTA NEUROCHIRURGICA>>, 2009; 151 (5): 551-551-9; discussion 560. [doi:10.1007/s00701-009-0271-z] [http://hdl.handle.net/10807/43385]
Pre-operative irreducible C1-C2 dislocations: intra-operative reduction and posterior fixation. The "always posterior strategy"
Visocchi, Massimiliano;Pietrini, Domenico;Tufo, Tommaso;Di Rocco, Concezio
2009
Abstract
According to Menezes' algorithm, pre-operative dynamic neuroradiological investigation in C1-C2 dislocations (C1C2D) instability is strongly advocated in order to exclude those patients not eligible for posterior fixation and fusion without previous anterior trans-oral decompression. Anterior irreducible compression due to C1C2D instability, it is said, needs trans-oral anterior decompression. We reviewed our experience in order to refute such a paradigm.
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