• J Clin Neurosci · May 2011

    Case Reports

    Motion-preserving reduction and fixation of C1 Jefferson fracture using a C1 lateral mass screw construct.

    • Kwang-Wook Jo, Ik-Seong Park, and Jae Taek Hong.
    • Department of Neurosurgery, St Mary's Hospital, College of Medicine, Catholic University, Bucheon, Republic of Korea.
    • J Clin Neurosci. 2011 May 1; 18 (5): 695-8.

    AbstractThe treatment of C1 Jefferson fractures is controversial. Non-surgical treatment with halo fixation always bears the risk of insufficient healing with further instability and increasing neck pain. However, a C1-2 fusion can markedly decrease the rotatory motion of the neck. The aim of this report is to describe a new treatment for C1 Jefferson fractures. We used open reduction and C1 fixation using a bilateral C1 lateral mass screw construct. The screws were connected with a rod and nuts to reduce lateral spread of the lateral masses. This method is an alternative surgical option for C1 Jefferson fractures in select patients and can maintain important C1-2 joint motion.Copyright © 2010 Elsevier Ltd. All rights reserved.

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