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Case Reports
. 1983;6(4):229-33.
doi: 10.1007/BF01743104.

Modern treatment of the symptomatic os odontoideum

C Roosen, W Grote, A Trauschel
Case Reports

Modern treatment of the symptomatic os odontoideum

C Roosen et al. Neurosurg Rev. 1983.

Abstract

A new surgical procedure for treatment of congenital, symptomatic atlanto-axial instability (os odontoideum ) is described. Two metallic clamps, with an integrated inner spring for maintaining continuous pressure on a cortico-cancellous bone-graft implanted into the interlaminar space, are fixed posteriorly on the vertebral arches C1/2 next to the graft. Because of the initial solid segment-stability external fixation is unnecessary. Posterior interlaminar osteosynthesis prevents late neurological complications caused by a mobile os odontoideum .

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