A Minimally Invasive Technique Using Tubular Retractors for Percutaneous Transpedicular Fixation of Traumatic Spondylolisthesis of Axis: A Case Report and Technical Note

Shanu Gambhir, Idrees Sher, Yagnesh Vellore and Mark Winder

Department of Neurosurgery, St. Vincent’s Hospital, Australia
Department of Neurosurgery, Monash Medical Centre, Australia
Department of Neurosurgery, Austin Hospital, Australia
Department of Neurosurgery, St. Vincent’s Hospital, Australia

^*Correspondance to: Idrees Sher 

 PDF  Full Text DOI: 10.25107/2474-1647.1409

Abstract

Hangman’s type fractures are notoriously difficult to manage. Conservative management often fails in the more severe fracture types resulting in a significant source of burden particularly in the setting of unstable fractures. Numerous management strategies have been described including conservative non-surgical options such as an external cervical orthosis or halo thoracic jacket brace to operative management strategies that can be invasive, carry risk of neurovascular injury and morbidity and be motion restricting. We describe a minimally invasive, muscle sparing, motion preserving C2 transpedicular (pars interarticularis) screw construct technique without the use of k-wires in a 72 year old man with a Levine and Edward’s type II Hangman fracture that failed conservative management. To the best of our knowledge, this is the first case report describing this technique.

Keywords

Cervical spine; Hangman’s fracture; Transpedicular screw; Minimally invasive surgery; Tubular retractor

Cite the article

Gambhir S, Sher I, Vellore Y, Winder M. A Minimally Invasive Technique Using Tubular Retractors for Percutaneous Transpedicular Fixation of Traumatic Spondylolisthesis of Axis: A Case Report and Technical Note. Clin Surg. 2017; 2: 1409.