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Percutaneous C1C2 transarticular screw fixation for atlantoaxial osteoarthritis with 3D navigation: technical note and functional outcomes

dc.rights.licenseopenen_US
dc.contributor.authorBORGE, Paul-Emile
dc.contributor.authorDAMADE, Camille
dc.contributor.authorGERBEAUX, William
dc.contributor.authorKERDILES, Gaelle
dc.contributor.authorOBEID, Ibrahim
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorBOUYER, Benjamin
ORCID: 0000-0002-7702-7610
dc.contributor.authorGILLE, Olivier
dc.contributor.authorBOISSIERE, Louis
dc.date.accessioned2025-05-27T07:35:35Z
dc.date.available2025-05-27T07:35:35Z
dc.date.issued2025-03-28
dc.identifier.issn1432-1068en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/206733
dc.description.abstractEnPurpose Atlantoaxial osteoarthritis is a debilitating condition often resistant to conservative management. In refractory cases, C1-C2 fusion becomes a surgical option. Recent advancements, particularly in 3D navigation, have allowed for more precise and minimally invasive approaches, though there are limited reports on isolated percutaneous C1-C2 arthrodesis for osteoarthritis. This study aims to evaluate the feasibility, accuracy, and clinical outcomes of percutaneous C1-C2 transarticular screw fixation using 3D navigation in patients with disabling atlantoaxial osteoarthritis. Methods Ten patients (median age: 75.5 years), all female, underwent percutaneous C1-C2 screw fixation using the Magerl technique, guided by 3D navigation. Preoperative assessment included CT and contrast-enhanced imaging to ensure safe screw placement. Postoperative evaluations included pain assessment, radiographic analysis, and patient satisfaction. Results Transarticular screws were inserted in all of patients, with no significant intraoperative complications. Median operative time was 65 min with blood loss under 100 mL. Postoperative pain improved with the median VAS decreasing from 10 preoperatively to 1 at one year. Screw backout was observed in one patient without clinical repercussions. All patients expressed satisfaction and would undergo the procedure again. Conclusion Percutaneous C1-C2 transarticular screw fixation with 3D navigation is a safe and effective treatment for severe atlantoaxial osteoarthritis. It offers significant pain relief, accurate screw placement, and reduced postoperative morbidity. Preoperative anatomical evaluation remains critical to minimize risks. Level of Evidence Level III, Retrospective Cohort
dc.language.isoENen_US
dc.subject.en3D navigation
dc.subject.enAtlantoaxial osteoarthritis
dc.subject.enPercutaneous C1-C2 fixation
dc.subject.enTransarticular screw
dc.title.enPercutaneous C1C2 transarticular screw fixation for atlantoaxial osteoarthritis with 3D navigation: technical note and functional outcomes
dc.title.alternativeEur J Orthop Surg Traumatolen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1007/s00590-025-04254-zen_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed40155552en_US
bordeaux.journalEuropean Journal of Orthopaedic Surgery & Traumatologyen_US
bordeaux.page138en_US
bordeaux.volume35en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamAHEAD_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-05086103
hal.version1
hal.date.transferred2025-05-27T07:35:37Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
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