Neuronavigation-guided Judet screw technique for C2 pedicle fractures: how I do it.

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Tác giả: Giuseppe Maria Vincenzo Barbagallo, Giulio Bonomo, Francesco Certo, Carmelo Vitaliti

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: Austria : Acta neurochirurgica , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 703704

BACKGROUND: Atypical Hangman's fractures may involve bilateral C2 pedicle fractures. Surgical fixation is often required to prevent instability and neurological impairment. The Judet technique, involving transpedicular screw fixation, offers a targeted approach to stabilize C2 pedicle fractures while preserving cervical motion. METHOD: This article presents a neuronavigation-guided modification of the Judet technique for C2 pedicle screw placement. Advanced intraoperative computed tomography (CT) imaging, virtual trajectory planning and intraoperative navigation guidance provide surgical precision and patient safety. CONCLUSION: Neuronavigation can improve the classical Judet technique, enhancing clinical safety and accuracy in fixation of C2 pedicle fractures. This minimally invasive/mini-open approach preserves C1-C2 mobility and reduces complications.
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