One of the surgeries that we usually do. These are some of the surgeries that we do. This is a transarticular C1-C2 screw. In this case, we try to save the mobility on the CCJ, craniocervical junction. This is another fusion, harms fusion, or a C1-C2 fusion.
This is something we need to do. If there’s O-C1 instability, especially like Chiari malformations, these patients may need a suboccipital decompression also and then a fusion from occiput to C2.
This is transoral surgery. This has done essentially in patients who have only anterior compression, especially patients with rheumatoid arthritis with pannus formation. So we go through the oral cavity through the mucosa and burr out the odontoid from there.
No instrumentation is usually needed because they are stable and they do really well. They heal very well. They do really well after the surgery.
This is what we do in younger population who meet a certain criteria, have an odontoid fracture. We just go from an anterior approach, do a fixation of with an odontoid screw. And this is a non-fusion surgery. Doesn’t restrict the movement. They do really well after that.