C1-C2 fusion (Harms-Goel technique) – Surgical Video

For the Audio version please click here

This is a surgical technique video demonstrating posterior atlantoaxial fusion (C1 lateral mass – C2 pedicle screw fixation) technique as described by Dr. Goel and Dr. Laheri, which was subsequently modified by Dr. Jurgen Harms.

Patient is a 45 year old woman with atlantoaxial instability due to Rheumatoid arthritis. She presented with intractable neck pain without myelopathy. Since the PADI (posterior atlanto-dens interval) was significantly reduced, decision was taken to perform C1-C2 fusion.

References:

Goel A, Laheri V. Plate and screw fixation for atlanto-axial subluxation. Acta Neurochir (Wien) 1994;129:47–53.

Harms J, Melcher RP. Posterior C1-C2 fusion with polyaxial screw and rod fixation. Spine 2001;26:2467–2471.

Author: Kshitij Chaudhary

Kshitij Chaudhary is a fellowship-trained spine surgeon working at PD Hinduja Hospital, Mumbai, India. He has been trained in USA at Harvard University's Beth Israel Medical Center, Boston and Twin Cities Spine Center, Minneapolis. Special Interests: 1. Spinal Deformity and Scoliosis Surgery (Pediatric and Adult) 2. Cranio-vertebral and Cervical Spine Surgery 3. Spinal Tumors, Tuberculosis and Infections 4. Degenerative diseases of Lumbar spine 5. Spinal Trauma and Fractures 6. Minimally Invasive Spine Surgery

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s