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Management of a traumatic atlanto-occipital and atlanto-axial subluxation with fracture of dens

Y Sisodia, D Gautam, A K Tiwari, Y Gautam
2015 The Sri Lanka Journal of Surgery  
Key points:  Stabilisation of the occiput to cervical spine was found to be strongest with pedicle screw fixation in cadaveric spines.  Transarticular screws provided greater stability than hooks and wires.  The downside to this technique is the loss of cervical rotation.
doi:10.4038/sljs.v32i3.8085 fatcat:mzoeq57dtjdzncyfhgp2jwgpjq