Upper cervical spine fracture

Atlas fracture and axis fracture are complex and surgical management may be difficult and challenging due to the anatomical relationship between the vertebra and neurovascular structures. The use of a navigation system based on an intraoperative computed tomography allows a real-time visualization of the vertebrae, reducing the risks of screw misplacement and consequent complications ¹⁾.

AO Spine Upper Cervical Injury Classification System.

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Costa F, Ortolina A, Attuati L, Cardia A, Tomei M, Riva M, Balzarini L, Fornari M. Management of C1-2 traumatic fractures using an intraoperative 3D imaging-based navigation system. J Neurosurg Spine. 2015 Feb;22(2):128-33. doi: 10.3171/2014.10.SPINE14122. Epub 2014 Nov 21. PubMed PMID: 25415483.