Atlanto-axial fusion with transarticular screw fixation

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Grob-D; Jeanneret-B; Aebi-M; Markwalder-TM Spine Centre, Zurich, Switzerland. J-Bone-Joint-Surg-Br. 1991 Nov; 73(6): 972-6 We reviewed 161 patients, from four centres in Switzerland, who had undergone posterior fusion of the upper cervical spine with transarticular screw fixation of the atlanto-axial joints. They were followed up for a mean 24.6 months. The vertebral artery and the medulla escaped injury and only 5.9% of the complications were directly related to the screws. The rate of pseudarthrosis was 0.6%.