Badhiwala, J.H., Nassiri, F., Witiw, C.D., et al. (2017) Does Transection of the C2 Nerve Roots during C1 Lateral Mass Screw Placement for Atlantoaxial Fixation Result in a Superior Outcome: A Systematic Review of the Literature and Meta-Analysis. Spine, 42, E1067-E1076.
https://doi.org/10.1097/BRS.0000000000002069

has been cited by the following article:

• TITLE: C1-C2 Goel-Harms Fixation, History of the Technique, Free Hand Technique Description

  AUTHORS: Marcel Sincari

  KEYWORDS: C1 Lateral Mass, C2 Pedicle, Arthrodesis

  JOURNAL NAME: Surgical Science, Vol.13 No.9, September 5, 2022

  ABSTRACT: Objective: Short historical description of the evolution of C1-C2 fixation methods, anatomical tricks and free hand fixation technique description. Method: five patients were operated on using free hand technique, X-rays were only used after the positioning of the patient in the ventral position with Mayfield and at the end before locking the lateral rods. Results: no complications documented, in all the cases CT scans revealed good screw position. Conclusion: Using these landmarks and with a good preoperative planning, it is easy for experienced surgeons to perform the technique in a free hand manner, that avoids X-ray exposure for the whole team and the patient. This technique is not recommended for common use, especially for surgeons with few experiences in this field.