Patient-rated outcome after atlantoaxial (C1-C2) fusion: more than a decade of evaluation of 2-year outcomes in 126 patients

Introduction Various surgical techniques have been introduced for atlantoaxial (C1-C2) fusion, the most common being Magerl’s (transarticular) or the Harms/Goel screw fixation. Common indications include degenerative osteoarthritis (OA), trauma or rheumatoid arthritis (RA). Only few, small studies h...

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Bibliographic Details
Published in:European spine journal 2021-12, Vol.30 (12), p.3620-3630
Main Authors: Kleinstück, F. S., Fekete, T. F., Loibl, M., Jeszenszky, D., Haschtmann, D., Porchet, F., Mannion, A. F.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Arthritis
Atlanto-Axial Joint - diagnostic imaging
Atlanto-Axial Joint - surgery
Bone implants
Bone Screws
Cervical Vertebrae
Female
Humans
Joint Instability
Male
Medicine
Medicine & Public Health
Middle Aged
Neurosurgery
Original Article
Osteoarthritis
Outcome Assessment, Health Care
Patient Reported Outcome Measures
Patients
Retrospective Studies
Rheumatoid arthritis
Spinal Fusion
Spine (cervical)
Spine (lumbar)
Surgical Orthopedics
Trauma
Treatment Outcome
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Summary:Introduction Various surgical techniques have been introduced for atlantoaxial (C1-C2) fusion, the most common being Magerl’s (transarticular) or the Harms/Goel screw fixation. Common indications include degenerative osteoarthritis (OA), trauma or rheumatoid arthritis (RA). Only few, small studies have evaluated patient-reported outcomes after C1-C2 fusion. We investigated 2-year outcomes in a large series of consecutive patients undergoing isolated C1-C2 fusion. Methods We analysed prospectively collected data (2005–2016) from our Spine outcomes database, collected within the framework of EUROSPINE's Spine Tango Registry. It included 126 patients (34 (27%) men, 92 (73%) women; mean (SD) age 67 ± 19 y) who had undergone first-time isolated C1-C2 fusion (61% Magerl, 39% Harms(-Goel)) at least 2 years ago for OA (83 (66%)), RA (20 (16%)), fracture (15 (12%)) or other (8 (6%)). Patients completed the multidimensional Core Outcome Measures Index (COMI; 0–10) and various single item outcomes. Results Questionnaires were returned by 118/126 (94%) patients, 2 years post-operative. Mean COMI scores showed a significant reduction from baseline: 6.9 ± 2.4 to 2.7 ± 2.5 ( p  
ISSN:0940-6719
1432-0932
DOI:10.1007/s00586-021-06959-1