Table 4. Summary of different surgical strategies and their advantages and disadvantages.
Anterior plate and interbody graft | Posterior C2–C3 | Posterior C1–C2–C3 | Posterior C2 (Judet) | |
---|---|---|---|---|
Approach morbidity | Low | Moderate | Moderate | Moderate |
Disk pathology is addressed | + | − | − | − |
Anterior decompression | + | − | − | − |
Posterior decompression | − | + | + | + |
Reduction of angulation | + | ? | +++ | ? |
Reduction facet luxation | − | + | + | + |
Direct fracture fixation | − | + | + | + |
Stabilized segments | 1 | 1 | 2 | 0 |
Fused segments | 1 | 1 | 1–2 | 0 |