Comparison of Two Posterior Minimally Invasive Approaches for Odontoid Fractures: Midline Nuchal Ligament Approach vs. Paramedian Muscle‐Splitting Approach

Both the MNLA and the PMSA demonstrated favorable clinical outcomes for the treatment of odontoid fractures. However, compared with the PMSA, the MNLA, using the spinous process of C2 and the OCI as anatomical landmarks, offers advantages of the stability of the surgical procedure, easy exposure, and reduced iatrogenic damage to the cervical posterior muscles and GON.

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Publication Details

Journal
Orthopaedic Surgery
Published
2025-12-12
DOI
https://doi.org/10.1111/os.70213
Primary Topic
Spinal Fractures and Fixation Techniques
Type
article
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article

Comparison of Two Posterior Minimally Invasive Approaches for Odontoid Fractures: Midline Nuchal Ligament Approach vs. Paramedian Muscle‐Splitting Approach

Xuhua Lu, Liang Wang, Yang Li, Yijin Wang et al.
Orthopaedic Surgery
Spinal Fractures and Fixation Techniques
article

Comparison of Two Posterior Minimally Invasive Approaches for Odontoid Fractures: Midline Nuchal Ligament Approach vs. Paramedian Muscle‐Splitting Approach

Xuhua Lu, Liang Wang, Yang Li, Yijin Wang, Youcai Qiu
article en

Abstract

Both the MNLA and the PMSA demonstrated favorable clinical outcomes for the treatment of odontoid fractures. However, compared with the PMSA, the MNLA, using the spinous process of C2 and the OCI as anatomical landmarks, offers advantages of the stability of the surgical procedure, easy exposure, and reduced iatrogenic damage to the cervical posterior muscles and GON.

Orthopaedic SurgeryVol. 18(1)
Shanghai Changzheng Hospital (CN), People's Liberation Army 401 Hospital (CN)
Openalex Percentile: Top 40%
Spinal Fractures and Fixation Techniques
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