Журнал неврологии и нейрохирургических исследований / Journal of Neurology and Neurosurgical Research Volume 7 Issue 3 (2026)
PERSONALIZED 3D PREOPERATIVE PLANNING IN C1–C2 FIXATION: IMPACT ON THE ACCURACY AND SAFETY OF SCREW PLACEMENT
Кузиев Ортикшер Илмиддинович, Разоков Вохиджон Вахобович, Хакимжонов Шохжахон Шухратжон угли, Исмоилова Муаззам Исроиловна, Рахмонов Кодиржон Комилжонович
Abstract
The aim of the study was to evaluate the impact of personalized 3D preoperative planning on the accuracy and safety of screw placement in posterior atlantoaxial fixation. Data from 10 patients with atlantoaxial instability treated using the Goel-Harms technique were analyzed. Preoperative planning was based on MSCT data using 3D Slicer with subsequent 3D printing of anatomical models. In all cases, accurate screw placement was achieved without cortical breach. The mean deviation was 12.5° ± 3.7°, and the minimum distance to the vertebral artery was 3.1 ± 0.8 mm. The operative time averaged 145 ± 18 minutes. Significant improvement in clinical outcomes (VAS, ASIA, NDI) was observed. No complications were recorded. The method improves the accuracy, safety, and effectiveness of C1-C2 fixation.
атлантоаксиальная нестабильность, 3D-планирование, 3D-печать, фиксация C1–C2, Goel–Harms, позвоночная артерияatlantoaxial instability, 3D planning, 3D printing, C1–C2 fixation, Goel-Harms, vertebral arteryatlantoaksial beqarorlik, 3D rejalashtirish, 3D chop etish, C1-C2 fiksatsiya, Goel-Harms, umurtqa arteriyasi
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