Intraoperative reduction and internal fixation for atlanto-axial dislocation
Bibliographic record
Abstract
Atlanto-axial complex is the most important functional unit of the cervical spine. Atlanto-axial instability or dislocation, one of the most serious pathologies in spinal surgery, is often managed by posterior atlantoaxial fixation and fusion. Several posterior fixation techniques have been used to stabilize the atlanto-axial complex, including wire/cable-bone fixation, Halifax clamps, transarticular screw fixation, screw-plate fixation and screw-rod fixation. For atlanto-axial dislocation that cannot be reduced with skull traction before operation, intraoperative reduction is often needed. Current intraoperative reduction techniques can be classified into tran-soropharyngeal surgical release followed by posterior reduction and fixation, transoropharyngeal reduction and fixation, and posterior reduction and fixation using screw-rod system according to approaches. Furthermore, posterior reduction can be performed using elevating-pull, leverages, and cantilever techniques. This study re-views the intraoperative reduction and fixation techniques mentioned above. Key words: Atlas; Axis; Dislocation; Reduction; Internal fixation
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".